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Title: | Polish regional differences in patient knowledge on atrial fibrillation and its management as well as in patterns of oral anticoagulant prescription | Authors: | Janion-Sadowska, Agnieszka Sadowski, Marcin Konieczynska, Malgorzata Skonieczny, Grzegorz Metzgier-Gumiela, Agnieszka Chrapek, Magdalena Sobieraj, Ewa Bryk, Agata H. Debski, Maciej Podolec, Piotr Malecka, Barbara DESTEGHE, Lien HEIDBUCHEL, Hein Undas, Anetta |
Issue Date: | 2019 | Publisher: | VIA MEDICA | Source: | KARDIOLOGIA POLSKA, 77(4), p. 437-444 | Abstract: | BACKGROUND The Jessa Atrial Fibrillation Knowledge Questionnaire (JAKQ) was successfully used to assess knowledge gaps in patients with atrial fibrillation (AF). AIMS To evaluate the regional differences among Polish patients in their awareness of AF diagnosis and oral anticoagulation use. METHODS A total of 1583 patients with AF at a median (IQR) age of 72 (66-79) years completed the JAKQ in 3 cardiology centers (center I, Krakow; center II, Torun; center III, Kielce) from January 2017 to June 2018. The final analysis included 1525 patients, 32.9% were on vitamin K antagonists (VKAs) and 67.1% on non-VKA oral anticoagulants (NOACs), that is, rivaroxaban and dabigatran (28.9% each), and apixaban (9.3%). RESULTS The mean (SD) score on the JAKQ was 55.5% (18.4%) with better results among patients on VKAs compared with NOACs (58% [18.3%] vs 54.3% [18.4%]; P = 0.0002) with time from AF diagnosis more than 12 months (57.4% [17.5%] vs 50% [19.9%]; P <0.0001). There was a significant difference in the knowledge scores between the 3 centers (I, 59.5%; II, 48.5%; III, 54.3%; P <0.0001). In all centers the number of correct answers correlated inversely with patient's age (r = -0.20; P <0.0001). NOACs were more frequently used in center III. The percentage of correct responses was lower in patients on reduced NOAC doses (35.4% of patients on NOACs), compared with the full-dose NOAC groups in center I (56.9% vs 62.5%; P = 0.012) and II (48.1% vs 56.2%; P = 0.003). CONCLUSIONS Patients from a high-volume academic center showed better knowledge than their peers from district hospitals. There are large regional differences in prescription patterns of oral anticoagulants, including the preferred NOAC. | Notes: | [Janion-Sadowska, Agnieszka; Sadowski, Marcin] Jan Kochanowski Univ Humanities & Sci, Fac Med & Hlth Sci, Ul Grunwaldzka 45, PL-25736 Kielce, Poland. [Konieczynska, Malgorzata; Sobieraj, Ewa; Bryk, Agata H.; Debski, Maciej; Podolec, Piotr; Malecka, Barbara; Desteghe, Lien; Undas, Anetta] John Paul 2 Hosp, Krakow, Poland. [Skonieczny, Grzegorz; Metzgier-Gumiela, Agnieszka] Prov Polyclin Hosp, Torun, Poland. [Chrapek, Magdalena] Jan Kochanowski Univ Humanities & Sci, Inst Math, Grp Probabil Calculus & Stat, Kielce, Poland. [Sobieraj, Ewa; Bryk, Agata H.; Debski, Maciej; Podolec, Piotr; Malecka, Barbara; Desteghe, Lien; Undas, Anetta] Jagiellonian Univ, Inst Cardiol, Med Coll, Krakow, Poland. [Heidbuchel, Hein] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium. [Heidbuchel, Hein] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium. [Heidbuchel, Hein] Univ Antwerp, Antwerp, Belgium. [Heidbuchel, Hein] Antwerp Univ Hosp, Antwerp, Belgium. | Keywords: | atrial fibrillation; knowledge; non-vitamin K antagonist oral anticoagulants; questionnaire; vitamin K antagonist;atrial fibrillation; knowledge; non–vitamin K antagonist oral anticoagulants; questionnaire; vitamin K antagonist | Document URI: | http://hdl.handle.net/1942/29806 | ISSN: | 0022-9032 | e-ISSN: | 1897-4279 | DOI: | 10.5603/KP.a2019.0036 | ISI #: | 000485563100006 | Rights: | 2019 Polskie Towarzystwo Kardiologiczne | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2020 |
Appears in Collections: | Research publications |
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