Evidence map›Paper›PMID 34985732›Full record

ArticleEuropean journal of epidemiology2022

The nationwide Finnish anticoagulation in atrial fibrillation (FinACAF): study rationale, design, and patient characteristics.

Mika Lehto, Olli Halminen, Pirjo Mustonen, Jukka Putaala, Miika Linna, Janne Kinnunen, Elis Kouki, Jussi Niiranen, Juha Hartikainen, Jari Haukka and 1 more

Abstract read
In one paragraph

Article in European journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–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.

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

42 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Female sex-related stroke risk in patients with atrial flutter-comparison between CHA2DS2-VA and CHA2DS2-VASc scores.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 · 2026
    Article
  6. Article
  7. Article
  8. Adverse events after catheter ablation of atrial fibrillation: a comprehensive nationwide cohort study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  9. Female Sex-Related Stroke Risk in Atrial Fibrillation: A Thing From the Past?Circulation. Arrhythmia and electrophysiology · 2026
    Article
  10. Article
  11. Article
  12. How much does elective cardioversion increase the risk of ischaemic stroke compared to the baseline risk in atrial fibrillation? A nationwide study.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 · 2025
    Article
  13. Article
  14. Article
  15. Venous thromboembolisms and stroke risk in patients with atrial fibrillation: a nationwide cohort study.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 · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

11 authors.

Mika LehtoDepartment of Internal Medicine, Lohja Hospital, Helsinki and Uusimaa Hospital District, Lohja, Finland. mika.lehto@hus.fi.ORCID http://orcid.org/0000-0002-8691-5142
Olli HalminenAalto University, Espoo, Finland.ORCID http://orcid.org/0000-0001-9266-8435
Pirjo MustonenTurku University Hospital and University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0003-1319-0248
Jukka PutaalaDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-6630-6104
Miika LinnaTurku University Hospital and University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-7660-2484
Janne KinnunenDepartment of Neurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Elis KoukiHeart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jussi NiiranenHeart and Lung Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0001-7751-6257
Juha HartikainenKuopio University Hospital and University of Eastern Finland, Kuopio, Finland.ORCID http://orcid.org/0000-0003-0847-107X
Jari HaukkaUniversity of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0003-1450-6208
Kari Eino Juhani AiraksinenTurku University Hospital and University of Turku, Turku, Finland.ORCID http://orcid.org/0000-0002-0193-568X

Funding

Helsingin ja Uudenmaan Sairaanhoitopiiri TYH2019309
6 · The paper itself

Abstract

Atrial fibrillation (AF) is a major cause of ischemic stroke and the number of AF patients is increasing. Thus, up-to-date multifaceted data about the characteristics of AF patients, their treatments, and outcomes are urgently needed. The Finnish anticoagulation in atrial fibrillation (FinACAF) study has collected comprehensive data on all Finnish AF patients from 1st January 2004 to 31st December 2018. The aim of this paper is to describe the study rationale, the process of integrating data from the applied resources and to define the study cohort. Using national unique personal identification number, individual patient data is linked from nationwide health care registries (primary, secondary, and tertiary care), drug purchases, education, and socio-economic status as well as places of domicile, incomes, and taxes. Six regional laboratory databases (~ 282,000, 77% of the patients) are also included. The study cohort comprises of a total of 411,000 patients. Since the introduction of the national primary care register in 2012, 9% of all AF patients were identified outside hospital care registers. The prevalence of AF in Finland-4.1% of whole population-is for the first time now established. The FinACAF study allows a unique possibility to investigate the epidemiology and socio-medico-economic impact of AF as well as the cost effectiveness of different AF management strategies in a completely unselected, nationwide population. This article provides the rationale and design of the study together with a summary of the characteristics of the cohort.

Indexed as

Atrial FibrillationStrokeAnticoagulantsFinlandHumansRegistriesRisk FactorsAnticoagulantsAnticoagulationAtrial fibrillationCost-effectivenessRegister studyStroke

Identifiers

PMID34985732
PMCPMC8791884

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Registered trials

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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.