ArticleOpen heart
Association of income and health-related quality of life in atrial fibrillation.
Article in Open heart. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Socioeconomic status does not influence quality of life and mood outcomes after catheter ablation for atrial fibrillation: A call for equitable access.Heart rhythm O2 · 2026Article
- Association of Atrial Fibrillation Symptom Burden With Social Determinants of Health.JACC. Advances · 2025Article
- Determinants Impacting Daily Physical Activity Levels Among Chinese Adults and Its Association with Obesity.Healthcare (Basel, Switzerland) · 2025Article
- The administrative burden of medication affordability resources: an environmental scan with implications for health informatics to advance health equity.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Factors Associated with Quality of Life among People with Atrial Fibrillation: Jordan Atrial Fibrillation Registry Study.Medicina (Kaunas, Lithuania) · 2024Article
- Global burden of atrial fibrillation/atrial flutter and its attributable risk factors from 1990 to 2021.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 · 2024Article
- Determinants of Health-Related Quality of Life in Outpatients with Myocardial Infarction.Journal of multidisciplinary healthcare · 2024Article
- Unpacking the Public Health Triad of Social Inequality in Health, Health Literacy, and Quality of Life-A Scoping Review of Research Characteristics.International journal of environmental research and public health · 2023Article
- Relationship of health-related social needs and hospital readmissions in patients following a hospitalization for atrial fibrillation.American heart journal plus : cardiology research and practice · 2023Article
- Gaps in guideline-recommended anticoagulation in patients with atrial fibrillation and elevated thromboembolic risk within an integrated healthcare delivery system.BMC cardiovascular disorders · 2023Article
- Family functioning and health-related quality of life of inpatients with coronary heart disease: a cross-sectional study in Lanzhou city, China.BMC cardiovascular disorders · 2022Article
- Burden of atrial fibrillation and its attributable risk factors from 1990 to 2019: An analysis of the Global Burden of Disease study 2019.Frontiers in cardiovascular medicine · 2022Article
- Sex differences in atrial fibrillation: patient-reported outcomes and the persistent toll on women.American journal of preventive cardiology · 2021Article
- Social determinants of atrial fibrillation.Nature reviews. Cardiology · 2021Review
- Effects of COVID-19 Lockdown on Physical Activity, Sedentary Behavior, and Satisfaction with Life in Qatar: A Preliminary Study.International journal of environmental research and public health · 2021Article
- Association of patient-reported outcomes with hospitalization risk in atrial fibrillation.American heart journal plus : cardiology research and practice · 2021Article
- The Combined Effects of Patient Activation and Relational Aspects on the Quality of Life in Atrial Fibrillation Patients.Frontiers in psychology · 2021Article
- Physical Activity, Health-Related Quality of Life, and Stress among the Chinese Adult Population during the COVID-19 Pandemic.International journal of environmental research and public health · 2020Article
- Correlation between exercise, personal income level and health-related quality of life in patients with newly diagnosed stable angina.Military Medical Research · 2019Article
- Mind the gap: Deficits in fundamental disease-specific knowledge in atrial fibrillation.International journal of cardiology · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Objective: Health-related quality of life (HRQoL) is a patient-centred benchmark promoted by clinical guidelines in atrial fibrillation (AF). Income is associated with health outcomes, but how income effects HRQoL in AF has limited investigation. Methods: We enrolled a convenience cohort with AF receiving care at a regional healthcare system and assessed demographics, medical history, AF treatment, income, education and health literacy. We defined income as a categorical variable (<$20 000; $20 000-$49 999; $50 000-$99 999; >$100 000). We used two complementary HRQoL measures: (1) the atrial fibrillation effect on quality of life (AFEQT), measuring composite and domain scores (daily activity, symptoms, treatment concerns, treatment satisfaction; range 0-100); (2) the 12-item Short Form Survey (SF-12), measuring general HRQoL with physical and mental health domains (range 0-100). We related income to HRQoL and adjusted for relevant covariates. Results: In 295 individuals with AF (age 71±10, 40% women), we observed significant differences in HRQoL by income. Higher mean composite AFEQT scores were observed for higher income groups: participants with income <$20 000 had the lowest HRQoL (n=35, 68.2±21.4), and those with income >$100 000 had the highest HRQoL (n=64, 81.9±17.0; p=0.04). We also observed a significant difference by income in the AFEQT daily activity domain (p=0.02). Lower income was also associated with lower HRQoL in the mental health composite score of the SF-12 (59.7±21.5, income <$20 000 vs 79.3±16.3, income >$100 000; p<0.01). Conclusion: We determined that income was associated with HRQoL in a cohort with prevalent AF. Given the marked differences, we consider income as essential for understanding patient-centred outcomes in AF.
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