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September 16, 2015Journal of the American Heart AssociationOpen Access

Demographic Differences in Catheter Ablation After Hospital Presentation With Symptomatic Atrial Fibrillation

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Population

397,612 patients discharged with a primary diagnosis of atrial fibrillation between 2006 and 2011 from…

Comparison

Catheter ablation for atrial fibrillation vs No catheter ablation

Design

Cohort

Authors

BKBenjamin KummerPBPrashant D. BhaveAMAlexander E. Merkler

Discussion

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Overview

Disparities in AF ablation access by sex and race should not yet change practice; leaves open equity-focused intervention trials.

Structured PICO

P
Population
397,612 patients discharged with a primary diagnosis of atrial fibrillation between 2006 and 2011 from nonfederal acute care hospitals in California, Florida, and New York.
I
Intervention
Catheter ablation for atrial fibrillation
C
Comparator
No catheter ablation
O
Outcome
Readmission for catheter ablation of AFhard clinical

Significant sex and racial disparities exist in the utilization of catheter ablation for atrial fibrillation, with women, Black, and Hispanic patients being significantly less likely to receive the procedure despite similar or higher hospitalization rates.

Cite This Study

Kummer et al. (2015) studied this question.

synapsesocial.com/papers/6a869c6b520349ce0f89c3b8https://doi.org/10.1161/jaha.115.002097
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1New-Onset Atrial Fibrillation2001 · 377 citations
  2. 2Physician-controlled costs: the choice of equipment used for atrial fibrillation ablation2013 · 51 citations
  3. 32012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design2012 · 2,727 citations
  4. 4Racial Differences in the Use of Invasive Cardiovascular Procedures: Review of the Literature and Prescription for Future Research2001 · 409 citations
  5. 5Cost of Atrial Fibrillation: Invasive vs Non-Invasive Management in 20122012 · 8 citations