Evidence map›Paper›PMID 41920359›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Quality of life, care needs and priorities in atrial fibrillation: the impact of number and patterns of comorbidities.

Caterina Trevisan, Adele Ravelli, José Miguel Rivera-Caravaca, Bruno Micael Zanforlini, Giuseppe Sergi, Gheorghe-Andrei Dan, Anca Rodica Dan, Vanessa Roldán, Francisco Marín Ortuño, Søren Paaske Johnsen and 5 more

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

15 authors.

Caterina TrevisanDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Adele RavelliDepartment of Medicine , University of Padua, Via Giustiniani 2, 35128, Padova, Italy. adele.ravelli@phd.unipd.it.ORCID http://orcid.org/0000-0002-6345-6836
José Miguel Rivera-CaravacaFaculty of Nursing, University of Murcia, Instituto Murciano de Investigación Biosanitaria Pascual Parrilla (IMIB-Pascual Parrilla), CIBERCV, Murcia, Spain.
Bruno Micael ZanforliniDepartment of Medicine , University of Padua, Via Giustiniani 2, 35128, Padova, Italy.
Giuseppe SergiDepartment of Medicine , University of Padua, Via Giustiniani 2, 35128, Padova, Italy.
Gheorghe-Andrei DanCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Anca Rodica DanCardiology Department, Colentina University Hospital, Bucharest, Romania.
Vanessa RoldánDepartment of Hematology, Hospital Clínico Universitario Virgen de la Arrixaca, University of Murcia, Instituto Murciano de Investigación Biosanitaria Pascual Parrilla (IMIB-Pascual Parrilla), Murcia, Spain.
Francisco Marín OrtuñoDepartment of Cardiology, Hospital Clínico Universitario Virgen de la Arrixaca, University of Murcia, Instituto Murciano de Investigación Biosanitaria Pascual Parrilla (IMIB-Pascual Parrilla), CIBERCV, Murcia, Spain.
Søren Paaske JohnsenAalborg University Hospital, Aalborg, Denmark.
Mirko PetrovicSection of Geriatrics, Department of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-7506-8646
Davide Liborio VetranoAging Research Center, Department of Neurobiology, Care Sciences and Society(NVS), Karolinska Institutet-Stockholm University, Solna, Sweden.
Donato Giuseppe LeoLiverpool Centre for Cardiovascular Sciences, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
Deirdre A LaneDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. Deirdre.Lane@liverpool.ac.uk.ORCID http://orcid.org/0000-0002-5604-9378
AFFIRMO consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAtrial fibrillation (AF) often coexists with multiple chronic conditions, worsening health-related quality of life (HRQoL) and increasing the burden on patients and caregivers. While multimorbidity is known to worsen clinical outcomes, the role of distinct comorbidity patterns in shaping patients' experience remains unclear. This cross-sectional study assessed whether the number and patterns of comorbidities differentially affect HRQoL, care needs, and priorities of AF patients and caregivers.

methodsAn online survey on living with AF and multimorbidity was disseminated between May 2022 and January 2023 in the UK, Italy, Spain, Romania, and Denmark. The analysis included 633 AF patients (46.9% females, median age 73 years) and 198 caregivers (26.8% females, median age 57 years). Exposure variables were the number and patterns (derived through latent class analysis) of comorbidities. Outcomes included HRQoL (measured with the EQ-5D-3L), perceived management problems and health priorities assessed through a structured questionnaire developed ad hoc for the survey.

resultsThree patterns emerged: unspecific (65.5%), diabetes-kidney-liver (18.2%), and complex (16.4%). More comorbidities and belonging to the complex pattern were associated with worse HRQoL, mainly due to limited mobility, dependency, and pain. Main issues were managing multiple diseases, medi ions, and appointments. The diabetes-kidney-liver group prioritized improving quality of life (OR=3.08, 95%CI:1.68-6.00) and living longer (OR=1.67, 95%CI:1.05-2.64), while pain relief was a distinct priority in the complex pattern (OR=2.32, 95%CI:1.38-3.86).

conclusionBoth number and combinations of AF comorbidities shape patients' and caregivers' experiences. Considering comorbidity profiles can help define targeted care plans and caregiver support initiatives.

Indexed as

Atrial FibrillationCaregiversComorbidityHealth Services Needs and DemandQuality of LifeAgedAged, 80 and overCross-Sectional StudiesEuropeFemaleHumansMaleMiddle AgedMultimorbiditySurveys and QuestionnairesAtrial fibrillationCaregiversComorbidity patternsPatient preferenceQuality of life

Identifiers

PMID41920359
PMCPMC13043515

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.