Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study
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 f...
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ftunivbergen:oai:bora.uib.no:11250/2997898 2023-05-15T16:13:43+02:00 Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study Olsen, Frank Uleberg, Bård Erling Jacobsen, Bjarne K. Heuch, Ivar Tande, Pål Morten Bugge, Einar Balteskard, Lise 2022 application/pdf https://hdl.handle.net/11250/2997898 https://doi.org/10.1186/s12889-022-12628-9 eng eng BioMed Central urn:issn:1471-2458 https://hdl.handle.net/11250/2997898 https://doi.org/10.1186/s12889-022-12628-9 cristin:2014238 BMC Public Health. 2022, 22, 303. Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Copyright 2022 The Author(s) 303 BMC Public Health 22 Journal article Peer reviewed 2022 ftunivbergen https://doi.org/10.1186/s12889-022-12628-9 2023-03-14T17:39:48Z 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. publishedVersion Article in Journal/Newspaper Finnmark Finnmark University of Bergen: Bergen Open Research Archive (BORA-UiB) Norway BMC Public Health 22 1 |
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University of Bergen: Bergen Open Research Archive (BORA-UiB) |
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English |
description |
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. publishedVersion |
format |
Article in Journal/Newspaper |
author |
Olsen, Frank Uleberg, Bård Erling Jacobsen, Bjarne K. Heuch, Ivar Tande, Pål Morten Bugge, Einar Balteskard, Lise |
spellingShingle |
Olsen, Frank Uleberg, Bård Erling Jacobsen, Bjarne K. Heuch, Ivar Tande, Pål Morten Bugge, Einar Balteskard, Lise Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study |
author_facet |
Olsen, Frank Uleberg, Bård Erling Jacobsen, Bjarne K. Heuch, Ivar Tande, Pål Morten Bugge, Einar Balteskard, Lise |
author_sort |
Olsen, Frank |
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 |
BioMed Central |
publishDate |
2022 |
url |
https://hdl.handle.net/11250/2997898 https://doi.org/10.1186/s12889-022-12628-9 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Finnmark Finnmark |
genre_facet |
Finnmark Finnmark |
op_source |
303 BMC Public Health 22 |
op_relation |
urn:issn:1471-2458 https://hdl.handle.net/11250/2997898 https://doi.org/10.1186/s12889-022-12628-9 cristin:2014238 BMC Public Health. 2022, 22, 303. |
op_rights |
Navngivelse 4.0 Internasjonal http://creativecommons.org/licenses/by/4.0/deed.no Copyright 2022 The Author(s) |
op_doi |
https://doi.org/10.1186/s12889-022-12628-9 |
container_title |
BMC Public Health |
container_volume |
22 |
container_issue |
1 |
_version_ |
1765999544040947712 |