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

Permanent lenke
https://hdl.handle.net/10037/25373
DOI
https://doi.org/10.1186/s12889-022-12628-9
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article.pdf (867.8Kb)
Publisert versjon (PDF)
Correction Olsen et al.pdf (651.8Kb)
Publisert versjon (PDF)
Dato
2022-02-14
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Forfatter
Olsen, Frank; Uleberg, Bård Erling; Jacobsen, Bjarne K.; Tande, Pål Morten; Bugge, Einar; Balteskard, Lise
Sammendrag

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.

Er en del av
Olsen, F. (2022). Geographic and socioeconomic variation in the utilisation of specialist health care services in Norway – Three selected health care services. (Doctoral thesis). https://hdl.handle.net/10037/25374.
Forlag
Springer Nature
Sitering
Olsen F, Uleberg BE, Jacobsen bk, Heuch I, Tande PM, Bugge E, Balteskard L. Socioeconomic and geographic differences in ablation of atrial fibrillation in Norway - a national cohort study. BMC Public Health. 2022;22(303)
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  • Artikler, rapporter og annet (klinisk medisin) [1974]
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