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

Melina Gattellari, John Worthington, Nicholas Zwar, Sandy Middleton

Research output: Contribution to journalArticleResearchpeer-review

91 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)227-230
Number of pages4
JournalStroke
Volume39
Issue number1
DOIs
Publication statusPublished - 1 Jan 2008
Externally publishedYes

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Family Physicians
Atrial Fibrillation
Stroke
Intracranial Hemorrhages
Warfarin
Peptic Ulcer
Anticoagulants
Psychology
Surveys and Questionnaires

Cite this

Gattellari, Melina ; Worthington, John ; Zwar, Nicholas ; Middleton, Sandy. / Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians. In: Stroke. 2008 ; Vol. 39, No. 1. pp. 227-230.
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Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians. / Gattellari, Melina; Worthington, John; Zwar, Nicholas; Middleton, Sandy.

In: Stroke, Vol. 39, No. 1, 01.01.2008, p. 227-230.

Research output: Contribution to journalArticleResearchpeer-review

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