Hemostasis Today

Diana Langworthy: New Episode – Solving the DOAC vs. Warfarin Mystery in Cirrhosis
Jun 30, 2026, 05:16

Diana Langworthy: New Episode – Solving the DOAC vs. Warfarin Mystery in Cirrhosis

Diana Langworthy, Associate Professor at University of Minnesota College of Pharmacy, shared a post on LinkedIn:

New episode going live tomorrow, Tuesday June 30th, on What’s It Worth?

S4E7 – The Cirrhosis Paradox: Solving the DOAC vs. Warfarin Mystery in Liver Disease

Join me and my co-hosts, Dr. Erin E Pauling, (ambulatory care and cardiology specialist from Binghamton University) and recent U of MN grad, Dr. Caleb Nelson-Lange.

In this episode, we dig into a systematic review and meta-analysis comparing DOACs vs. warfarin in patients with atrial fibrillation and liver disease, including cirrhosis.

We talk through:

Why anticoagulation decisions in liver disease are so nuanced

What the evidence suggests about DOAC safety and effectiveness

How to think about agent selection, especially apixaban vs. rivaroxaban

Why observational data can be helpful, but still leaves important clinical gaps

And with this episode, there is a patient-facing companion episode:

S4E7.5 – AFib, Blood Thinners, and Liver Disease: Questions to Ask Your Doctor

This short What’s It Worth? For Everyone episode is designed for patients and families navigating AFib, blood thinners, liver disease, and cirrhosis.

It explains the topic in plain language and ends with practical questions patients can bring to their healthcare team.

For healthcare professionals: listen to the full episode for the evidence deep dive, and consider sharing the companion episode with patients or caregivers who want a clearer starting point for the conversation.”

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