Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study
Abstract Background The 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. Methods National population-based data on individual level of all Norwegians aged 25 to 75 diagnosed with...
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ftdoajarticles:oai:doaj.org/article:1440fb516dac40e6bf633243b1198de6 2023-05-15T16:13:43+02:00 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 2022-02-01T00:00:00Z https://doi.org/10.1186/s12889-022-12628-9 https://doaj.org/article/1440fb516dac40e6bf633243b1198de6 EN eng BMC https://doi.org/10.1186/s12889-022-12628-9 https://doaj.org/toc/1471-2458 doi:10.1186/s12889-022-12628-9 1471-2458 https://doaj.org/article/1440fb516dac40e6bf633243b1198de6 BMC Public Health, Vol 22, Iss 1, Pp 1-14 (2022) Norway Atrial fibrillation Catheter ablation Universal health care Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1186/s12889-022-12628-9 2022-12-31T14:42:29Z Abstract Background The 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. Methods National 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. Results Substantial 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. Conclusions Differences 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. Article in Journal/Newspaper Finnmark Finnmark Directory of Open Access Journals: DOAJ Articles Norway BMC Public Health 22 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Norway Atrial fibrillation Catheter ablation Universal health care Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270 |
spellingShingle |
Norway Atrial fibrillation Catheter ablation Universal health care Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270 Frank Olsen Bård Uleberg Bjarne K. Jacobsen Ivar Heuch Pål M. Tande Einar Bugge Lise Balteskard Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
topic_facet |
Norway Atrial fibrillation Catheter ablation Universal health care Socioeconomic factors Small-area analysis Public aspects of medicine RA1-1270 |
description |
Abstract Background The 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. Methods National 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. Results Substantial 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. Conclusions Differences 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. |
format |
Article in Journal/Newspaper |
author |
Frank Olsen Bård Uleberg Bjarne K. Jacobsen Ivar Heuch Pål M. Tande Einar Bugge Lise Balteskard |
author_facet |
Frank Olsen Bård Uleberg Bjarne K. Jacobsen Ivar Heuch Pål M. Tande Einar Bugge Lise Balteskard |
author_sort |
Frank Olsen |
title |
Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
title_short |
Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
title_full |
Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
title_fullStr |
Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
title_full_unstemmed |
Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
title_sort |
socioeconomic and geographic differences in ablation of atrial fibrillation in norway - a national cohort study |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12889-022-12628-9 https://doaj.org/article/1440fb516dac40e6bf633243b1198de6 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Finnmark Finnmark |
genre_facet |
Finnmark Finnmark |
op_source |
BMC Public Health, Vol 22, Iss 1, Pp 1-14 (2022) |
op_relation |
https://doi.org/10.1186/s12889-022-12628-9 https://doaj.org/toc/1471-2458 doi:10.1186/s12889-022-12628-9 1471-2458 https://doaj.org/article/1440fb516dac40e6bf633243b1198de6 |
op_doi |
https://doi.org/10.1186/s12889-022-12628-9 |
container_title |
BMC Public Health |
container_volume |
22 |
container_issue |
1 |
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1765999555124396032 |