Developing an Atrial Fibrillation Guideline Support Tool (AFGuST) for shared decision making.

ABSTRACT:

Objective

Patient values and preferences are an important component to decision making when tradeoffs exist that impact quality of life, such as tradeoffs between stroke prevention and hemorrhage in patients with atrial fibrillation (AF) contemplating anticoagulant therapy. Our objective is to describe the development of an Atrial Fibrillation Guideline Support Tool (AFGuST) to assist the process of integrating patients' preferences into this decision.

Materials and methods

CHA2DS2VASc and HAS-BLED were used to calculate risks for stroke and hemorrhage. We developed a Markov decision analytic model as a computational engine to integrate patient-specific risk for stroke and hemorrhage and individual patient values for relevant outcomes in decisions about anticoagulant therapy

SUBMITTER: Eckman MH 

PROVIDER: S-EPMC4708062 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature