Evidence map›Paper›PMID 30590964›Full record

Trial reportJournal of the American Heart Association2019

eHealth Tools to Provide Structured Assistance for Atrial Fibrillation Screening, Management, and Guideline-Recommended Therapy in Metropolitan General Practice: The AF - SMART Study.

Jessica Orchard, Lis Neubeck, Ben Freedman, Jialin Li, Ruth Webster, Nicholas Zwar, Robyn Gallagher, Caleb Ferguson, Nicole Lowres

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  4. Opportunistic screening versus usual care for diagnosing atrial fibrillation in general practice: a cluster randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
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  11. Lower-adherence direct oral anticoagulant use is associated with increased risk of thromboembolic events than warfarin.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2024
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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

9 authors at 6 institutions in 2 countries.

Jessica Orchard1 Faculty of Medicine & Health The University of Sydney Australia.
Lis Neubeck3 Edinburgh Napier University Edinburgh United Kingdom.
Ben Freedman2 Heart Research Institute Charles Perkins Centre The University of Sydney Australia.
Jialin Li2 Heart Research Institute Charles Perkins Centre The University of Sydney Australia.
Ruth Webster4 The George Institute for Global Health University of New South Wales Sydney Australia.
Nicholas Zwar5 University of New South Wales Sydney New South Wales Australia.
Robyn Gallagher1 Faculty of Medicine & Health The University of Sydney Australia.
Caleb Ferguson6 Western Sydney Nursing & Midwifery Research Centre Western Sydney University Sydney Australia.
Nicole Lowres2 Heart Research Institute Charles Perkins Centre The University of Sydney Australia.
The Heart Research Institute · AUUniversity of Sydney · AUEdinburgh Napier University · GBThe George Institute for Global Health · AUUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background This eH ealth implementation study aimed to evaluate strategies to promote opportunistic atrial fibrillation ( AF ) screening using electronic screening prompts and improve treatment using electronic decision support ( EDS ) software. Methods and Results An electronic screening prompt appeared whenever an eligible patient's (aged ≥65 years, no AF diagnosis) medical record was opened in participating general practices. General practitioners and practice nurses offered screening using a smartphone ECG, with validated AF algorithm. Guideline-based EDS was provided to assist treatment decisions. Deidentified data were collected from practices using a data extraction tool. General practices (n=8) across Sydney, Australia, screened for a median of 6 months. A total of 1805 of 11 476 (16%) eligible patients who attended were screened (44% men, mean age 75.7 years). Screening identified 19 (1.1%) new cases of AF (mean age, 79 years; mean CHA

Indexed as

AlgorithmsDisease ManagementGuideline AdherenceAdministration, OralAgedAnticoagulantsAtrial FibrillationAustraliaElectrocardiographyFemaleFollow-Up StudiesGeneral PracticeHumansMaleMass ScreeningMorbidityAnticoagulantsatrial fibrillationeHealthgeneral practicesscreeningstroke prevention

Identifiers

PMID30590964
PMCPMC6405712
OpenAlexW2907211962

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.