Evidence map›Paper›PMID 18340388›Full record

ArticleThe Canadian journal of cardiology2008

Treating the right patient at the right time: an innovative approach to the management of atrial fibrillation.

Anne M Gillis, Laurie Burland, Beverly Arnburg, Cheryl Kmet, P Timothy Pollak, Katherine Kavanagh, George Veenhuyzen, D George Wyse

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Canadian journal of cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02745236 (The Effect of Nurse Practitioner-Led Care on Health Related Quality Of Life in Adult Patients With Atrial Fibrillation - A Randomized Trial), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02745236 nacompletednot on this mapstarted 2016, after this paper: background citation

The Effect of Nurse Practitioner-Led Care on Health Related Quality Of Life in Adult Patients With Atrial Fibrillation - A Randomized Trial

TypeinterventionalSponsorUniversity of AlbertaRan2016 to 2020Enrolled150ConditionsAtrial FibrillationArmsNurse Practitioner Led-Care, Cardiologist Led-Care
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 38 citations in OpenAlex.

  1. An Integrated Management Approach to Atrial Fibrillation.Journal of the American Heart Association · 2016
    Trial
  2. Article
  3. Article
  4. Rapid Access Atrial Fibrillation Clinics in Australia - Modelling Outcomes and Cost-Effectiveness.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A multidisciplinary atrial fibrillation clinic.Current cardiology reviews · 2013
    Article
  10. Article
  11. Academic Alternate Relationship Plans for internal medicine: a lever for health care transformation.Open medicine : a peer-reviewed, independent, open-access journal · 2011
    Article
  12. An international survey of physician and patient understanding, perception, and attitudes to atrial fibrillation and its contribution to cardiovascular disease morbidity and mortality.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2010
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Anne M GillisLibin Cardiovascular Institute of Alberta and Department of Cardiac Sciences, University of Calgary and Calgary Health Region, Calgary, Alberta. amgillis@ucalgary.ca <amgillis@ucalgary.ca>
Laurie Burland
Beverly Arnburg
Cheryl Kmet
P Timothy Pollak
Katherine Kavanagh
George Veenhuyzen
D George Wyse
Libin Cardiovascular Institute of Alberta · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Canadian Cardiovascular Society Access to Care Working Group recently published a series of commentaries on access to cardiovascular care in Canada. These commentaries included proposed minimally acceptable wait times for patients with atrial fibrillation (AF) to be assessed by a cardiologist or an electrophysiologist. To improve access to medical care for the patient with AF, a nurse clinician-based AF clinic was established in the Calgary Health Region (Alberta) in 2005. More than 330 patients had been referred at the time of writing. The time from referral to initial nurse assessment was 38+/-31 days, to physician review and establishment of a management plan was 66+/-49 days and to in-person specialist physician assessment was 80+/-55 days. These wait times are markedly shorter than historical wait times to see an arrhythmia specialist in the Calgary Region. As experience increased, wait times continued to shorten significantly. Preliminary data suggest that early assessment and patient education may reduce emergency department visits and hospitalizations for AF. This experience suggests that a nurse clinician-based AF clinic may provide earlier access to medical care and may improve health outcomes in the long term.

Indexed as

AgedAlbertaAtrial FibrillationCardiologyFemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient SelectionPractice Patterns, Physicians'Time FactorsTriageWaiting Lists

Identifiers

PMID18340388
PMCPMC2649632
OpenAlexW2045449023

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.