What does this research mean for the field?

Black patients with atrial fibrillation experience more symptoms, receive less rhythm control, and have lower quality of warfarin management compared to white and Hispanic patients, although long-term clinical outcomes remain similar across these racial and ethnic groups. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

December 30, 2015American Heart JournalOpen Access

Racial/ethnic differences in atrial fibrillation symptoms, treatment patterns, and outcomes: Insights from Outcomes Registry for Better Informed Treatment for Atrial Fibrillation Registry

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Why the study?

Are there racial/ethnic differences in symptoms, treatment patterns, and outcomes among patients with atrial fibrillation?

Population

9,542 participants with atrial fibrillation from 174 centers, mean age 74 ± 11 years, 43% women, 91% white…

Comparison

Black race and Hispanic ethnicity vs White race

Design

Cohort

Follow-up

median 2.1 years

Authors

HGHarsh GolwalaLouisiana State University LJLarry R. JacksonElectrophysiology DSDaJuanicia N. SimonClinical Research Institute

Discussion

Member takes

Implication

Disparities in AF quality of life and warfarin control warrant attention but did not affect outcomes; leaves open need for targeted equity studies.

Structured PICO

Are there racial/ethnic differences in symptoms, treatment patterns, and outcomes among patients with atrial fibrillation?

Population

9,542 participants with atrial fibrillation from 174 centers, mean age 74 ± 11 years, 43% women, 91% white, 5% black, 4% Hispanic.

Intervention

Black race and Hispanic ethnicity (observational comparison)

Comparator

White race

Outcome

Clinical characteristics, quality of life, management strategies, and long-term outcomes associated with atrial fibrillation

Despite racial disparities in symptom burden, quality of life, and warfarin management quality, long-term clinical outcomes in atrial fibrillation appear similar across racial and ethnic groups.

Cite This Study

Golwala et al. (2015) studied this question.

synapsesocial.com/papers/6a1bde6a4ebd09f3dfa9214e https://doi.org/10.1016/j.ahj.2015.10.028

Topics

Atrial fibrillation Persistent AF management Anticoagulation in AF AF ablation outcomes

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Implication

Disparities in AF quality of life and warfarin control warrant attention but did not affect outcomes; leaves open need for targeted equity studies.

Racial/ethnic differences in atrial fibrillation symptoms, treatment patterns, and outcomes: Insights from Outcomes Registry for Better Informed Treatment for Atrial Fibrillation Registry

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Racial/ethnic differences in atrial fibrillation symptoms, treatment patterns, and outcomes: Insights from Outcomes Registry for Better Informed Treatment for Atrial Fibrillation Registry

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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