Informed Decision Making for Anticoagulation Therapy for Atrial Fibrillation.
Kathryn A MartinezDebra T LinfieldVictoria ShakerMichael B RothbergPublished in: Medical decision making : an international journal of the Society for Medical Decision Making (2022)
While physicians discussed the alternatives and presented pros and cons with patients, they rarely assessed patient preferences, explained the patient's role in decision making, or addressed uncertainty.The cost of treatment with DOACs versus warfarin was discussed by physicians in less than half of encounters, limiting patients' ability to make informed decisions for anticoagulation.Only 2 encounters (5%) fulfilled all 7 elements of informed decision making.
Keyphrases
- decision making
- atrial fibrillation
- end stage renal disease
- ejection fraction
- newly diagnosed
- primary care
- venous thromboembolism
- chronic kidney disease
- direct oral anticoagulants
- peritoneal dialysis
- heart failure
- case report
- oral anticoagulants
- acute coronary syndrome
- catheter ablation
- percutaneous coronary intervention
- combination therapy