Evidence map›Paper›PMID 36873407›Full record

ArticleFrontiers in cardiovascular medicine2023

General practitioners' perceptions on opportunistic single-time point screening for atrial fibrillation: A European quantitative survey.

Paulien Vermunicht, Mihaela Grecu, Jean-Claude Deharo, Claire M Buckley, Elena Palà, Georges H Mairesse, Michal M Farkowski, Marco Bergonti, Helmut Pürerfellner, Coral L Hanson and 11 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Key stakeholder views on atrial fibrillation screening: a systematic mixed-studies review and interpretive analysis.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
    Pooled it
  2. Article
  3. Article
  4. Screening and detection of atrial fibrillation in primary care: current practice and future perspectives.European heart journal supplements : journal of the European Society of Cardiology · 2024
    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

21 authors at 14 institutions in 9 countries.

Paulien VermunichtDepartment of Cardiology, Antwerp University Hospital, Antwerp, Belgium.
Mihaela GrecuElectrophysiology Department, Cardiovascular Diseases Institute, Iasi, Romania.
Jean-Claude DeharoAssistance Publique - Hôpitaux de Marseille and Aix Marseille Université, C2VN, Marseille, France.
Claire M BuckleySchool of Public Health, University College Cork, Cork, Ireland.
Elena PalàNeurovascular Research Laboratory, Vall d'Hebron Institute of Research (VHIR) - Universitat Autónoma de Barcelona, Barcelona, Spain.
Georges H MairesseCliniques du Sud Luxembourg, Arlon, Belgium.
Michal M FarkowskiII Department of Heart Arrhythmia, National Institute of Cardiology, Warszawa, Poland.
Marco BergontiDepartment of Cardiology, Antwerp University Hospital, Antwerp, Belgium.
Helmut PürerfellnerDepartment of Cardiology, Ordensklinikum Linz Elisabethinen, Linz, Austria.
Coral L HansonSchool of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.
Lis NeubeckSchool of Health and Social Care, Edinburgh Napier University, Edinburgh, United Kingdom.
Ben FreedmanHeart Research Institute, The University of Sydney, Sydney, NSW, Australia.
Henning WittPfizer Pharma GmbH, Berlin, Germany.
Mellanie T HillsStopAfib.org, Dallas, TX, United States.
Jenny LundPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.
Katrina GiskesHeart Research Institute, The University of Sydney, Sydney, NSW, Australia.
Daniel EnglerDepartment of Cardiology, University Heart and Vascular Center Hamburg Eppendorf, Hamburg, Germany.
Renate B SchnabelDepartment of Cardiology, University Heart and Vascular Center Hamburg Eppendorf, Hamburg, Germany.
Hein HeidbuchelDepartment of Cardiology, Antwerp University Hospital, Antwerp, Belgium.
Lien DestegheDepartment of Cardiology, Antwerp University Hospital, Antwerp, Belgium.
AFFECT-EU investigators
University of Antwerp · BEEdinburgh Napier University · GBAssistance Publique Hôpitaux de Marseille · FRCliniques du Sud Luxembourg · BEGerman Centre for Cardiovascular Research · DEInstitute of Cardiology · PLKrankenhaus der Elisabethinen · ATPfizer (Germany) · DEThe University of Notre Dame Australia · AUThe University of Sydney · AUUniversitat Autònoma de Barcelona · ESUniversity College Cork · IEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is no clear guidance on how to implement opportunistic atrial fibrillation (AF) screening in daily clinical practice. Objectives: This study evaluated the perception of general practitioners (GPs) about value and practicalities of implementing screening for AF, focusing on opportunistic single-time point screening with a single-lead electrocardiogram (ECG) device. Methods: A descriptive cross-sectional study was conducted with a survey developed to assess overall perception concerning AF screening, feasibility of opportunistic single-lead ECG screening and implementation requirements and barriers. Results: A total of 659 responses were collected (36.1% Eastern, 33.4% Western, 12.1% Southern, 10.0% Northern Europe, 8.3% United Kingdom & Ireland). The perceived need for standardized AF screening was rated as 82.7 on a scale from 0 to 100. The vast majority (88.0%) indicated no AF screening program is established in their region. Three out of four GPs (72.1%, lowest in Eastern and Southern Europe) were equipped with a 12-lead ECG, while a single-lead ECG was less common (10.8%, highest in United Kingdom & Ireland). Three in five GPs (59.3%) feel confident ruling out AF on a single-lead ECG strip. Assistance through more education (28.7%) and a tele-healthcare service offering advice on ambiguous tracings (25.2%) would be helpful. Preferred strategies to overcome barriers like insufficient (qualified) staff, included integrating AF screening with other healthcare programs (24.9%) and algorithms to identify patients most suitable for AF screening (24.3%). Conclusion: GPs perceive a strong need for a standardized AF screening approach. Additional resources may be required to have it widely adopted into clinical practice.

Indexed as

AFFECT-EUatrial fibrillationgeneral practitionersscreeningsurvey

Identifiers

PMID36873407
PMCPMC9975716
OpenAlexW4320917668

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.