Evidence map›Paper›PMID 29317937›Full record

ArticleCanadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC

Evaluating the potential for pharmacists to prescribe oral anticoagulants for atrial fibrillation.

Roopinder K Sandhu, Lisa M Guirguis, Tammy J Bungard, Erik Youngson, Lisa Dolovich, Jamie C Brehaut, Jeff S Healey, Finlay A McAlister

Open access · bronzeAbstract read
In one paragraph

Article in Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Assessing Pharmacists Knowledge and Attitude Toward the Direct Oral Anticoagulants in Qatar.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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 1 institution in 1 country.

Roopinder K SandhuDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Lisa M GuirguisDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Tammy J BungardDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Erik YoungsonDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Lisa DolovichDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.ORCID https://orcid.org/0000-0002-0061-6783
Jamie C BrehautDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Jeff S HealeyDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
Finlay A McAlisterDivision of Cardiology (Sandhu, Bungard), Faculty of Pharmacy and Pharmaceutical Sciences (Guirguis), Strategy for Patient-Oriented Research (Youngson) and Division of General Internal Medicine (McAlister), University of Alberta, Edmonton, Alberta.
University of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral anticoagulant therapy (OAC) to prevent atrial fibrillation (AF)-related strokes remains poorly used. Alternate strategies, such as community pharmacist prescribing of OAC, should be explored.

methodsApproximately 400 pharmacists, half with additional prescribing authority (APA), randomly selected from the Alberta College of Pharmacists, were invited to participate in an online survey over a 6-week period. The survey consisted of demographics, case scenarios assessing appropriateness of OAC (based on the 2014 Canadian Cardiovascular Society AF guidelines) and perceived barriers to prescribing. Regression analysis was performed to determine predictors of knowledge.

resultsA total of 35% (139/397) of pharmacists responded to the survey, and 57% of these had APA. Depending on the case scenario, 55% to 92% of pharmacists correctly identified patients eligible for stroke prevention therapy, but only about a half selected the appropriate antithrombotic agent; there was no difference in the knowledge according to APA status. In multivariable analysis, predictors significantly associated with guideline-concordant prescribing were having the pharmacist interact as part of an interprofessional team ( INTERPRETATION AND

conclusionCommunity pharmacists can identify patients who would benefit from stroke prevention therapy in AF. However, physician collaboration and further training on AF and guidelines for prescribing OAC are needed.

Identifiers

PMID29317937
PMCPMC5755820
OpenAlexW2769445263

What OpenQuestion holds

Textmetadata
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.