Patients' Perceptions of Atrial Fibrillation, Stroke Risk, and Oral Anticoagulation Treatment: An International Survey
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Key result
In an international survey of 937 patients with atrial fibrillation, stroke prevention was rated as the most important factor when choosing oral anticoagulation by 47.4% of respondents, regardless of country or recent stroke status.
Population
937 adults with nonvalvular atrial fibrillation receiving oral anticoagulation for stroke prevention across…
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Patients prioritize stroke prevention in OAC choice; hypothesis-generating for preference-aligned shared decision-making tools in AF.
Study Design
Type
Cross-Sectional (n=937)
Multicenter
Yes
Structured PICO
P
Population
937 adults with nonvalvular atrial fibrillation receiving oral anticoagulation for stroke prevention across five countries, including patients with and without recent stroke.
O
Outcome
Patient's perceptions of the seriousness of AF and their concerns about stroke, patient's knowledge about stroke, self-reported adherence to OAC, patient's preference for involvement in OAC treatment choice, and attributes of OAC affecting treatment choice.patient reported
Stroke prevention is the most important factor for AF patients when choosing OAC therapy, though significant country-specific and stroke-history differences exist regarding disease perception and shared decision-making preferences.
Limitations
- Patients were already receiving OAC, which could influence responses due to cognitive dissonance or social desirability bias.
- Opportunistic sampling strategy via online survey may have biased the sample toward younger, more technology-savvy patients.
- Respondents may be more knowledgeable about AF and OAC treatment than the general AF population, limiting generalizability.
Cite This Study
Lane et al. (2018) conducted a cross-sectional in Nonvalvular atrial fibrillation (n=937). Nonvalvular atrial fibrillation receiving oral anticoagulation was evaluated on Most important factor when choosing oral anticoagulation. In an international survey of 937 patients with atrial fibrillation, stroke prevention was rated as the most important factor when choosing oral anticoagulation by 47.4% of respondents, regardless of country or recent stroke status.
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