Evidence map›Paper›PMID 23914772›Full record

ArticleBMC public health2013

Uptake of atrial fibrillation screening aiming at stroke prevention: geo-mapping of target population and non-participation.

Johan Engdahl, Anders Holmén, Mårten Rosenqvist, Ulf Strömberg

Abstract read
In one paragraph

Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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

4 authors.

Johan EngdahlDepartment of Medicine, Halland Hospital, SE-301 85 Halmstad, Sweden. johan.engdahl@regionhalland.se
Anders Holmén
Mårten Rosenqvist
Ulf Strömberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn a screening study for silent atrial fibrillation (AF), which is a frequent source of cardiac emboli with ischemic stroke, the proportion of non-participants was considerable and their clinical profile differed from the participants' profile. We intended to geo-map the target population and non-participation in an attempt to understand factors related to screening uptake and, thereby, obtain useful information needed to intervene for improved uptake.

methodIn the municipality of Halmstad, Sweden, all residents born in 1934-1935 were invited to the screening study during April 2010 to February 2012. The total study group included 848 participants and 367 non-participants from 12 parishes. Geo-maps displaying participation, along with target-population-based geo-maps displaying proportion of immigrants and ischemic stroke incidence, were used.

resultsSmoothed non-participation ratios (SmNPR) varied from 0.81 to 1.24 across different parishes (SmNRP=1 corresponds to the expected participation based on the total study group). Among high risk individuals, the geographical variation was more pronounced (SmNPR range 0.75-1.51). Two parishes with higher share of immigrants and elevated population-based ischemic stroke incidence showed markedly lower participation, particularly among high-risk individuals.

conclusionAF screening uptake varied evidently between parishes, particularly among high-risk individuals. Geo-mapping of target population and non-participation yielded useful information needed to intervene for improved screening uptake.

Indexed as

Geographic Information SystemsAgedAged, 80 and overAtrial FibrillationCitiesEmigrants and ImmigrantsFemaleHumansMaleMass ScreeningPatient ParticipationPopulation SurveillanceRisk FactorsStrokeSweden

Identifiers

PMID23914772
PMCPMC3737106

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