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Clinical Trials Update
May 26, 2020

Integrated Care Cut Mortality in Patients With Atrial Fibrillation

JAMA. 2020;323(20):1999. doi:10.1001/jama.2020.7968

An integrated-care intervention conducted in primary care practices reduced all-cause mortality among elderly patients with atrial fibrillation (AF), a noninferiority trial in the European Heart Journal demonstrated.

The study randomized 26 primary care practices (1240 patients with a median age of 77 years) in the Netherlands to provide integrated care or usual care. In the integrated care group, trained primary care nurses at 15 practices performed quarterly AF check-ups, including providing patient education, monitoring anticoagulation therapy, and facilitating consultations with cardiologists and anticoagulation clinics.

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