Evidence map›Paper›PMID 39525336›Full record

ArticleCJC open2024

Regional Disparities in Atrial Fibrillation Management: An IMPACT-AF Substudy.

Joshua Hamlin, Jafna Cox, Laura Hamilton, Joanna Nemis-White, James McKillop, Navjot Sandila, Ratika Parkash

Registry-linked trialAbstract read
In one paragraph

Article in CJC open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01927367 (Integrated Management Program Advancing Community Treatment of Atrial Fibrillation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT01927367 nacompletednot on this map

Integrated Management Program Advancing Community Treatment of Atrial Fibrillation (IMPACT-AF)

TypeinterventionalSponsorJafna L CoxRan2013 to 2018Enrolled1,145ConditionsAtrial FibrillationArmsClinical Decision Support System for AF
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Rural-urban disparities in atrial fibrillation-related diagnostic testing and medical procedures in Canada†.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
  3. Regional disparities in the care and outcomes of atrial fibrillation patients in a universal health care system: a population-based cohort study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  4. Review
  5. 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

7 authors.

Joshua HamlinFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Jafna CoxFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Laura HamiltonDivision of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Joanna Nemis-WhiteStrive Health, Halifax, Nova Scotia, Canada.
James McKillopDepartment of Family Medicine, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Navjot SandilaResearch Methods Unit, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Ratika ParkashFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In rural regions, atrial fibrillation (AF) management is performed predominately by local primary care professionals (PCPs). Prior work has suggested that a disparity in outcomes in AF occurs for those patients living in a rural, vs urban, location. Methods: This post hoc analysis of the cluster randomized trial Integrated Management Program Advancing Community Treatment of Atrial Fibrillation (IMPACT-AF) compared a clinical decision support system to standard of care. Patients were classified as living in a rural (population < 10,000) or urban location. The outcomes were as follows: AF-related emergency department (ED) visits, unplanned cardiovascular (CV) hospitalizations, AF-related referrals and guideline adherence for AF treatment. Results: A total of 1133 patients were enrolled from 2016 to 2018; 54.1% (n = 613) were classified as living in a rural location. No differences were present in age (mean, 72 ± 9.63 vs 72.5 ± 10.42 years) or Conclusions: AF patients living in rural locations had higher rates of recurrent AF-related ED visits and unplanned CV hospitalizations. Further research to optimize AF-related outcomes is needed to ensure equitable delivery of care to all Canadians, irrespective of geography. Clinical Trial Registration: NCT01927367.

Identifiers

PMID39525336
PMCPMC11544191

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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.