Key result
A GP-targeted campaign is linked to ~27% higher appropriate OAC use in new AF patients.
Why the study?
Care coordination between general practitioners and cardiovascular specialists is expected to establish appropriate oral anticoagulant treatment, but its impact in Japan required assessment.
Does a care coordination campaign improve the implementation of oral anticoagulant therapy in elderly patients with newly diagnosed atrial fibrillation?
Cohort (n=176)
Yes
Does a care coordination campaign improve the implementation of oral anticoagulant therapy in elderly patients with newly diagnosed atrial fibrillation?
Absolute Event Rate: 71.1% vs 55.8%
A general practitioner-targeted campaign for atrial fibrillation screening and care coordination increased the overall implementation of oral anticoagulant therapy in elderly patients, though adherence remained low.
No takes yet. Share an insight, caveat, or question.
May support GP education to raise OAC rates in new AF; hypothesis-generating and should not yet change practice.
Ono et al. (2019) conducted a cohort in Atrial fibrillation (n=176). GP-targeted awareness campaign for AF screening and care coordination vs. Pre-campaign period (historical control) was evaluated on Percentage of patients receiving oral anticoagulant therapy according to the Japanese AF medication guideline. A GP-targeted awareness campaign increased the percentage of newly diagnosed atrial fibrillation patients receiving appropriate oral anticoagulant therapy from 55.8% to 71.1%.
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