Assessment of the Adherence of Cardiologists to Guidelines for the Treatment of Atrial Fibrillation

作者：van der Sand Cezar R; Luz Leiria Tiago Luiz; Karam Kalil Renato Abdala

来源：Arquivos Brasileiros de Cardiologia, 2013, 101(2): 127-133.

DOI：10.5935/abc.20130148

• Atrial Fibrillation
• Anticoagulants
• Guidelines

Background: No local studies evaluating the knowledge of cardiologists on the management of atrial fibrillation (AF) and their adherence to these guidelines are available.
Objective: To evaluate the knowledge of cardiologists on the guidelines and clinical practices for the treatment of AF, correlating it to the time since medical graduation.
Methods: Cross-sectional study randomly including cardiologists affiliated to the Society of Cardiology of the State of Rio Grande do Sul (Sociedade de Cardiologia do Estado do Rio Grande do Sul - SOCERGS). The physicians were divided into two groups, according to time since graduation: those graduated for more (G1) or less (G2) than 25 years.
Results: Of the 859 SOCERGS members, 150 were interviewed, and six refused to participate in the study. G1 comprised 71 physicians, and G2, 73. Differences were observed in regard to the following variables: use of betablockers as the first-choice drug for the control of AF response in 59.2% (G1) vs 91.8% (G2) (p<0.0001); use of digoxin as the preferred drug for the control of AF response in 19.7% (G1) vs 0% (G2) (p< 0.0001); warfarin as the preferred anticoagulant in 71.8% (G1) vs 93.2% (G2) (p=0.009); application of a risk score for anticoagulation in 73.2% (G1) vs 87.7% (G2) (p=0.02). In questions regarding the knowledge about the Brazilian Society of Cardiology's guideline for AF, the overall percentage of right answers was 82.3%.
Conclusion: Most of the clinical measures regarding the management of AF comply with the guidelines, and the clinical practice differs according with the time since graduation.

• 出版日期2013-8