The Influence of Socioeconomic Status on Selection of Anticoagulation for Atrial Fibrillation.

ABSTRACT:

Importance

Without third-party insurance, access to marketed drugs is limited to those who can afford to pay. We examined this phenomenon in the context of anticoagulation for patients with nonvalvular atrial fibrillation (NVAF).

Objective

To determine whether, among older Ontarians receiving anticoagulation for NVAF, patients of higher socioeconomic status (SES) were more likely to switch from warfarin to dabigatran prior to its addition to the provincial formulary.

Design, setting and participants

Population-based retrospective cohort study of Ontarians aged 66 years and older, between 2008 and 2012.

Exposure

Socioeconomic status, as approximated by median neighborhood income.

Main outcomes and measure

We identified two groups of older adults with nonv

SUBMITTER: Sholzberg M 

PROVIDER: S-EPMC4767939 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature