Evidence map›Paper›PMID 41415941›Full record

ArticleAdvances in geriatric medicine and research2025

Need for Engagement in Stroke Prevention Shared Decision-Making in Older Adults with Atrial Fibrillation and Multimorbidity.

Hawa O Abu, Jane S Saczynski, Michelle Nabi, Annie Ferris, Mayra Tisminetzky, Jerry H Gurwitz, Kathleen Mazor, Robert J Goldberg, David Dosa, Alok Kapoor and 2 more

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In one paragraph

Article in Advances in geriatric medicine and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Hawa O AbuDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01605, USA.
Jane S SaczynskiDepartment of Pharmacy and Health Systems Sciences, School of Pharmacy, Northeastern University, Boston, MA 02115, USA.
Michelle NabiDepartment of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA.
Annie FerrisDepartment of Neurology, UMass Chan Medical School, Worcester, MA 01655, USA.
Mayra TisminetzkyDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
Jerry H GurwitzDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01605, USA.
Kathleen MazorDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
Robert J GoldbergDepartment of Population and Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA 01655, USA.
David DosaDivision of Geriatric Medicine, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA 01605, USA.
Alok KapoorDepartment of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA.
Daniel MatlockDivision of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, CO 80045, USA.
David D McManusDepartment of Medicine, UMass Chan Medical School, Worcester, MA 01655, USA.

Funding

SUPPORT-AF IVR01HL155343 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KAPOOR, ALOK, MCMANUS, DAVID D. · 2021 to 2025
$3.4M
Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE-AF)R01HL126911 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCMANUS, DAVID D., SACZYNSKI, JANE STEELE · 2016 to 2019
$3.2M
Colorado Clinical and Translational Science Institute (TL1)TL1TR000155 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$294k
NCATS NIH HHS TL1 TR000155NHLBI NIH HHS R01 HL126911NHLBI NIH HHS R01 HL155343
6 · The paper itself

Abstract

Aim: To assess the prevalence of older adults with AF and multimorbidity expressing a need for greater involvement in SDM for stroke prevention and associated patient characteristics. Methods: A prospective cohort study (2016-2018) enrolled patients aged 65 years and older with AF from clinics in MA and Georgia. Participants with one or more chronic conditions were included in this study. To assess patient preferences for greater engagement in SDM, participants on oral anticoagulants were asked at the one-year follow-up if they would like to be more involved in deciding to take an anticoagulant and which oral anticoagulant to use for stroke prevention. Multivariable logistic regression analysis was used to identify patient characteristics associated with preference for more SDM engagement. Results: Among participants ( Conclusions: Clinicians should recognize the specific needs of older patients with AF and multimorbidity that seek greater involvement in SDM for stroke prevention. Providing tailored interventions can enhance stroke prevention decision-making in this vulnerable population.

Indexed as

atrial fibrillationmultimorbidityolder adultsshared decision-makingstroke prevention

Identifiers

PMID41415941
PMCPMC12710876

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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.