Informed Decision Making for Anticoagulation Therapy for Atrial Fibrillation.

ABSTRACT:

Background

Patients with atrial fibrillation (AF) must decide between warfarin and direct oral anticoagulants (DOACs), a decision involving important tradeoffs. Our objective was to understand whether physicians engage patients in informed decision making for anticoagulants.

Design

We performed an analysis of recorded conversations between physicians and anticoagulation-naïve patients in the Verilogue Point-of-Practice database. We assessed the presence of 7 elements of informed decision making, as well as a discussion of financial costs.

Results

Of 37 encounters with 21 physicians, 92% resulted in a DOAC prescription and 8% resulted in a warfarin prescription. Seventy percent met criteria for discussion of pros and cons, 70% for discussion of the alternatives, 43% pr

SUBMITTER: Martinez KA 

PROVIDER: S-EPMC9825626 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature