Evidence map›Paper›PMID 37802619›Full record

Observational studyBMJ open2023

Can we collect health-related quality of life information from anticoagulated atrial fibrillation participants who have recently experienced a bleed? An observational feasibility study in primary and secondary care in Wales and through a UK online forum.

Hayley Anne Hutchings, Kirsty J Lanyon, Gail Holland, Raza Alikhan, Rhys Jenkins, Hamish Laing, Arfon Hughes, Trudie Lobban, Kevin Pollock, Daniel Tod and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04921176 (Evaluating Quality of Life of AF Patients Following a Bleed), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04921176 completednot on this map

Evaluating Quality of Life of AF Patients Following a Bleed

Typeobservational_patient_registrySponsorSwansea UniversityRan2020 to 2022Enrolled32ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
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.

Hayley Anne HutchingsSwansea University Medical School, Swansea University, Swansea, UK h.a.hutchings@swansea.ac.uk.ORCID 0000-0003-4155-1741
Kirsty J LanyonSwansea University Medical School, Swansea University, Swansea, UK.ORCID 0000-0002-4227-6852
Gail HollandSwansea University Medical School, Swansea University, Swansea, UK.
Raza AlikhanDepartment of Haematology, University Hospital of Wales, Cardiff, UK.
Rhys JenkinsSwansea City GP Cluster, Swansea, UK.
Hamish LaingVBHC Academy, School of Management, Swansea University, Swansea, UK.ORCID 0000-0002-5661-7937
Arfon HughesSwansea University, Swansea, UK.
Trudie LobbanArrythmia Alliance, Swansea, UK.
Kevin PollockBristol-Myers Squibb Pharmaceuticals Ltd, Uxbridge, UK.
Daniel TodSwansea University Medical School, Swansea University, Swansea, UK.
Steven ListerBristol-Myers Squibb Pharmaceuticals Ltd, Uxbridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the feasibility of recruiting participants diagnosed with atrial fibrillation (AF) taking oral anticoagulation therapies (OATs) and recently experiencing a bleed to collect health-related quality of life (HRQoL) information.

designObservational feasibility study. The study aimed to determine the feasibility of recruiting participants with minor and major bleeds, the most appropriate route for recruitment and the appropriateness of the patient-reported outcome measures (PROMs) selected for collecting HRQoL information in AF patients, and the preferred format of the surveys.

settingPrimary care, secondary care and via an online patient forum.

participantsThe study population was adult patients (≥18) with AF taking OATs who had experienced a recent major or minor bleed within the last 4 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES:

resultsWe received initial expressions of interest from 103 participants. We subsequently recruited 32 participants to the study-14 from primary care and 18 through the AF forum. No participants were recruited through secondary care. Despite 32 participants consenting, only 26 initial surveys were completed. We received follow-up surveys from 11 participants (8 primary care and 3 AF forum). COVID-19 had a major impact on the study.

conclusionsPrimary care was the most successful route for recruitment. Most participants recruited to the study experienced a minor bleed. Further ways to recruit in secondary care should be explored, especially to capture more serious bleeds. TRIAL REGISTRATION NUMBER: The study is registered in the Clinicaltrials.gov database, NCT04921176.

Indexed as

Atrial FibrillationCOVID-19AdultAnticoagulantsFeasibility StudiesHemorrhageHumansQuality of LifeSecondary Health CareWalesAnticoagulantsAnticoagulationBleeding disorders & coagulopathiesFeasibility StudiesQuality of Life

Identifiers

PMID37802619
PMCPMC10565208

What OpenQuestion holds

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Registered trials

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.