Evidence map›Paper›PMID 29331969›Full record

ArticleBMJ open2018

Temporal trends in antithrombotic treatment of real-world UK patients with newly diagnosed atrial fibrillation: findings from the GARFIELD-AF registry.

Patricia N Apenteng, Haiyan Gao, Fd Richard Hobbs, David A Fitzmaurice, UK GARFIELD-AF Investigators and GARFIELD-AF Steering Committee

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01090362 (Prospective, Multi Centre, International Registry of Male and Female Patients Newly Diagnosed With Atrial Fibrillation.), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
–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

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.

NCT01090362 completednot on this map

Prospective, Multi Centre, International Registry of Male and Female Patients Newly Diagnosed With Atrial Fibrillation.

TypeobservationalSponsorThrombosis Research InstituteRan2009 to 2020Enrolled57,250ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Observational
  6. Observational
  7. [Asymptomatic atrial fibrillation : Screening and therapy].Herzschrittmachertherapie & Elektrophysiologie · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Contemporary management of atrial fibrillation in primary and secondary care in the UK: the prospective long-term AF-GEN-UK Registry.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 · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Two-year outcomes of UK patients newly diagnosed with atrial fibrillation: findings from the prospective observational cohort study GARFIELD-AF.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  16. Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation.European heart journal supplements : journal of the European Society of Cardiology · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. 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

5 authors.

Patricia N ApentengClinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
Haiyan GaoThrombosis Research Institute, London, UK.
Fd Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
David A FitzmauriceClinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.
UK GARFIELD-AF Investigators and GARFIELD-AF Steering Committee

Funding

Department of Health IS-SPC-0514-10043Medical Research Council G9900264
6 · The paper itself

Abstract

objectiveTo investigate evolving patterns in antithrombotic treatment in UK patients with newly diagnosed non-valvular atrial fibrillation (AF).

designProspective, multicentre, international registry.

setting186 primary care practices in the UK.

participants3482 participants prospectively enrolled in four sequential cohorts (cohort 2 (C2) n=830, diagnosed September 2011 to April 2013; cohort 3 (C3) n=902, diagnosed April 2013 to June 2014; cohort 4 (C4) n=850, diagnosed July 2014 to June 2015; cohort 5 (C5) n=900, diagnosed June 2015 to July 2016). Participants had newly diagnosed non-valvular AF and at least one risk factor for stroke, were aged ≥18, and provided informed consent.

main outcome measuresAntithrombotic treatment initiated at diagnosis, overall and according to stroke and bleeding risks. Stroke risk was retrospectively calculated using CHA

results42.7% were women and the mean age was 74.5 years. The median CHA

conclusionThere has been a progressive increase in the proportion of patients newly diagnosed with AF receiving guideline-recommended therapy in the UK, potentially driven by the availability of NOACs. TRIAL REGISTRATION NUMBER: NCT01090362; Pre-results.

Indexed as

Clinical ProtocolsAgedAged, 80 and overAnticoagulantsAtrial FibrillationFemaleFibrinolytic AgentsGuideline AdherenceHemorrhageHumansMaleMiddle AgedPlatelet Aggregation InhibitorsProspective StudiesRegistriesRisk AssessmentAnticoagulantsFibrinolytic AgentsPlatelet Aggregation InhibitorsVitamin Kanticoagulationantithrombotic therapyatrial fibrillationnewly diagnosedstroke prophylaxis

Identifiers

PMID29331969
PMCPMC5781154

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.