Evidence map›Paper›PMID 29970397›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Variation in anticoagulation for atrial fibrillation between English clinical commissioning groups: an observational study.

John Robson, Kate Homer, Zaheer Ahmed, Sotiris Antoniou

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 19% 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, 13 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Prescription of oral anticoagulants and antiplatelets for stroke prophylaxis in atrial fibrillation: nationwide time series ecological analysis.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 · 2020
    Article
  5. Article
  6. Atrial fibrillation and stroke prevention: where we are and where we should be.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    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

4 authors at 2 institutions in 1 country.

John RobsonCentre for Primary Care and Public Health, Queen Mary University of London, London.
Kate HomerCentre for Primary Care and Public Health, Queen Mary University of London, London.
Zaheer AhmedCentre for Primary Care and Public Health, Queen Mary University of London, London.
Sotiris AntoniouBarts Health NHS Trust, London.
Queen Mary University of London · GBBarts Health NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite improvement in anticoagulation for atrial fibrillation (AF), substantial variation in anticoagulation persists between clinical commissioning groups (CCGs) and regions in England.

aimTo identify reasons for variation between English CCGs in anticoagulation for AF. DESIGN AND

settingA 4-year observational study from 2012/2013 to 2015/2016, of the national Quality and Outcomes Framework.

methodMultiple regression and Pearson's correlation coefficients were used to analyse anticoagulation for AF in relation to older age, Index of Multiple Deprivation, prescription of non-vitamin K antagonist oral anticoagulants (NOACs), and exception reporting, as well as stroke hospital admission and mortality.

resultsThe proportion of eligible patients in England prescribed anticoagulants for AF without exceptions for clinical complexity or patient dissent increased from 65.1% in 2012/2013 to 77.9% in 2015/2016. In 2015, 290 920 additional eligible people were anticoagulated in association with use of the CHA

conclusionAnticoagulation for AF has improved substantially in England in association with considerable increases in the eligible population as a result of decreased exception reporting and the use of the CHA

Indexed as

Primary Health CareAdvisory CommitteesAnticoagulantsAtrial FibrillationDelivery of Health CareEligibility DeterminationEnglandHealth Services ResearchHospitalizationHumansStrokeAnticoagulantsanticoagulationatrial fibrillationprimary carestroke

Identifiers

PMID29970397
PMCPMC6058620
OpenAlexW2811234266

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.