Why the study?
Real-world data on anticoagulation management for non-valvular atrial fibrillation at the primary care level remain sparse, particularly regarding disparities between urban and suburban populations.
Does urban versus suburban residence affect anticoagulation utilization and medication-dispensing patterns in older adults with non-valvular atrial fibrillation?
Population
302 older patients with NVAF across four community health centers in Shanghai, China
Comparison
Urban vs suburban community cohorts
Design
Stratified cross-sectional study
Key result
Among older adults with non-valvular atrial fibrillation at high risk for stroke, the overall anticoagulation utilization rate was 30.5%, with no significant difference between urban and suburban communities.
Authors
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Disparities in anticoagulation for urban vs suburban older adults with AF warrant equity-focused attention; cross-sectional data leaves open causes and outcome effects.
Cross-Sectional (n=302)
Yes
Does urban versus suburban residence affect anticoagulation utilization and medication-dispensing patterns in older adults with non-valvular atrial fibrillation?
p-value: p=>0.05
Anticoagulation management for older NVAF patients in Chinese community settings remains suboptimal, with no significant disparity in standardized treatment rates between urban and suburban high-risk patients.
Duan et al. (2026) conducted a cross-sectional in Non-valvular atrial fibrillation (n=302). Urban community setting vs. Suburban community setting was evaluated on Overall prevalence of anticoagulant utilization among high-risk patients (p=>0.05). Among older adults with non-valvular atrial fibrillation at high risk for stroke, the overall anticoagulation utilization rate was 30.5%, with no significant difference between urban and suburban communities.