Changes in anticoagulant prescription in Dutch patients with recent-onset atrial fibrillation: observations from the GARFIELD-AF registry
| العنوان: | Changes in anticoagulant prescription in Dutch patients with recent-onset atrial fibrillation: observations from the GARFIELD-AF registry |
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| المؤلفون: | J. Seelig, F. W. A. Verheugt, M. E. W. Hemels, L. Illingworth, A. Lucassen, H. Adriaansen, M. C. M. Bongaerts, M. Pieterse, J. P. R. Herrman, P. Hoogslag, W. Hermans, B. E. Groenemeijer, L. V. A. Boersma, K. Pieper, H. ten Cate, on behalf of the GARFIELD-AF Investigators |
| المساهمون: | Cardiology, ACS - Heart failure & arrhythmias, Interne Geneeskunde, MUMC+: HVC Trombosezorg (8), MUMC+: MA Alg Interne Geneeskunde (9), MUMC+: HVC Pieken Trombose (9), RS: Carim - B04 Clinical thrombosis and Haemostasis, Biochemie |
| المصدر: | Thrombosis Journal, 18 Thrombosis journal, 18(1):5. BioMed Central Thrombosis Journal, Vol 18, Iss 1, Pp 1-7 (2020) Thrombosis Journal, 18(5):5. BioMed Central Ltd Thrombosis Journal |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.drug_class, Vascular damage Radboud Institute for Health Sciences [Radboudumc 16], Inappropriate prescribing, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, MANAGEMENT, ORAL ANTICOAGULATION, 030212 general & internal medicine, ESC GUIDELINES, Risk factor, Medical prescription, Stroke, Angiology, RISK, business.industry, Guideline adherence, lcsh:RC633-647.5, Research, Anticoagulant, Anticoagulants, Atrial fibrillation, Hematology, lcsh:Diseases of the blood and blood-forming organs, medicine.disease, PREVENTION, 3. Good health, Regimen, business, STROKE |
| الوصف: | Background For the improvement of AF care, it is important to gain insight into current anticoagulation prescription practices and guideline adherence. This report focuses on the largest Dutch subset of AF-patients, derived from the GARFIELD-AF registry. Methods Across 35 countries worldwide, patients with newly diagnosed ‘non-valvular’ atrial fibrillation (AF) with at least one additional risk factor for stroke were included. Dutch patients were enrolled in five, independent, consecutive cohorts from 2010 until 2016. Results In the Netherlands, 1189 AF-patients were enrolled. The prescription of non-vitamin K antagonist oral anticoagulants (NOAC) has increased sharply, and as per 2016, more patients were initiated on NOACs instead of vitamin K antagonists (VKA). In patients with a class I recommendation for anticoagulation, only 7.5% compared to 30.0% globally received no anticoagulation. Reasons for withholding anticoagulation in these patients were unfortunately often unclear. Conclusions The data from the GARFIELD-AF registry shows the rapidly changing anticoagulation preference of Dutch physicians in newly diagnosed AF. Adherence to European AF guidelines in terms of anticoagulant regimen would appear to be appropriate. In absence of structured follow up of AF patients on NOAC, the impact of these rapid practice changes in anticoagulation prescription in the Netherlands remains to be established. |
| وصف الملف: | application/pdf |
| تدمد: | 1477-9560 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7fdc557724b11caf3a5f1f30d155afb2Test https://hdl.handle.net/2066/220887Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....7fdc557724b11caf3a5f1f30d155afb2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14779560 |
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