Evidence map›Paper›PMID 35164725›Full record

ArticleBMC public health2022

Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study.

Frank Olsen, Bård Uleberg, Bjarne K Jacobsen, Ivar Heuch, Pål M Tande, Einar Bugge, Lise Balteskard

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

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  8. Social drivers in atrial fibrillation occurrence, screening, treatment, and outcomes: systematic-narrative hybrid review.European heart journal supplements : journal of the European Society of Cardiology · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Frank OlsenDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway. frank.olsen@uit.no.
Bård UlebergDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Bjarne K JacobsenDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Ivar HeuchDepartment of Mathematics, University of Bergen, Bergen, Norway.
Pål M TandeDepartment of Cardiology, University Hospital of North Norway, Tromsø, Norway.
Einar BuggeDepartment of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Lise BalteskardCentre for Clinical Documentation and Evaluation (SKDE), Northern Norway Regional Health Authority, Tromsø, Norway.
UiT The Arctic University of Norway · NONorthern Norway Regional Health Authority · NOUniversity Hospital of North Norway · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyse whether there are patient related or geographic differences in the use of catheter ablation among atrial fibrillation patients in Norway.

methodsNational population-based data on individual level of all Norwegians aged 25 to 75 diagnosed with atrial fibrillation from 2008 to 2017 were used to study the proportion treated with catheter ablation. Survival analysis, by Cox regression with attained age as time scale, separately by gender, was applied to examine the associations between ablation probability and educational level, income level, place of residence, and follow-up time.

resultsSubstantial socioeconomic and geographic variation was documented. Atrial fibrillation patients with high level of education and high income were more frequently treated with ablation, and the education effect increased with increasing age. Patients living in the referral area of St. Olavs Hospital Trust had around three times as high ablation rates as patients living in the referral area of Finnmark Hospital Trust.

conclusionsDifferences in health literacy, patient preference and demands are probably important causes of socioeconomic variation, and studies on how socioeconomic status influences the choice of treatment are warranted. Some of the geographic variation may reflect differences in ablation capacity. However, geographic variation related to differences in clinical practice and provider preferences implies a need for clearer guidelines, both at the specialist level and at the referring level.

Indexed as

Atrial FibrillationCatheter AblationCohort StudiesHumansIncomeNorwayTreatment OutcomeAtrial fibrillationCatheter ablationNorwaySmall-area analysisSocioeconomic factorsUniversal health care

Identifiers

PMID35164725
PMCPMC8842863
OpenAlexW4213218051

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.