Evidence map›Paper›PMID 28662810›Full record

ArticleJournal of the American College of Cardiology2017

Treating Specialty and Outcomes in Newly Diagnosed Atrial Fibrillation: From the TREAT-AF Study.

Alexander C Perino, Jun Fan, Susan K Schmitt, Mariam Askari, Daniel W Kaiser, Abhishek Deshmukh, Paul A Heidenreich, Christopher Swan, Sanjiv M Narayan, Paul J Wang and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American College of Cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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.

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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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  13. Direct Oral Anticoagulants and Warfarin for Atrial Fibrillation Treatment: Rural and Urban Trends in Medicare Beneficiaries.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
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  16. Incidence and outcomes of patients with atrial fibrillation and major bleeding complications: from the TREAT-AF study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Alexander C PerinoDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Jun FanVeterans Affairs Palo Alto Health Care System, Palo Alto, California.
Susan K SchmittVeterans Affairs Palo Alto Health Care System, Palo Alto, California.
Mariam AskariVeterans Affairs Palo Alto Health Care System, Palo Alto, California.
Daniel W KaiserDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Abhishek DeshmukhMayo Clinic, Rochester, Minnesota.
Paul A HeidenreichDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Christopher SwanDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Sanjiv M NarayanDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Paul J WangDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Mintu P TurakhiaDepartment of Medicine, Stanford University School of Medicine, Stanford, California; Veterans Affairs Palo Alto Health Care System, Palo Alto, California; Center for Digital Health, Stanford University School of Medicine, Stanford, California. Electronic address: mintu@stanford.edu.
VA Palo Alto Health Care System · USMayo Clinic · US

Funding

The Dynamics of Human Atrial FibrillationR01HL083359 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sanjiv M Narayan · 2008 to 2026
$7.9M
T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
The Maintenance of Human Atrial FibrillationK24HL103800 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NARAYAN, SANJIV M · 2010 to 2019
$1.9M
NHLBI NIH HHS K24 HL103800NHLBI NIH HHS R01 HL083359NHLBI NIH HHS T32 HL098049
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) occurs in many clinical contexts and is diagnosed and treated by clinicians across many specialties. This approach has resulted in treatment variations.

objectivesThe goal of this study was to evaluate the association between treating specialty and AF outcomes among patients newly diagnosed with AF.

methodsUsing data from the TREAT-AF (Retrospective Evaluation and Assessment of Therapies in AF) study from the Veterans Health Administration, patients with newly diagnosed, nonvalvular AF between 2004 and 2012 were identified who had at least 1 outpatient encounter with primary care or cardiology within 90 days of the AF diagnosis. Cox proportional hazards regression was used to evaluate the association between treating specialty and AF outcomes.

resultsAmong 184,161 patients with newly diagnosed AF (age 70 ± 11 years; 1.7% women; CHA

conclusionsIn patients with newly diagnosed AF, cardiology care was associated with improved outcomes, potentially mediated by early prescription of oral anticoagulation therapy. Although hypothesis-generating, these data warrant serious consideration and study of health care system interventions at the time of new AF diagnosis.

Indexed as

Outcome Assessment, Health CareAgedAtrial FibrillationCardiologyCause of DeathFemaleFollow-Up StudiesHumansIncidenceMaleRetrospective StudiesRisk AssessmentRisk FactorsSurvival RateTime FactorsUnited Statesanticoagulationatrial fibrillationoutcomesquality of carestroke

Identifiers

PMID28662810
PMCPMC5830104
OpenAlexW2685278846

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.