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; Neubeck, Lis; Freedman, Ben; Witt, Henning; Hills, Melanie T; Lund, Jenny; Giskes, Katrina; Engler, Daniel; Schnabel, Renate B; Heidbuchel, Hein; Desteghe, Lien
Claire M. Buckley
Georges H Mairesse
Michal M Farkowski
Dr Coral Hanson C.Hanson@napier.ac.uk
Senior Research Fellow
Prof Lis Neubeck L.Neubeck@napier.ac.uk
Melanie T Hills
Renate B Schnabel
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% UK & 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 UK & 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.
Vermunicht, P., Grecu, M., Deharo, J., Buckley, C. M., Palà, E., Mairesse, G. H., …Desteghe, L. (2023). General practitioners’ perceptions on opportunistic single-time point screening for atrial fibrillation: A European quantitative survey. Frontiers in Cardiovascular Medicine, 10, Article 1112561. https://doi.org/10.3389/fcvm.2023.1112561
|Journal Article Type||Article|
|Acceptance Date||Jan 25, 2023|
|Online Publication Date||Feb 15, 2023|
|Deposit Date||Jan 31, 2023|
|Publicly Available Date||Feb 15, 2023|
|Journal||Frontiers in Cardiovascular Medicine|
|Peer Reviewed||Peer Reviewed|
|Keywords||atrial fibrillation, screening, AFFECT-EU, survey, general practitioners|
General practitioners’ perceptions on opportunistic single-time point screening for atrial fibrillation: a European quantitative survey
Publisher Licence URL
General practitioners’ perceptions on opportunistic 1 single-time point 2 screening for atrial fibrillation: a European quantitative survey (Supplemental Material)
You might also like
Risk Factors for Leg Ulceration in People Who Inject Drugs: A Cross-Sectional Study
Evaluating the impact of evidence?based change within the Northumberland Exercise on Referral Scheme
Presentation / Conference
Managing stroke through COVID-19 and beyond