Evidence map›Paper›PMID 37273820›Full record

ArticleClinicoEconomics and outcomes research : CEOR2023

Race and Ethnic and Sex Differences in Rhythm Control Treatment of Incident Atrial Fibrillation.

Larry R Jackson Ii, Daniel J Friedman, Diane M Francis, Sonia Maccioni, Vincent C Thomas, Paul Coplan, Rahul Khanna, Charlene Wong, Neloufar Rahai, Jonathan P Piccini

Open access · goldAbstract read
In one paragraph

Article in ClinicoEconomics and outcomes research : CEOR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Atrial fibrillation in the Americas.Lancet regional health. Americas · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

10 authors at 2 institutions in 1 country.

Larry R Jackson IiDivision of Cardiology, Duke University Medical Center & Duke Clinical Research Institute, Durham, NC, USA.ORCID 0000-0002-0195-1081
Daniel J FriedmanDivision of Cardiology, Duke University Medical Center & Duke Clinical Research Institute, Durham, NC, USA.
Diane M FrancisHealth Economics and Market Access, Johnson & Johnson Medical Devices, Irvine, CA, USA.
Sonia MaccioniHealth Economics and Market Access, Johnson & Johnson Medical Devices, Irvine, CA, USA.
Vincent C ThomasMedical Safety, Biosense Webster, Irvine, CA, USA.
Paul CoplanMedical Device Epidemiology and Real-World Data Sciences, Johnson & Johnson, New Brunswick, NJ, USA.ORCID 0000-0002-7078-7780
Rahul KhannaMedical Device Epidemiology and Real-World Data Sciences, Johnson & Johnson, New Brunswick, NJ, USA.ORCID 0000-0002-2478-1724
Charlene WongMedical Device Epidemiology and Real-World Data Sciences, Johnson & Johnson, New Brunswick, NJ, USA.
Neloufar RahaiMedical Device Epidemiology and Real-World Data Sciences, Johnson & Johnson, New Brunswick, NJ, USA.
Jonathan P PicciniDivision of Cardiology, Duke University Medical Center & Duke Clinical Research Institute, Durham, NC, USA.
Johnson & Johnson (United States) · USClinical Research Institute · US

Funding

Shared Decision-Making to Reduce Racial Disparities in Oral Anticoagulation Use in Patients with Non-Valvular Atrial FibrillationK01HL159041 · NHLBI · DUKE UNIVERSITY · PI JACKSON, LARRY R · 2021 to 2025
$774k
6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is associated with considerable morbidity and mortality. Timely management and treatment is critical in alleviating AF disease burden. Variation in treatment by race and ethnic and sex could lead to inequities in health outcomes. Objective: To identify racial and ethnic and sex differences in rhythm treatment for patients with incident AF. Methods: Using 2010-2019 Optum Clinformatics database, an administrative claims data for commercially insured patients in the United States (US), incident AF patients ≥20 years old who were continuously enrolled 12-months pre- and post-index diagnosis were identified. Rhythm control treatment (ablation, antiarrhythmic drugs [AAD], and cardioversion) for AF were compared by patient race and ethnicity (Asian, Hispanic, Black vs White) and sex (female vs male). Multivariable regression analysis was used to examine the relationship of race and ethnicity and sex with rhythm control AF treatment. Results: A total of 77,932 patients were identified with incident AF. Black and Hispanic female patients had the highest CHA Conclusion: Black patients were less likely to receive pharmacologic and procedural rhythm control therapies. Further research is needed to understand the drivers of undertreatment among racial and ethnic groups and females with AF.

Indexed as

atrial fibrillationcatheter ablationracesex

Identifiers

PMID37273820
PMCPMC10237629
OpenAlexW4378714799

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.