General practitioners' perceptions on opportunistic single-time point screening for atrial fibrillation: A European quantitative survey
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General practitioners' perceptions on opportunistic single-time point screening for atrial fibrillation: A European quantitative survey. / Vermunicht, Paulien; Grecu, Mihaela; Deharo, Jean-Claude; Buckley, Claire M; Palà, Elena; Mairesse, Georges H; Farkowski, Michal M; Bergonti, Marco; Pürerfellner, Helmut; Hanson, Coral L; Neubeck, Lis; Freedman, Ben; Witt, Henning; Hills, Mellanie T; Lund, Jenny; Giskes, Katrina; Engler, Daniel; Schnabel, Renate B; Heidbuchel, Hein; Desteghe, Lien; AFFECT-EU Investigators.
in: FRONT CARDIOVASC MED, Jahrgang 10, 2023, S. 1112561.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - General practitioners' perceptions on opportunistic single-time point screening for atrial fibrillation: A European quantitative survey
AU - Vermunicht, Paulien
AU - Grecu, Mihaela
AU - Deharo, Jean-Claude
AU - Buckley, Claire M
AU - Palà, Elena
AU - Mairesse, Georges H
AU - Farkowski, Michal M
AU - Bergonti, Marco
AU - Pürerfellner, Helmut
AU - Hanson, Coral L
AU - Neubeck, Lis
AU - Freedman, Ben
AU - Witt, Henning
AU - Hills, Mellanie T
AU - Lund, Jenny
AU - Giskes, Katrina
AU - Engler, Daniel
AU - Schnabel, Renate B
AU - Heidbuchel, Hein
AU - Desteghe, Lien
AU - AFFECT-EU Investigators
N1 - Copyright © 2023 Vermunicht, Grecu, Deharo, Buckley, Palà, Mairesse, Farkowski, Bergonti, Pürerfellner, Hanson, Neubeck, Freedman, Witt, Hills, Lund, Giskes, Engler, Schnabel, Heidbuchel, Desteghe and for the AFFECT-EU investigators.
PY - 2023
Y1 - 2023
N2 - BACKGROUND: There is no clear guidance on how to implement opportunistic atrial fibrillation (AF) screening in daily clinical practice.OBJECTIVES: 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.METHODS: 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.RESULTS: 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%).CONCLUSION: GPs perceive a strong need for a standardized AF screening approach. Additional resources may be required to have it widely adopted into clinical practice.
AB - BACKGROUND: There is no clear guidance on how to implement opportunistic atrial fibrillation (AF) screening in daily clinical practice.OBJECTIVES: 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.METHODS: 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.RESULTS: 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%).CONCLUSION: GPs perceive a strong need for a standardized AF screening approach. Additional resources may be required to have it widely adopted into clinical practice.
U2 - 10.3389/fcvm.2023.1112561
DO - 10.3389/fcvm.2023.1112561
M3 - SCORING: Journal article
C2 - 36873407
VL - 10
SP - 1112561
JO - FRONT CARDIOVASC MED
JF - FRONT CARDIOVASC MED
SN - 2297-055X
ER -