Publication:
Barriers to the use of anticoagulation for nonvalvular atrial fibrillation - A representative survey of Australian family physicians

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, Susan en_US
dc.date.accessioned 2021-11-25T13:10:02Z
dc.date.available 2021-11-25T13:10:02Z
dc.date.issued 2008 en_US
dc.description.abstract Background and Purpose: Anticoagulation reduces the risk of stroke in nonvalvular atrial fibrillation yet remains underused. We explored barriers to the use of anticoagulants among Australian family physicians. Methods: The authors conducted a representative, national survey. Results: Of the 596 (64.4%) eligible family physicians who participated, 15.8% reported having a patient with nonvalvular atrial fibrillation experience an intracranial hemorrhage with anticoagulation and 45.8% had a patient with known nonvalvular atrial fibrillation experience a stroke without anticoagulation. When presented with a patient at `very high risk` of stroke, only 45.6% of family physicians selected warfarin in the presence of a minor falls risk and 17.1% would anticoagulate if the patient had a treated peptic ulcer. Family physicians with less decisional conflict and longer-standing practices were more likely to endorse anticoagulation. Conclusion: Strategies to optimize the management of nonvalvular atrial fibrillation should address psychological barriers to using anticoagulation. en_US
dc.identifier.issn 0039-2499 en_US
dc.identifier.uri http://hdl.handle.net/1959.4/39307
dc.language English
dc.language.iso EN 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 anticoagulation for nonvalvular atrial fibrillation - A representative survey of Australian family physicians en_US
dc.type Journal Article 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/10.1161/STROKEAHA.107.495036 en_US
unsw.relation.faculty Medicine & Health
unsw.relation.faculty Science
unsw.relation.ispartofjournal Stroke en_US
unsw.relation.ispartofpagefrompageto 227-230 en_US
unsw.relation.ispartofvolume 39 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, Susan, Mathematics & Statistics, Faculty of Science, UNSW en_US
unsw.relation.school School of Population Health *
unsw.relation.school Clinical School South West Sydney Area Health Service *
unsw.relation.school School of Mathematics & Statistics *
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