Evidence map›Paper›PMID 37597862›Full record

ArticleBMJ open2023

Screening over 100 000 patients in 39 general practices in the Netherlands for anticoagulation underprescription in atrial fibrillation: a descriptive, cross-sectional study.

Leonard Voorhout, Ron Pisters, Constants H P H Geurts, Andrew Oostindjer, Sander van Doorn, Harrie Rila, Wessel W Fuijkschot, Freek Verheugt, Martin E W Hemels

Abstract read
In one paragraph

Article in BMJ open, 2023. 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
–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

2 citing papers in PubMed.

  1. Educating healthcare professionals to improve AF-CARE: lessons from the ESC/EHRA STEEER-AF trial educational programme.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
  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

9 authors.

Leonard VoorhoutDepartment of Cardiology, Research, Hospital Rijnstate, Arnhem, The Netherlands lvoorhout@rijnstate.nl.ORCID 0000-0002-9758-2064
Ron PistersDepartment of Cardiology, Research, Hospital Rijnstate, Arnhem, The Netherlands.
Constants H P H GeurtsKinase, Bussum, The Netherlands.
Andrew OostindjerGeneral Oractice Oostindjer, Oldenzaal, The Netherlands.
Sander van DoornJulius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands.ORCID 0000-0003-4319-3503
Harrie RilaBMS, Princeton, New Jersey, USA.
Wessel W FuijkschotKinase, Bussum, The Netherlands.
Freek VerheugtDepartment of Cardiology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Martin E W HemelsDepartment of Cardiology, Research, Hospital Rijnstate, Arnhem, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the underprescription of oral anticoagulation (OAC) in individual atrial fibrillation (AF) patients in primary care.

settingScreening of patient records in 39 participating general practitioners (GPs) across the Netherlands.

participantsWe screened 101 207 patient records identifying 2375 non-valvular AF patients.

methodsUsing electronic patient files, we were able to screen the entire GP population for AF, CHA

resultsWe found a mean CHA

conclusionsIn this large Dutch study among GPs, we observed 9.8% underprescription of OAC in AF patients. In 76% of the AF patients lacking a prescription for OAC, no documentation for deviating from the guidelines was found. Only in a minority of cases detection of OAC underprescription lead to OAC initiation.

Indexed as

Atrial FibrillationGeneral PracticeAnticoagulantsCross-Sectional StudiesFemaleHumansMaleNetherlandsAnticoagulantspacing & electrophysiologyprimary careprotocols & guidelinesthromboembolism

Identifiers

PMID37597862
PMCPMC10441057

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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.