Evidence map›Paper›PMID 33948141›Full record

ArticleMalaysian family physician : the official journal of the Academy of Family Physicians of Malaysia2021

Knowledge, attitude, and practice regarding atrial fibrillation among primary care physicians: the potential role of postgraduate training.

Phaik Choo Ooi, Gogilavendan Ramayah, Syahril Rizwan Omar, Vilasini Rajadorai, Thatsheila Nadarajah, Chung Hui Ting, Cheong Lieng Teng

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
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Article in Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Phaik Choo OoiMBBS (UM), MAFP/FRACGP, Community Based Department Universiti Kuala Lumpur, Royal College of Medicine Perak, Ipoh, Perak, Malaysia. email: lvkopc@yahoo.com.
Gogilavendan RamayahMBBS, MAFP/FRACGP, Buntong Health Clinic, Ipoh, Perak, Malaysia.
Syahril Rizwan OmarMBBS, Simee Health Clinic, Ipoh, Perak, Malaysia.
Vilasini RajadoraiMBBS, Ayer Tawar Health Clinic, Ayer Tawar, Perak, Malaysia.
Thatsheila NadarajahMD, Menglembu Health Clinic, Ipoh, Perak, Malaysia.
Chung Hui TingMD, MAFP/FRACGP, Gunung Rapat Health Clinic, Ipoh, Perak, Malaysia.
Cheong Lieng TengMFamMed (UM), FRACGP, FAMM. Professor, Department of Family Medicine, International Medical University, Seremban Campus, Seremban, Negeri Sembilan, Malaysia.
University of Kuala Lumpur · MYInstitut Penyelidikan Veterinar · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAtrial fibrillation (AF) is known to lead to stroke and thromboembolism, causing a five-fold increase in the risk of stroke and almost doubling the mortality rate. Optimal anticoagulant therapy is effective in reducing AF-related death. However, prescription of anticoagulants in AF in East Asian countries has been low, ranging from 0.5% to 28%. This study aimed to determine whether vocational training in family medicine improves primary care physicians' knowledge, attitude, and practice in the management of AF.

methodThis investigation was a cross-sectional study carried out during centralized workshops for two groups of trainees using a validated questionnaire: (i) junior trainees were newly enrolled postgraduate trainees in the Graduate Certificate in Family Medicine (GCFM) program, and (ii) senior trainees were postgraduate trainees in Advance Training in Family Medicine (ATFM) programs of the Academy of Family Physicians of Malaysia (AFPM).

resultsA total of 223 trainees (127 junior and 96 senior) participated in this study. Only 55.2% of the trainees passed the knowledge test; senior trainees were more likely to pass the knowledge test compared to junior trainees (69.8% vs. 44.1%, p < 0.001). Female trainees were significantly more likely to pass the knowledge test than male trainees. While the attitude of senior and junior trainees was similar, more of the latter group worked in public clinic that provide better support where there is better support for outpatient anticoagulation treatment (e.g., same-day INR test, direct access echocardiogram, and warfarin in in-house pharmacy).

conclusionVocational training in family medicine appears to improve primary care physicians' knowledge regarding the management of AF. Better knowledge will help vocationally trained primary care physicians to provide anticoagulation treatment for AF within primary care clinics. More optimal AF management within primary care can take place if the identified barriers are addressed and a shared care plan can be implemented.

Indexed as

anticoagulationatrial fibrillationKnowledge, attitude, and practiceprimary care physicians

Identifiers

PMID33948141
PMCPMC8088736
OpenAlexW3151041845

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.