Alcusky M, et al. - Researchers used a repeated cross-sectional design and investigated if direct-acting oral anticoagulant (DOAC) use has disseminated into nursing homes and increased anticoagulant use. They examined Medicare fee-for-service beneficiaries with atrial fibrillation residing in long-stay nursing homes, to estimate the point prevalence of oral anticoagulant use on July 1 and December 31 of calendar years 2011 to 2016. On December 31, 2011, an oral anticoagulant has been received by 42.3% of 33,959 residents, of whom DOACs were received by 8.6%. Standard dosages were given to half of the 8734 DOAC users, and most of these received apixaban (54.4%) or rivaroxaban (35.8%) in 2016. Overall, findings revealed the coincidence of increases in anticoagulant use with declining warfarin use and increasing DOAC use.