General practitioners' perceptions on opportunistic single-time point screening for atrial fibrillation : A European quantitative survey
Vermunicht, Paulien (University of Antwerp)
Grecu, Mihaela (Cardiovascular Diseases Institute)
Deharo, Jean-Claude (Hôpitaux de Marseille)
Buckley, Claire M. (University College Cork)
Palà, Elena (Hospital Universitari Vall d'Hebron)
Mairesse, Georges H. (Cliniques du Sud Luxembourg)
Farkowski, Michal M (National Institute of Cardiology (Varsòvia, Polònia))
Bergonti, Marco (University of Antwerp)
Pürerfellner, Helmut (Ordensklinikum Linz Elisabethinen)
Hanson, Coral L. (Edinburgh Napier University)
Neubeck, Lis (Edinburgh Napier University)
Freedman, Ben (University of Sydney)
Witt, Henning (Pfizer Pharma (Alemanya))
Hills, Mellanie T. (StopAfib (Estats Units d'Amèrica))
Lund, Jenny (University of Cambridge)
Giskes, Katrina (University of Notre Dame)
Engler, Daniel (Partner Site Hamburg)
Schnabel, Renate B. (Partner Site Hamburg)
Heidbuchel, Hein (Hasselt University)
Desteghe, Lien (Jessa Hospital)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	There is no clear guidance on how to implement opportunistic atrial fibrillation (AF) screening in daily clinical practice. This study evaluated the perception of general practitioners (GPs) about value and practicalities of implementing screening for AF, focusing on opportunistic single-time point screening with a single-lead electrocardiogram (ECG) device. A descriptive cross-sectional study was conducted with a survey developed to assess overall perception concerning AF screening, feasibility of opportunistic single-lead ECG screening and implementation requirements and barriers. A total of 659 responses were collected (36. 1% Eastern, 33. 4% Western, 12. 1% Southern, 10. 0% Northern Europe, 8. 3% United Kingdom & Ireland). The perceived need for standardized AF screening was rated as 82. 7 on a scale from 0 to 100. The vast majority (88. 0%) indicated no AF screening program is established in their region. Three out of four GPs (72. 1%, lowest in Eastern and Southern Europe) were equipped with a 12-lead ECG, while a single-lead ECG was less common (10. 8%, highest in United Kingdom & Ireland). Three in five GPs (59. 3%) feel confident ruling out AF on a single-lead ECG strip. Assistance through more education (28. 7%) and a tele-healthcare service offering advice on ambiguous tracings (25. 2%) would be helpful. Preferred strategies to overcome barriers like insufficient (qualified) staff, included integrating AF screening with other healthcare programs (24. 9%) and algorithms to identify patients most suitable for AF screening (24. 3%). GPs perceive a strong need for a standardized AF screening approach. Additional resources may be required to have it widely adopted into clinical practice.
Ajuts:	European Commission 847770
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Atrial fibrillation ; Screening ; AFFECT-EU ; Survey ; General practitioners
Publicat a:	Frontiers in Cardiovascular Medicine, Vol. 10 (february 2023) , ISSN 2297-055X

DOI: 10.3389/fcvm.2023.1112561
PMID: 36873407

8 p, 1.2 MB

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