Results, barriers and enablers in atrial fibrillation case finding: barriers in opportunistic atrial fibrillation case finding-a cross-sectional study.

Abstract:

BACKGROUND:Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. OBJECTIVE:Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. METHODS:We conducted a cross-sectional study of a health care case finding program for AF from 1 January 2016, to 31 December 2017, that included 48 336 people ≥60 years of age in the region of Terresde l'Ebre (Catalonia, Spain). We analysed the effect on the prevalence of AF and, stratified by age, on the incidence of new diagnoses of AF. We assessed the sociodemographic and clinical variables related to the realization of a case finding. RESULTS:A total of 32 090 (62.4%) people were screened for AF. We observed a significant increase in the AF prevalence after 2 years of program intervention (5.9-7.7%; P < 0.001). The detection of new AF cases was significantly higher in the case finding group across the whole of the age range, and 765 (2.6%) new AF cases were diagnosed using case finding. The factors that were significantly associated with an underuse of case finding were: age <70 years, urban residence, institutionalized status, Pfeiffer score ≥2, Charlson score >3 and number of visits <7/year. CONCLUSIONS:A health care program of case finding is feasible and is associated with a significant increase in the prevalence and incidence of AF. The results depend on factors such as the ease of access to health care, age, place of residence and comorbidities.

journal_name

Fam Pract

journal_title

Family practice

authors

Ballesta-Ors J,Clua-Espuny JL,Gentille-Lorente DI,Lechuga-Duran I,Fernández-Saez J,Muria-Subirats E,Blasco-Mulet M,Lorman-Carbo B,Alegret JM

doi

10.1093/fampra/cmaa023

subject

Has Abstract

pub_date

2020-09-05 00:00:00

pages

486-492

issue

4

eissn

0263-2136

issn

1460-2229

pii

5812626

journal_volume

37

pub_type

杂志文章
  • Evaluating the evidence for the implementation of C-reactive protein measurement in adult patients with suspected lower respiratory tract infection in primary care: a systematic review.

    abstract:BACKGROUND:Excessive prescription of antibiotics in patients with lower respiratory tract infection (LRTI) is common in primary care and might be reduced by rapid point-of-care (POC) C-reactive protein (CRP) testing. However, the exact benefits of this test are unclear. OBJECTIVE:To review the available evidence for t...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmr119

    authors: Engel MF,Paling FP,Hoepelman AI,van der Meer V,Oosterheert JJ

    更新日期:2012-08-01 00:00:00

  • Improving patient-doctor concordance: an intervention study in general practice.

    abstract:OBJECTIVE:This study aimed to examine if providing feedback to the doctor can improve patient-doctor concordance (PDC) on health problems and treatments. METHODS:The study was carried out in a hospital-based primary care service in a lower socioeconomic status (SES) region of metropolitan Melbourne, Australia. A summa...

    journal_title:Family practice

    pub_type: 临床试验,杂志文章

    doi:10.1093/fampra/13.5.427

    authors: Liaw ST,Young D,Farish S

    更新日期:1996-10-01 00:00:00

  • Advance care planning in primary care, only for severely ill patients? A structured review.

    abstract:BACKGROUND:Increasing medical possibilities, ageing of the population and the growing number of people with chronic illness appears to make advance care planning (ACP) inevitable. However, to what extent and how primary care providers (PCPs) provide ACP in daily practice is largely unknown. OBJECTIVE:To provide an ove...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmu074

    authors: Glaudemans JJ,Moll van Charante EP,Willems DL

    更新日期:2015-02-01 00:00:00

  • Effects of an intervention (SÄKLÄK) on prescription of potentially inappropriate medication in elderly patients.

    abstract:Background:Polypharmacy is known to increase the risk for drug-related problems, and some drugs, potentially inappropriate medications (PIMs), are especially troublesome. Objective:To analyse the effects on prescription of PIMs of the SÄKLÄK project, an intervention model created to improve medication safety for elder...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmw121

    authors: Lenander C,Bondesson Å,Viberg N,Jakobsson U,Beckman A,Midlöv P

    更新日期:2017-04-01 00:00:00

  • The narrative approach as an effective single intervention in functional somatic symptoms in a multi-disciplinary referral clinic for primary care frequent attenders.

    abstract::Mental health problems are underdiagnosed in general practice, primarily because they are often somatized and the patient reports only physical symptoms. These somatized symptoms are responsible for a large percentage of the frequent attenders in general practice. Palpitations are among those somatized symptoms. Here ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmh618

    authors: Matalon A,Nachmani T,Rabin S,Maoz B

    更新日期:2005-02-01 00:00:00

  • Criteria, performance and diagnostic problems in diagnosing acute otitis media.

    abstract:OBJECTIVE:We aimed to assess criteria when diagnosing acute otitis media and related performance in general practice in Denmark. Furthermore, we aimed to identify the scale of and the reasons for diagnostic uncertainty. METHODS:We conducted: (i) a survey among GPs assessing criteria; and (ii) prospective registration ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/16.3.262

    authors: Jensen PM,Lous J

    更新日期:1999-06-01 00:00:00

  • Assessing family history of heart disease in primary care consultations: a qualitative study.

    abstract:BACKGROUND:Current primary prevention guidelines recommend the assessment of family history of coronary heart disease (CHD) to identify at-risk individuals. OBJECTIVE:To examine how clinicians and patients understand and communicate family history in the context of CHD risk assessment in primary care. METHODS:A quali...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmm037

    authors: Hall R,Saukko PM,Evans PH,Qureshi N,Humphries SE

    更新日期:2007-10-01 00:00:00

  • Diverse voices, simple desires: a conceptual design for primary care to respond to depression and related disorders.

    abstract:BACKGROUND:The World Health Organization and the World Organization of Family Doctors have called for 'doable' and 'limited' tasks to integrate mental health into primary care. Little information is provided about tasks GPs can undertake outside of guidelines that suggest to prescribe medication and refer to specialist...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq016

    authors: Palmer V,Gunn J,Kokanovic R,Griffiths F,Shrimpton B,Hurworth R,Herrman H,Johnson C,Hegarty K,Blashki G,Butler E,Johnston-Ata'ata K,Dowrick C

    更新日期:2010-08-01 00:00:00

  • Overweight can be used as a tool to guide case-finding for cardiovascular risk assessment.

    abstract:BACKGROUND:In general practice, it is too time-consuming to invite all patients for cardiovascular risk assessment. OBJECTIVE:To examine how many patients with an indication for treatment with cardiovascular medication can be identified by ad hoc case-finding when all patients with overweight/obesity are invited for r...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmv080

    authors: de Boer AW,de Mutsert R,den Heijer M,Jukema JW,Rosendaal FR,Blom JW,Assendelft WJ,NEO study group.

    更新日期:2015-12-01 00:00:00

  • Assessment of a rapid referral pathway for suspected colorectal cancer in Madrid.

    abstract:OBJECTIVE:To assess the results achieved with a rapid referral pathway for suspected colorectal cancer (CRC), comparing with the standard referral pathway. METHODS:Three-year audit of patients suspected of having CRC routed via a rapid referral pathway, and patients with CRC routed via the standard referral pathway of...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr080

    authors: Valentín-López B,Ferrándiz-Santos J,Blasco-Amaro JA,Morillas-Sáinz JD,Ruiz-López P

    更新日期:2012-04-01 00:00:00

  • Error and safety in primary care: no clear boundaries.

    abstract::This paper examines the notions of adverse events, error, critical incidents and safety from the specific viewpoint of primary care. We conclude that each term can be defined, but existing work which we reviewed uses many of the terms interchangeably. We recognise that trying to access medical error objectively within...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/cmg302

    authors: Jacobson L,Elwyn G,Robling M,Jones RT

    更新日期:2003-06-01 00:00:00

  • U-shaped association between mortality and blood pressure in a thirteen-year prospective study.

    abstract::The present study was performed to investigate the predictive value of casual blood pressure recordings for mortality in a geographically defined population (n = 1917), for which the primary health care services are responsible. Isotonic regression of blood pressure on age was used to define groups with low, medium an...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/3.1.3

    authors: Lindholm L,Lanke J,Bengtsson B

    更新日期:1986-03-01 00:00:00

  • Overall use of proctoscopy in general practice and possible relation to the stage of rectal cancer.

    abstract::Data from the Danish National Health Service records on activities of each of 146 general practices in the county of North Jutland, Denmark, were studied to determine whether the use of proctoscopy influenced the stage at which cancer of the rectum was recognized. Information for all patients in the county who receive...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/9.2.145

    authors: Sørensen HT,Ejlersen E,Møller-Petersen J,Rasmussen HH,Olesen F

    更新日期:1992-06-01 00:00:00

  • Identifying health service barriers in the management of co-morbid diabetes and chronic kidney disease in primary care: a mixed-methods exploration.

    abstract:BACKGROUND:Co-morbid diabetes and chronic kidney disease (CKD) are common in primary care but health care can be suboptimal. OBJECTIVE:In this multi-centre mixed-methods study, we investigated GPs' perspectives on health service barriers in managing diabetes and CKD as an initial step towards health care improvement. ...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmw041

    authors: Lo C,Teede H,Ilic D,Russell G,Murphy K,Usherwood T,Ranasinha S,Zoungas S

    更新日期:2016-10-01 00:00:00

  • Welfare rights advice in primary care: prevalence, processes and specialist provision.

    abstract:BACKGROUND:Despite persistent poverty-related health inequalities, few sustained responses have been developed in primary care. Welfare rights provision has been proposed as one potential pathway to addressing health inequalities. OBJECTIVES:This study was set up to address the prevalence of welfare rights issues in g...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/20.1.48

    authors: Harding R,Sherr L,Sherr A,Moorhead R,Singh S

    更新日期:2003-02-01 00:00:00

  • Parental experiences and attitudes regarding the management of acute otitis media--a comparative questionnaire between Finland and The Netherlands.

    abstract:BACKGROUND:Both treatment guidelines and the amount of antibiotics used for acute otitis media (AOM) vary across western countries. Parental expectations and their awareness of antimicrobial use and resistance, which may also be influenced by the guidelines, are not yet completely known. OBJECTIVE:To compare parental ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmp055

    authors: Tähtinen PA,Boonacker CW,Rovers MM,Schilder AG,Huovinen P,Liuksila PR,Ruuskanen O,Ruohola A

    更新日期:2009-12-01 00:00:00

  • Family Medicine Clinic: a case study of a hospital-family medicine practice redesign to improve chronic disease care in the community in Singapore.

    abstract:Background:Singapore's health care system is strained by the health care needs of a rapidly aging population. The unprecedented collaboration between a public hospital and a private family practice to set up the Family Medicine Clinic (FMC) to co-manage patients with chronic disease is an example of efforts to shift ca...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmy007

    authors: Lim YW,Ling J,Lim Z,Chia A

    更新日期:2018-09-18 00:00:00

  • Parents' views and experiences when their preschool child is identified as overweight: a qualitative study in primary care.

    abstract:BACKGROUND:Prevalence of overweight in children has increased significantly in many countries in the past decades. Few parents identify their own children as overweight, especially very young children. Motivating parents is difficult, and interventions to attain normal weight often fail. OBJECTIVE:To explore parents' ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmt056

    authors: Toftemo I,Glavin K,Lagerløv P

    更新日期:2013-12-01 00:00:00

  • The use of classification and regression trees to predict the likelihood of seasonal influenza.

    abstract:BACKGROUND:Individual signs and symptoms are of limited value for the diagnosis of influenza. OBJECTIVE:To develop a decision tree for the diagnosis of influenza based on a classification and regression tree (CART) analysis. METHODS:Data from two previous similar cohort studies were assembled into a single dataset. T...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cms020

    authors: Afonso AM,Ebell MH,Gonzales R,Stein J,Genton B,Senn N

    更新日期:2012-12-01 00:00:00

  • Management of lower urinary tract infection in women by Slovene GPs.

    abstract:BACKGROUND:Uncomplicated lower urinary tract infection (LUTI) is one of the most common infections treated in general practice. Although nationwide treatment guidelines for LUTI are increasingly available, most European countries, including Slovenia, have not yet set such guidelines. OBJECTIVES:Our aim was to describe...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmg421

    authors: Car J,Svab I,Kersnik J,Vegnuti M

    更新日期:2003-08-01 00:00:00

  • Identifying strategies to increase influenza vaccination in GP practices: a positive deviance approach.

    abstract:BACKGROUND:Influenza (flu) is an acute viral infection of the respiratory tract, which can lead to serious complications for individuals within at-risk groups. Evidence indicates that aspects of organization and delivery within GP practices can have an influence on the rates of flu vaccination uptake. Positive deviance...

    journal_title:Family practice

    pub_type: 杂志文章,多中心研究

    doi:10.1093/fampra/cmw016

    authors: Newby KV,Parsons J,Brooks J,Leslie R,Inglis N

    更新日期:2016-06-01 00:00:00

  • Presentation, antibiotic management and associated outcome in Polish adults presenting with acute cough/LRTI.

    abstract:OBJECTIVE:In-depth knowledge of existing practice is required to inform interventions aimed at antibiotic prescribing quality improvement. We set out to describe the presentation, antimicrobial management and associated outcome of adults presenting in general practice with acute cough/lower respiratory tract infection ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr019

    authors: Godycki-Cwirko M,Hood K,Nocun M,Muras M,Goossens H,Butler CC

    更新日期:2011-12-01 00:00:00

  • What family physicians need in their doctor's bag.

    abstract::Our objective was to determine what family physicians need in their doctor's bag for urgent and non-urgent house calls. In a prospective survey, family physicians completed a structured report form after consecutive house calls, recording what equipment they needed for each. Thirteen doctors from two urban practices, ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/12.4.430

    authors: Nakar S,Vinker S,Weingarten MA

    更新日期:1995-12-01 00:00:00

  • Influence of family on acceptance of influenza vaccination among Japanese patients.

    abstract:BACKGROUND:Influenza is a major cause of morbidity and mortality in Japan and worldwide, especially for people of >65 years old and those with high-risk medical conditions. Although the influenza vaccine is effective in reducing the morbidity and mortality, the vaccine coverage rate has not increased adequately in Japa...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/20.2.162

    authors: Takahashi O,Noguchi Y,Rahman M,Shimbo T,Goto M,Matsui K,Asai A,Onishi M,Koyama H,Sawada I,Yoshinaka T,Fukui T

    更新日期:2003-04-01 00:00:00

  • A comparison of Dutch family doctors' and patients' perspectives on nutrition communication.

    abstract:BACKGROUND:In recent years, we have investigated both patients' and family doctors' communicative characteristics towards nutrition communication in general practice with several qualitative and quantitative studies. A sound comparison of the survey results between both conversation partners has not been made before. ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmn061

    authors: van Dillen SM,Hiddink GJ

    更新日期:2008-12-01 00:00:00

  • Aspects of diagnosis of acute otitis media.

    abstract:BACKGROUND:Acute otitis media is a common disease, particularly among children. The importance of a correct diagnosis is crucial, especially as unjustified prescription of antibiotics has become a major problem in clinical praxis. OBJECTIVES:Our aim was to evaluate the predictive value of different otological findings...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/15.2.133

    authors: Hemlin C,Hassler E,Hultcrantz M,Papatziamos G,Krakau I

    更新日期:1998-04-01 00:00:00

  • Seen through the patients' eyes: quality of chronic illness care.

    abstract:Background:Most well-developed healthcare systems are facing the challenge of managing the increasing prevalence of patients with chronic diseases. Comprehensive frameworks, such as the chronic care model (CCM), receive widespread acceptance for improving care processes, clinical outcomes and costs. Objective:The purp...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmx123

    authors: Desmedt M,Vertriest S,Petrovic M,Bergs J,Vrijhoef H,Dessers E,Hellings J,Vandijck D

    更新日期:2018-07-23 00:00:00

  • Using focus groups in general practice research.

    abstract::Recent years have seen a growing recognition of the appropriateness of qualitative methods in family practice. This has been paralleled by an upsurge of interest in focus group discussions as a method. Drawing on the experience of using focus groups with general practice teams as one component of a multi-method study ...

    journal_title:Family practice

    pub_type: 杂志文章,评审

    doi:10.1093/fampra/12.3.328

    authors: Barbour RS

    更新日期:1995-09-01 00:00:00

  • Paired interviews of shared experiences around chronic low back pain: classic mismatch between patients and their doctors.

    abstract:BACKGROUND:current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls for new approaches. This study explores the paired interviews of shared experiences among chronic LBP patients and their physicians with the ultimate goal of improving doctor-patient communication and clini...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmq063

    authors: Allegretti A,Borkan J,Reis S,Griffiths F

    更新日期:2010-12-01 00:00:00

  • An international comparative family medicine study of the Transition Project data from the Netherlands, Malta, Japan and Serbia. An analysis of diagnostic odds ratios aggregated across age bands, years of observation and individual practices.

    abstract:INTRODUCTION:This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test ...

    journal_title:Family practice

    pub_type: 杂志文章

    doi:10.1093/fampra/cmr100

    authors: Soler JK,Okkes I,Oskam S,van Boven K,Zivotic P,Jevtic M,Dobbs F,Lamberts H,Transition Project.

    更新日期:2012-06-01 00:00:00