Disparities in the care and direct-acting oral anticoagulant (DOAC) management in atrial fibrillation (AF) and chronic kidney disease (CKD) in English primary care between 2018 and 2022: primary care sentinel network database study
People in the most deprived IMD quintile were least likely to be anticoagulated. Incorrect DOAC dosing was associated with male sex, increasing frailty and dementia. Socioeconomic and health disparities are apparent in anticoagulation prescribing and should be addressed in line with the AF-CARE framework.
Authors
- Simon de Lusignan (ORCID: https://orcid.org/0000-0002-8553-2641)
- Subo Emanuel (ORCID: https://orcid.org/0000-0002-9049-5179)
- Xuejuan Fan (ORCID: https://orcid.org/0000-0002-0165-8344)
- Mark Joy (ORCID: https://orcid.org/0000-0002-4974-3724)
- Riyaz A. Kaba (ORCID: https://orcid.org/0000-0002-2812-6049)
- Benjamin C. T. Field (ORCID: https://orcid.org/0000-0002-1883-1588)
- John Williams (ORCID: https://orcid.org/0000-0002-6118-0434)
- Gregory Y H Lip
Institutions
- University of Liverpool (GB)
- Royal Holloway University of London (GB)
- University of Surrey (GB)
- University of Oxford (GB)
- Ashford and St Peter's Hospitals NHS Foundation Trust (GB)
- Surrey and Sussex Healthcare NHS Trust (GB)
- Royal College of General Practitioners (GB)
- Aalborg University (DK)
Publication Details
- Journal
- Open Heart
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1136/openhrt-2024-002923
- Citations
- 1
- Primary Topic
- Atrial Fibrillation Management and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 1.39