Evidence map›Paper›PMID 30564735›Full record

ArticleBJGP open2018

Non-vitamin k antagonist oral anticoagulants in a European primary care physician survey.

Claudio Cimminiello, Robert Hatala, Sami Pakarinen, Hernan Polo Friz, David Fitzmaurice, Fd Richard Hobbs

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

6 authors at 5 institutions in 6 countries.

Claudio CimminielloProfessor, Studies and Research Center, Italian Society of Angiology and Vascular Pathology (Società Italiana di Angiologia e Patologia Vascolare), Milan, Italy.
Robert HatalaProfessor, Department of Cardiology, National Cardiovascular Institute and Slovak Medical University, Bratislava, Slovakia.
Sami PakarinenProfessor, Department of Cardiology, Helsinki University Central Hospital, Meilahti Hospital, Helsinki, Finland.
Hernan Polo FrizDoctor, Department of Medicine, Vimercate Hospital, Vimercate, Italy.
David FitzmauriceProfessor, Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
Fd Richard HobbsProfessor and Head, Primary Care Health Sciences, University of Oxford, Oxford, UK.
Primary Health Care · QAAzienda Ospedaliera di Desio e Vimercate · ITHelsinki University Hospital · FISlovak Medical University · SKSocietà Italiana di Cardiologia · IT

Funding

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

Abstract

backgroundFamiliarity and competency in the options for stroke prevention in atrial fibrillation (AF) and the role of non-vitamin K antagonist oral anticoagulants (NOACs) may vary among primary care physicians (PCPs) from different European countries.

aimsTo investigate PCP views on prescribing and managing NOACs across Europe and identify perceived unmet needs. DESIGN &

settingWeb-based survey including PCPs with particular interest in cardiovascular medicine.

methodA questionnaire was drawn up, containing 10 questions on initiation and ongoing management of NOACs; use of AF stroke guidelines on NOACs and anticoagulant switching; and perceived information needs.

resultsThe overall response rate was 42%. The majority of PCPs declared they are responsible for and confident in both initiating and managing NOAC therapy. In some countries, PCPs are not able to initiate NOAC therapy due to administrative barriers (namely, Italy and Slovakia). No single set of guidelines is referred to across all countries and over a fifth of responders indicate they do not follow specific guidelines. The main learning needs reported were more related to initiation than to ongoing management of anticoagulant therapy.

conclusionAccording to this self-assessment survey, the experience of most PCPs in management of different aspects of AF appears good and only some felt the need for further training. However, in the light of the importance of this topic as public health issue, intensified efforts aiming at better equipping PCPs to meet their key roles in an integrated service across Europe are overdue.

Indexed as

anticoagulantsatrial fibrillationprimary health caresurveys and questionnaires

Identifiers

PMID30564735
PMCPMC6189775
OpenAlexW2888483984

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.