PMID: 15335179Sep 1, 2004Paper

Physicians' attitudes toward anticoagulant therapy in patients with chronic atrial fibrillation

Internal Medicine
Kenji MaedaTsuguya Fukui

Abstract

Although many clinical trials have demonstrated that anticoagulant therapy substantially reduces the risk of ischemic stroke in patients with atrial fibrillation (AF), some physicians are reluctant to use anticoagulants. We investigated attitudes of physicians in Japan toward anticoagulant therapy in chronic AF patients. We conducted a survey at the annual meeting of the Japanese Society of General Medicine. We presented subject physicians with 8 vignettes of chronic AF patients and requested that they indicate their most favored choice of therapy from among 6 strategies including warfarin and aspirin. We distributed 209 questionnaires and received 139 replies (67% response rate). For all 8 vignettes presented, only 26% of the respondents preferred to use anticoagulant therapy in AF patients. Longer clinical experiences and responsibility at a teaching hospital were associated with negative attitude toward anticoagulant therapy, while experience of preventive therapy in patients with thromboembolism due to AF and strong influence of clinical trials of anticoagulant prophylaxis on their practice were associated with positive attitude toward the therapy. Among patient characteristics in the vignettes, a risk of thromboembolism wa...Continue Reading

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Citations

Mar 19, 2013·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Hung-Fat TseDayi Hu
Apr 27, 2016·Journal of Medical Economics·Masatsugu HoriJean-Baptiste Briere
Oct 6, 2016·International Journal of Stroke : Official Journal of the International Stroke Society·Ayrton MassaroRoland Veltkamp
Sep 2, 2008·Stroke; a Journal of Cerebral Circulation·David J GladstoneMoira K Kapral
Feb 11, 2020·Journal of Thrombosis and Thrombolysis·Mei WangLehana Thabane

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