Evidence map›Paper›PMID 32063041›Full record

Trial reportCirculation. Cardiovascular quality and outcomes2020

SUPPORT-AF II: Supporting Use of Anticoagulants Through Provider Profiling of Oral Anticoagulant Therapy for Atrial Fibrillation: A Cluster-Randomized Study of Electronic Profiling and Messaging Combined With Academic Detailing for Providers Making Decisions About Anticoagulation in Patients With Atrial Fibrillation.

Alok Kapoor, Azraa Amroze, Fatima Vakil, Sybil Crawford, Jacqueline Der, Jomol Mathew, Eric Alper, Dinesh Yogaratnam, Saud Javed, Rasha Elhag and 11 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Circulation. Cardiovascular quality and outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03583008 (Supporting Use of AC Through Provider Profiling of Oral AC Therapy for AF), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 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.

NCT03583008 nacompletednot on this map

Supporting Use of AC Through Provider Profiling of Oral AC Therapy for AF

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2018 to 2019Enrolled112ConditionsAtrial Fibrillation, Prescribing Practices, AnticoagulantsArmsAnticoagulation (AC) Intervention--Academic Detailing, Anticoagulation (AC) Intervention--Prescribing Practices
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Alok KapoorUniversity of Massachusetts Memorial Health Care, Worcester (A.K., A.A, E.A., R.E., D.D.M.).
Azraa AmrozeUniversity of Massachusetts Memorial Health Care, Worcester (A.K., A.A, E.A., R.E., D.D.M.).
Fatima VakilAbigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH (F.V.).
Sybil CrawfordUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Jacqueline DerNortheastern University, Boston, MA (J.D., J.S.S.).
Jomol MathewUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Eric AlperUniversity of Massachusetts Memorial Health Care, Worcester (A.K., A.A, E.A., R.E., D.D.M.).
Dinesh YogaratnamMass College of Pharmacy and Health Sciences, Worcester, MA (D.Y., D.B.).
Saud JavedUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Rasha ElhagUniversity of Massachusetts Memorial Health Care, Worcester (A.K., A.A, E.A., R.E., D.D.M.).
Abraham LinUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Siddhartha NarayananUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Donna BartlettMass College of Pharmacy and Health Sciences, Worcester, MA (D.Y., D.B.).
Ahmed NagyUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Bevin Kathleen ShagouryThe National Resource Center for Academic Detailing, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA (B.K.S., M.A.F.).
Michael A FischerThe National Resource Center for Academic Detailing, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA (B.K.S., M.A.F.).
Kathleen M MazorUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Jane S SaczynskiUniversity of Massachusetts Medical School, Worcester (A.K., S.C., J.M., E.A., S.J., R.E., A.L., S.N., A.N., K.M.M., J.S.S., D.D.M.).
Jeffrey M AshburnerDivision of General Internal Medicine, Massachusetts General Hospital, Boston (J.M.A.).
Renato LopesDuke Clinical Research Institute, Durham, NC (R.L.).
David D McManusUniversity of Massachusetts Memorial Health Care, Worcester (A.K., A.A, E.A., R.E., D.D.M.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious provider-directed electronic messaging interventions have not by themselves improved anticoagulation use in patients with atrial fibrillation. Direct engagement with providers using academic detailing coupled with electronic messaging may overcome the limitations of the prior interventions. METHODS AND

resultsWe randomized outpatient providers affiliated with our health system in a 2.5:1 ratio to our electronic profiling/messaging combined with academic detailing intervention. In the intervention, we emailed providers monthly reports of their anticoagulation percentage relative to peers for atrial fibrillation patients with elevated stroke risk (CHA

conclusionsOur electronic messaging and academic detailing intervention was feasible but did not increase anticoagulation use. Patient-directed interventions or provider interventions targeting patients declining anticoagulation may be necessary to raise the rate of anticoagulation. Clinical Trial Registration URL: http://www.clinicaltrials.gov. Unique identifier: NCT03583008.

Indexed as

Decision Support TechniquesElectronic Health RecordsElectronic MailMedical Order Entry SystemsPractice Patterns, Physicians'Reminder SystemsAdministration, OralAgedAmbulatory CareAnticoagulantsAtrial FibrillationAttitude of Health PersonnelClinical Decision-MakingDrug UtilizationFemaleHealth Knowledge, Attitudes, PracticeAnticoagulantsanticoagulantatrial fibrillationfocus groupsknowledgeoutpatients

Identifiers

PMID32063041

What OpenQuestion holds

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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.