Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation.



Farinha, José Maria ORCID: 0000-0001-8456-7263, Jones, Ian D ORCID: 0000-0002-3081-0069 and Lip, Gregory YH ORCID: 0000-0002-7566-1626
(2022) Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation. European heart journal supplements : journal of the European Society of Cardiology, 24 (Suppl). A42-A55.

[img] PDF
Optimizing adherence and persistence to non-vitamin K antagonist oral anticoagulant therapy in atrial fibrillation.pdf - Open Access published version

Download (874kB) | Preview

Abstract

Atrial fibrillation (AF) is associated with an increased risk of stroke, which can be prevented by the use of oral anticoagulation. Although non-vitamin K antagonist oral anticoagulants (NOACs) have become the first choice for stroke prevention in the majority of patients with non-valvular AF, adherence and persistence to these medications remain suboptimal, which may translate into poor health outcomes and increased healthcare costs. Factors influencing adherence and persistence have been suggested to be patient-related, physician-related, and healthcare system-related. In this review, we discuss factors influencing patient adherence and persistence to NOACs and possible problem solving strategies, especially involving an integrated care management, aiming for the improvement in patient outcomes and treatment satisfaction.

Item Type: Article
Uncontrolled Keywords: Adherence, Atrial fibrillation, Integrated care, Integrated management, Non-vitamin K antagonist oral anticoagulants, Oral anticoagulation, Persistence
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 17 Oct 2023 13:49
Last Modified: 17 Oct 2023 13:49
DOI: 10.1093/eurheartj/suab152
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3173820