Adherence to the “Atrial fibrillation Better Care” (ABC) pathway in patients with atrial fibrillation and cancer: A report from the ESC-EHRA EURObservational Research Programme in atrial fibrillation (EORP-AF) General Long-Term Registry
Vitolo M. Proietti M. Malavasi V.L. Bonini N. Romiti G.F. Imberti J.F. Fauchier L. Marin F. Nabauer M. Potpara T.S. Dan G.-A. Kalarus Z. Maggioni A.P. Lane D.A. Lip G.Y.H. Boriani G. Tavazzi L. Marin F. Goda A. Mairesse G. Shalganov T. Antoniades L. Taborsky M. Riahi S. Muda P. Bolao I.G. Piot O. Etsadashvili K. Simantirakis E.N. Haim M. Azhari A. Najafian J. Santini M. Mirrakhimov E. Kulzida K. Erglis A. Poposka L. Burg M.R. Crijns H. Erküner Ö. Atar D. Lenarczyk R. Oliveira M.M. Shah D. Serdechnaya E. Diker E. Lane D.
01 November 2022Elsevier B.V.
European Journal of Internal Medicine
2022#10554 - 62 pp.
Background: Implementation of the Atrial fibrillation Better Care (ABC) pathway is recommended by guidelines on atrial fibrillation (AF), but the impact of adherence to ABC pathway in patients with cancer is unknown. Objectives: To investigate the adherence to ABC pathway and its impact on adverse outcomes in AF patients with cancer. Methods: Patients enrolled in the EORP-AF General Long-Term Registry were analyzed according to (i) No Cancer; and (ii) Prior or active cancer and stratified in relation to adherence to the ABC pathway. The composite Net Clinical Outcome (NCO) of all-cause death, major adverse cardiovascular events and major bleeding was the primary endpoint. Results: Among 6550 patients (median age 69 years, females 40.1%), 6005 (91.7%) had no cancer, while 545 (8.3%) had a diagnosis of active or prior cancer at baseline, with the proportions of full adherence to ABC pathway of 30.6% and 25.7%, respectively. Adherence to the ABC pathway was associated with a significantly lower occurrence of the primary outcome vs. non-adherence, both in ‘no cancer’ and ‘cancer’ patients [adjusted Hazard Ratio (aHR) 0.78, 95% confidence interval (CI): 0.66–0.92 and aHR 0.59, 95% CI 0.37–0.96, respectively]. Adherence to a higher number of ABC criteria was associated with a lower risk of the primary outcome, being lowest when 3 ABC criteria were fulfilled (no cancer: aHR 0.54, 95%CI: 0.36–0.81; with cancer: aHR 0.32, 95% CI 0.13–0.78). Conclusion: In AF patients with cancer enrolled in the EORP-AF General Long-Term Registry, adherence to ABC pathway was sub-optimal. Full adherence to ABC-pathway was associated with a lower risk of adverse events
Atrial fibrillation , Cancer , Integrated care , Mortality , Outcomes , Stroke
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Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Via del Pozzo, 71, Modena, 41124, Italy
Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom
Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Geriatric Unit, IRCCS Istituti Clinici Scientifici Maugeri, Milan, Italy
Department of Translational and Precision Medicine, Sapienza – University of Rome, Rome, Italy
Service de Cardiologie, Centre Hospitalier Universitaire Trousseau, Tours, France
Department of Cardiology, Hospital Universitario Virgen de la Arrixaca, IMIB-Arrixaca, University of Murcia, CIBERCV, Murcia, Spain
Department of Cardiology, Ludwig-Maximilians-University, Munich, Germany
School of Medicine, University of Belgrade, Belgrade, Serbia
Intensive Arrhythmia Care, Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia
Carol Davila University of Medicine, Colentina University Hospital, Bucharest, Romania
Department of Cardiology, SMDZ in Zabrze, Medical University of Silesia, Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland
ANMCO Research Center, Firenze, Italy
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
University Hospital Center Mother Tereza, Tirana, Albania
Cliniques du Sud-Luxembourg, Arlon, Belgium
National Heart Hospital, Sofia, Bulgaria
Nicosia General Hospital, Latsia, Cyprus
University Hospital Olomouc, Olomouc, Czech Republic
Aalborg University Hospital, Aalborg, Denmark
University of Tartu, Tartu, Estonia
Navarra Institute for Health Research, Pamplona, Spain
Centre Cardiologique du Nord, Saint-Denis, France
Ludwig-Maximilians-University, Munich, Germany
G. Chapidze Emergency Cardiology Center, Tbilisi, Georgia
University Hospital of Heraklion, School of Medicine, University of Crete, Heraklion, Crete, Greece
Soroka Medical Center, Beer Sheva, Israel
Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
San Filippo Neri Hospital, Rome, Italy
National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan
Scientific-Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan
Pauls Stradins Clinical University Hospital University of Latvia Riga Latvia, Latvia
University Clinic of Cardiology, Faculty of Medicine, Ss Cyril and Methodius University of Skopje, Skopje, North Macedonia
Mater Dei Hospital, Triq Dun Karm Psaila, Malta
Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, Maastricht, Netherlands
Oslo University Hospital Ullevål and Institute of Clinical Sciences, University of Oslo, Oslo, Norway
Silesian Center for Heart Disease, Zabrze, Poland
Hospital Santa Marta, Lisbon, Portugal
Department of Medicine Specialities, University Hospital Geneva, Geneva, Switzerland
Colentina University Hospital, Bucharest, Romania
Northern State Medical University, Arkhangelsk, Russian Federation
Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia
Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey
City Hospital, University of Birmingham, Birmingham, United Kingdom
Cardiology Division
Liverpool Centre for Cardiovascular Science
Clinical and Experimental Medicine PhD Program
Department of Clinical Sciences and Community Health
Geriatric Unit
Department of Translational and Precision Medicine
Service de Cardiologie
Department of Cardiology
Department of Cardiology
School of Medicine
Intensive Arrhythmia Care
Carol Davila University of Medicine
Department of Cardiology
ANMCO Research Center
Department of Clinical Medicine
University Hospital Center Mother Tereza
Cliniques du Sud-Luxembourg
National Heart Hospital
Nicosia General Hospital
University Hospital Olomouc
Aalborg University Hospital
University of Tartu
Navarra Institute for Health Research
Centre Cardiologique du Nord
Ludwig-Maximilians-University
G. Chapidze Emergency Cardiology Center
University Hospital of Heraklion
Soroka Medical Center
Cardiovascular Research Institute
San Filippo Neri Hospital
National Center of Cardiology and Internal Medicine
Scientific-Research Institute of Cardiology and Internal Diseases
Pauls Stradins Clinical University Hospital University of Latvia Riga Latvia
University Clinic of Cardiology
Mater Dei Hospital
Cardiovascular Research Institute Maastricht (CARIM)
Oslo University Hospital Ullevål and Institute of Clinical Sciences
Silesian Center for Heart Disease
Hospital Santa Marta
Department of Medicine Specialities
Colentina University Hospital
Northern State Medical University
Cardiology Clinic
Başakşehir Çam and Sakura City Hospital
City Hospital
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