PT - JOURNAL ARTICLE AU - Powell, Robert A. AU - Coulter, Jessica S. AU - Hoffman, Ariel L. ED - Brown, Carina TI - For Atrial Fibrillation, DOACs Outperform Warfarin in Patients with Reduced Kidney Function AID - 10.3122/jabfm.2024.240155R0 DP - 2025 Jan 17 TA - The Journal of the American Board of Family Medicine PG - jabfm.2024.240155R0 4099 - http://www.jabfm.org/content/early/2025/01/16/jabfm.2024.240155R0.short 4100 - http://www.jabfm.org/content/early/2025/01/16/jabfm.2024.240155R0.full AB - At standard doses, direct oral anticoagulants (DOACs) were associated with a reduced risk of systemic embolism and intracranial hemorrhage (ICH) when compared with warfarin, with a greater derived benefit at lower creatinine clearance (CrCl-down to 25 mL/min). Lower doses of DOACs were associated with increased overall mortality without a significant decrease in ICH and incident bleeding when compared with standard dose DOACs and warfarin, across all CrCl down to 25 mL/min.1