Publication:
Barriers to the use of warfarin in non-valvular atrial fibrillation

dc.contributor.author Gattellari, Melina en_US
dc.contributor.author Worthington, John en_US
dc.contributor.author Zwar, N en_US
dc.contributor.author Middleton, S en_US
dc.date.accessioned 2021-11-25T13:10:12Z
dc.date.available 2021-11-25T13:10:12Z
dc.date.issued 2007 en_US
dc.description.abstract Background: Optimising the management of NVAF is proving difficult and the potential to reduce stroke risk is yet to be fully realised. Barriers to using anticoagulants need to be addressed. Aims: To describe GP management of NVAF and barriers to the use of warfarin. Methods: Representative survey of Australian GPs. b: Of the 593 GP participants (response = 64.3%), 46.2% reported the experience of an ischaemic stroke in their NVAF patients without anticoagulation. When asked to select treatment for a hypothetical NVAF patient at 'high' risk of stroke, 71.0% appropriately selected warfarin. In the presence of a minor falls risk, 45.4% of GPs selected warfarin. Only 28.8% would anticoagulate the patient at high risk of stroke with a history of recurrent nosebleeds and 16.9% would anti-coagulate such a patient with a treated peptic ulcer bleed. 37.9% agreed that 'it is hard to decide whether the benefits of warfarin outweigh the risks', while only 54.3% agreed they fully understood their patients' views on both the benefits and risks of warfarin. Conclusion: Any strategy to improve the evidence based management of NVAF must address the excessive concerns clinicians have about anticoagulation. We need to reduce anxiety about 'acts of commission' in the management of NVAF. en_US
dc.identifier.uri http://hdl.handle.net/1959.4/39315
dc.language English
dc.language.iso EN en_US
dc.publisher Blackwell Publishing en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/3.0/au/ en_US
dc.source Legacy MARC en_US
dc.title Barriers to the use of warfarin in non-valvular atrial fibrillation en_US
dc.type Conference Paper en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.accessRights.uri http://purl.org/coar/access_right/c_14cb
unsw.identifier.doiPublisher http://dx.doi.org/10.1111/j.1445-5994.2007.01307.x en_US
unsw.publisher.place Australia en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofconferenceLocation Adelaide, Australia en_US
unsw.relation.ispartofconferenceName Stroke Society of Australasia: Annual Scientific Meeting 2006 en_US
unsw.relation.ispartofconferenceProceedingsTitle Internal Medicine Journal; Vol: 37 (Suppl. 1) en_US
unsw.relation.ispartofconferenceYear 2007 en_US
unsw.relation.ispartofpagefrompageto A13 en_US
unsw.relation.originalPublicationAffiliation Gattellari, Melina, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Worthington, John, South Western Sydney Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Zwar, N, Public Health & Community Medicine, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Middleton, S en_US
unsw.relation.school School of Population Health *
unsw.relation.school Clinical School South West Sydney Area Health Service *
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