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This study of several thousand nursing home residents with nonvalvular atrial fibrillation found that direct-acting oral anticoagulants (DOACs) were associated with a lower mortality compared to warfarin. Comment: This is not surprising. Although not perfect, DOACs in many situations appear to be clearly superior to warfarin. J Gen Intern Med . 2020 Aug;35(8):2329-2337.    (retrieved Sep, 2020). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.