Publications by authors named "Peter A Bryden"

Determine the optimal, licensed, first-line anticoagulant for prevention of ischemic stroke in patients with non-valvular atrial fibrillation (AF) in England and Wales from the UK National Health Service (NHS) perspective and estimate value to decision making of further research. We developed a cost-effectiveness model to compare warfarin (international normalized ratio target range 2-3) with directly acting (or non-vitamin K antagonist) oral anticoagulants (DOACs) apixaban 5 mg, dabigatran 150 mg, edoxaban 60 mg, and rivaroxaban 20 mg, over 30 years post treatment initiation. In addition to death, the 17-state Markov model included the events stroke, bleed, myocardial infarction, and intracranial hemorrhage.

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 To compare the efficacy, safety, and cost effectiveness of direct acting oral anticoagulants (DOACs) for patients with atrial fibrillation. Systematic review, network meta-analysis, and cost effectiveness analysis.  Medline, PreMedline, Embase, and The Cochrane Library.

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Article Synopsis
  • - Warfarin is commonly used for stroke prevention in atrial fibrillation (AF) and for treating venous thromboembolism (VTE), but its use is often limited due to the risk of bleeding and the costs associated with monitoring therapy.
  • - The study aimed to identify the most effective oral anticoagulants for stroke prevention in AF as well as for the prevention and treatment of VTE through systematic reviews and cost-effectiveness analyses.
  • - The research focused on comparing novel oral anticoagulants (NOACs), warfarin, and low-molecular-weight heparin (LMWH), evaluating outcomes such as stroke incidence, VTE occurrence, bleeding complications, and overall cost-effectiveness.
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Aim: Simeprevir (SMV) is an oral, once-daily protease inhibitor for the treatment of chronic hepatitis C virus (HCV) genotype 1 infection. In phase II/III randomized controlled trials (RCT) conducted in Japan, SMV, in combination with peginterferon-α and ribavirin (PEG IFN/RBV), demonstrated potent efficacy in HCV genotype 1-infected patients relative to PEG IFN/RBV and was generally well tolerated. Telaprevir (TVR) in combination with PEG IFN/RBV is licensed for the treatment of HCV in Japan.

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