Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants

Identifying adherence to direct oral anticoagulants (DOACs) plays a major role in treatment efficacy and safety. The DOAC Dipstick can detect DOACs in urine samples of acutely diseased patients at plasma thresholds of about 30 ng/mL. A prospective observational consecutive cohort study was performed...

Full description

Saved in:
Bibliographic Details
Main Authors: Papageorgiou, Loula (Author) , Hetjens, Svetlana (Author) , Fareed, Jawed (Author) , Auge, Sanny (Author) , Tredler, Laetitia (Author) , Harenberg, Job (Author) , Weiß, Christel (Author) , Elalamy, Ismail (Author) , Gerotziafas, Grigorios T. (Author)
Format: Article (Journal)
Language:English
Published: 2023
In: Clinical and applied thrombosis, hemostasis
Year: 2023, Volume: 29, Pages: 1-7
ISSN:1938-2723
DOI:10.1177/10760296231179684
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1177/10760296231179684
Get full text
Author Notes:Loula Papageorgiou, Svetlana Hetjens, Jawed Fareed, Sanny Auge, Laetitia Tredler, Job Harenberg, Christel Weiss, Ismail Elalamy, and Grigorios T. Gerotziafas

MARC

LEADER 00000caa a2200000 c 4500
001 1853667617
003 DE-627
005 20240307064935.0
007 cr uuu---uuuuu
008 230726s2023 xx |||||o 00| ||eng c
024 7 |a 10.1177/10760296231179684  |2 doi 
035 |a (DE-627)1853667617 
035 |a (DE-599)KXP1853667617 
035 |a (OCoLC)1425214273 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Papageorgiou, Loula  |e VerfasserIn  |0 (DE-588)1297346580  |0 (DE-627)1853668303  |4 aut 
245 1 0 |a Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants  |c Loula Papageorgiou, Svetlana Hetjens, Jawed Fareed, Sanny Auge, Laetitia Tredler, Job Harenberg, Christel Weiss, Ismail Elalamy, and Grigorios T. Gerotziafas 
264 1 |c 2023 
300 |a 7 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Zuerst veröffentlicht: 5. Juni 2023 
500 |a Gesehen am 26.07.2023 
520 |a Identifying adherence to direct oral anticoagulants (DOACs) plays a major role in treatment efficacy and safety. The DOAC Dipstick can detect DOACs in urine samples of acutely diseased patients at plasma thresholds of about 30 ng/mL. A prospective observational consecutive cohort study was performed on outpatients taking DOACs. The presence of direct oral factor Xa inhibitors (DXIs) in patient urine samples were independently evaluated by visual interpretation of the DOAC Dipstick pad colors. DOAC plasma concentration was assessed using STA®-Liquid Anti-Xa and STA®-Liquid Anti-IIa chromogenic substrate assays. Positive DOAC Dipstick results were compared with a threshold plasma of DOAC concentration ≥30 ng/mL. Of 120 patients (age 55.4  +  16.1 years, female n  =  63), 77 were on rivaroxaban and 43 on apixaban. Plasma concentrations were 129  ±  118 ng/mL for rivaroxaban, and 163  ±  130 ng/mL for apixaban, DOAC Dipstick test has a sensitivity of 97.2% and a positive predictive value of 89.5% at 30 ng/mL. No differences occurred between DXIs. Specificity and negative predictive value could not be determined due to the low number of true negative values. There were no differences in the interpretation of rivaroxaban and apixaban pad colors between observers (Kappa 1.0). Results show that DOAC Dipstick may be a useful tool for identifying DXIs in urine samples in an outpatient setting at a plasma threshold ≥ 30 ng/mL. Further studies should include patients treated with dabigatran, vitamin K antagonists, or other anticoagulants. 
700 1 |a Hetjens, Svetlana  |d 1983-  |e VerfasserIn  |0 (DE-588)1031801979  |0 (DE-627)737600284  |0 (DE-576)379534223  |4 aut 
700 1 |a Fareed, Jawed  |e VerfasserIn  |4 aut 
700 1 |a Auge, Sanny  |e VerfasserIn  |4 aut 
700 1 |a Tredler, Laetitia  |e VerfasserIn  |4 aut 
700 1 |a Harenberg, Job  |d 1950-  |e VerfasserIn  |0 (DE-588)108825507  |0 (DE-627)655891498  |0 (DE-576)339563745  |4 aut 
700 1 |a Weiß, Christel  |d 1958-  |e VerfasserIn  |0 (DE-588)123287707  |0 (DE-627)082463417  |0 (DE-576)168356104  |4 aut 
700 1 |a Elalamy, Ismail  |e VerfasserIn  |4 aut 
700 1 |a Gerotziafas, Grigorios T.  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Clinical and applied thrombosis, hemostasis  |d Thousand Oaks, Calif. : Sage, 1995  |g 29(2023), Seite 1-7  |h Online-Ressource  |w (DE-627)510464181  |w (DE-600)2230591-9  |w (DE-576)276272900  |x 1938-2723  |7 nnas  |a Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants 
773 1 8 |g volume:29  |g year:2023  |g pages:1-7  |g extent:7  |a Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants 
856 4 0 |u https://doi.org/10.1177/10760296231179684  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
951 |a AR 
992 |a 20230726 
993 |a Article 
994 |a 2023 
998 |g 123287707  |a Weiß, Christel  |m 123287707:Weiß, Christel  |d 60000  |d 60200  |d 60250  |d 60000  |e 60000PW123287707  |e 60200PW123287707  |e 60250PW123287707  |e 60000PW123287707  |k 0/60000/  |k 1/60000/60200/  |k 2/60000/60200/60250/  |k 0/60000/  |p 7 
998 |g 108825507  |a Harenberg, Job  |m 108825507:Harenberg, Job  |d 60000  |e 60000PH108825507  |k 0/60000/  |p 6 
998 |g 1031801979  |a Hetjens, Svetlana  |m 1031801979:Hetjens, Svetlana  |d 60000  |d 60200  |d 60250  |e 60000PH1031801979  |e 60200PH1031801979  |e 60250PH1031801979  |k 0/60000/  |k 1/60000/60200/  |k 2/60000/60200/60250/  |p 2 
999 |a KXP-PPN1853667617  |e 4357973821 
BIB |a Y 
SER |a journal 
JSO |a {"title":[{"title":"Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants","title_sort":"Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulants"}],"origin":[{"dateIssuedKey":"2023","dateIssuedDisp":"2023"}],"note":["Zuerst veröffentlicht: 5. Juni 2023","Gesehen am 26.07.2023"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"physDesc":[{"extent":"7 S."}],"name":{"displayForm":["Loula Papageorgiou, Svetlana Hetjens, Jawed Fareed, Sanny Auge, Laetitia Tredler, Job Harenberg, Christel Weiss, Ismail Elalamy, and Grigorios T. Gerotziafas"]},"relHost":[{"part":{"text":"29(2023), Seite 1-7","extent":"7","volume":"29","year":"2023","pages":"1-7"},"language":["eng"],"type":{"media":"Online-Ressource","bibl":"periodical"},"disp":"Comparison of the DOAC dipstick test on urine samples with chromogenic substrate methods on plasma samples in outpatients treated with direct oral anticoagulantsClinical and applied thrombosis, hemostasis","pubHistory":["1.1995 -"],"origin":[{"dateIssuedDisp":"1995-","publisher":"Sage","dateIssuedKey":"1995","publisherPlace":"Thousand Oaks, Calif."}],"note":["Gesehen am 25.05.2020","Fortsetzung der Druck-Ausgabe"],"title":[{"title":"Clinical and applied thrombosis, hemostasis","title_sort":"Clinical and applied thrombosis, hemostasis"}],"id":{"zdb":["2230591-9"],"issn":["1938-2723"],"eki":["510464181"]},"physDesc":[{"extent":"Online-Ressource"}],"recId":"510464181"}],"recId":"1853667617","id":{"eki":["1853667617"],"doi":["10.1177/10760296231179684"]},"person":[{"given":"Loula","role":"aut","display":"Papageorgiou, Loula","family":"Papageorgiou"},{"family":"Hetjens","display":"Hetjens, Svetlana","given":"Svetlana","role":"aut"},{"given":"Jawed","role":"aut","family":"Fareed","display":"Fareed, Jawed"},{"role":"aut","given":"Sanny","family":"Auge","display":"Auge, Sanny"},{"given":"Laetitia","role":"aut","display":"Tredler, Laetitia","family":"Tredler"},{"display":"Harenberg, Job","family":"Harenberg","role":"aut","given":"Job"},{"given":"Christel","role":"aut","display":"Weiß, Christel","family":"Weiß"},{"role":"aut","given":"Ismail","display":"Elalamy, Ismail","family":"Elalamy"},{"family":"Gerotziafas","display":"Gerotziafas, Grigorios T.","given":"Grigorios T.","role":"aut"}],"language":["eng"]} 
SRT |a PAPAGEORGICOMPARISON2023