Email updates

Keep up to date with the latest news and content from BMC Cardiovascular Disorders and BioMed Central.

Open Access Highly Accessed Research article

Patient perspective on the management of atrial fibrillation in five European countries

Ameet Bakhai12*, Anna Sandberg3, Thomas Mittendorf4, Wolfgang Greiner5, André MS Oberdiek3, Patrizia Berto67, Edith Franczok8, Trudie Lobban9 and Jose L Zamorano10

Author Affiliations

1 Barnet and Chase Farm Hospitals NHS Trust, The Ridgeway, Enfield, EN2 8JL Middlesex, UK

2 AMORE Health Ltd, 11 Pinewood Avenue, HA5 4BN Pinner, UK

3 Daiichi Sankyo Europe GmbH, Zielstattstrasse 48, 81379 Munich, Germany

4 Herescon GmbH, Health Economic Research and Consulting, Herescon GmbH, Königsworther Str. 2 D, 30167 Hannover, Germany

5 Health Economics and Health Care Management, University of Bielefeld, Bielefeld, Universitätsstraße 25, 33615 Bielefeld, Germany

6 University of Padova, Padova, Via 8 Febbraio, 2-35122 Padova, Italy

7 Analytica-Laser, Vicolo Stella 6, 37121 Verona, Italy

8 Harris Interactive AG, Beim Strohhause 31, 20097 Hamburg, Germany

9 Atrial Fibrillation Association, Chew Hill, Chew Magna, Avon BS40 8WB Bristol, UK

10 Hospital Ramón y Cajal, University Alcala de Henares, Carretera de Colmenar Km 9.100, 28034 Madrid, Spain

For all author emails, please log on.

BMC Cardiovascular Disorders 2013, 13:108  doi:10.1186/1471-2261-13-108

Published: 1 December 2013

Abstract

Background

Long-term management of chronic conditions, such as atrial fibrillation (AF), require frequent interactions with the healthcare systems. The multinational EUropean Patient Survey in Atrial Fibrillation (EUPS-AF) was conducted to investigate patient satisfaction with AF management in different of five European healthcare systems at a time of changing treatment paradigms for stroke prophylaxis, prior to the advent of newer oral anticoagulants.

Methods

Adults (>18 years) were recruited at random from the total populations of France, Germany, Italy, Spain and the UK using a randomized telephone dialling system. At least 300 respondents per country reporting to have a diagnosis of AF or receiving oral anticoagulation therapy for suspected AF or to have a heart rhythm disturbance completed a structured telephone interview.

Results

Most respondents were satisfied with their treatment for AF over the previous 12 months, with 85.5% (n = 1289) rating their care as good or better. Suboptimal clinical practices, however, were identified in several key areas. Coordination of primary and secondary care and a lack of patient engagement and support were particular issues, especially for those patients likely to have extensive contact with their healthcare system.

Conclusions

In the context of Europe-wide guidelines for management of AF, most patients with AF were satisfied with their care, but for a greater proportion of patients, some aspects are unsatisfactory. Patient-centred surveys, such as the EUPS-AF, are crucial for understanding the factors that contribute to patient satisfaction and compliance with long-term treatment for chronic conditions.

Keywords:
Atrial fibrillation; Arrhythmia; Patient satisfaction; Stroke; Anticoagulants