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