Key result
Individualized decision analysis showed that 61% (95% CI, 50-71%) of elderly patients with atrial fibrillation preferred anticoagulation, fewer than recommended by guidelines.
Why the study?
Does individualized decision analysis affect treatment preferences for anticoagulation in elderly patients with atrial fibrillation compared to guideline recommendations?
Population
260 randomly selected patients aged 70 to 85 years with atrial fibrillation from 8 general practices in…
Comparison
Individualized decision analysis combining… vs Treatment guidelines based on comorbidity and…
Design
Cross-sectional
Authors
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Lower preferences than guidelines suggest caution against routine anticoagulation in elderly AF; challenges consensus and leaves open need for trials.
Observational (n=97)
Yes
Does individualized decision analysis affect treatment preferences for anticoagulation in elderly patients with atrial fibrillation compared to guideline recommendations?
Incorporating patient preferences through individualized decision analysis leads to fewer warfarin prescriptions for atrial fibrillation than recommended by clinical guidelines.
Joanne Protheroe (2001) conducted an observational in atrial fibrillation (n=97). Individualized decision analysis vs. Treatment guidelines was evaluated on Preference for anticoagulation treatment (warfarin sodium) (95% CI 50-71). Individualized decision analysis showed that 61% (95% CI, 50-71%) of elderly patients with atrial fibrillation preferred anticoagulation, fewer than recommended by guidelines.
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