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Health-related Quality of Life in Patients on Anticoagulants

Completed
Conditions
Atrial Fibrillation
Interventions
Drug: DOAC or VKA
Drug: VKA
Registration Number
NCT03134911
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The present study has been designed to describe the health-related quality of life in patients with non valvular atrial fibrillation who have been prescribed a specific anticoagulant treatment for their non valvular atrial fibrilation at least 6 months prior to study initiation. It will be conducted in Departments of Internal Medicine from approximately 50 centers in Spain. It consists of an only visit that will coincide with one of those performed by the patients as part of routine follow-up of their disease. 500 patients seen in internal medicine are planned to be included in the study

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
535
Inclusion Criteria
  • The patient is willing and provides written informed consent to participate in this study.
  • The patient is at least 18 years of age
  • The patient has a diagnosis of non-valvular atrial fibrillation
  • The patient is on the same anticoagulant therapy (VKA or DOAC) during at least 6 months and maximum 2 years.
  • If treated with VKA, availability of % Time in Therapeutic Range (TTR) in past analytical records or enough amount of International Normalized Ratio (INR) measures to calculate it.
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Exclusion Criteria
  • Current participation in any clinical trial of a drug or device
  • Contraindication to the use of DOAC or VKA as described in the Summary of Product Characteristics (SmPC).
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
anticoagulation controlled patientsDOAC or VKATreated with DOAC or VKA
anticoagulation non controlled patientsVKATreated with VKA
Primary Outcome Measures
NameTimeMethod
Health Related Quality of Life (QoL) (HRQoL) Scores in the Spanish Adaptation of the Sawicki QuestionnaireThe study consisted of a single visit between April 2017 and January 2018

Sawicki questionnaire includes 32 items grouped in 5 dimensions: 1) general treatment satisfaction, 2) self-efficacy, 3) strained social network, 4) daily hassles and 5) distress. Patients estimated the impact of each item on their self-perceived treatment-related QoL on a scale of 1 (total disagreement) to 6 (total agreement). Response options for each question were: 1=not at all, 2=very little, 3=a little, 4=somewhat, 5=a lot, 6=very much. High scores in general treatment satisfaction and self-efficacy dimensions indicate high perceived HRQoL. Low scores in the strained social network, daily hassles and distress dimensions indicate high perceived HRQoL. The summary score for each dimension was calculated by dividing the total score of the sum of the items that comprise each dimension into the number of items included in that dimension. For the general treatment satisfaction dimension, the scores of individual questions have to be inverted first to calculate the dimension score.

Secondary Outcome Measures
NameTimeMethod
Height of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Height of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Weight of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Weight of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Body Mass Index (BMI) of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

BMI of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Kidney Function (Creatinine Clearance) of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Kidney function of uncontrolled non-valvular atrial fibrillation (NVAF) patients measured by creatinine clearance is presented.

Demographic Data of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Age group, work status and life status of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

History of Non-valvular Atrial Fibrillation (NVAF) - Age at DiagnosisThe study consisted of a single visit between April 2017 and January 2018

Age at diagnosis of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Left Ventricular Ejection Fraction (LVEF) of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Left ventricular ejection fraction (LVEF) of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Percentage of Patients With Left Ventricular Ejection Fraction (LVEF) Depression of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Percentage of patients with left ventricular ejection fraction (LVEF) depression (% of LVEF depression) of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented qualitatively.

CHA2DS2-VASc Score of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

CHA2DS2-VASc stroke risk score is calculated based on the following conditions: Congestive heart failure, Hypertension, Age (≥ 75), Diabetes Mellitus, Stroke/ Transient Ischaemic Attack (TIA), Vascular disease, Age 65-74, Sex category. CHA2DS2-VASc stroke risk score may range from 0 to 9 with 0 being the best outcome.

HAS-BLED Score of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

HAS-BLED bleeding risk score is calculated based on the following conditions: Hypertension, Abnormal renal and liver function, Stroke, Bleeding history or predisposition, Labile International Normalized Ratio (INR), Elderly (\>65 years), Drugs and Alcohol. HAS-BLED bleeding risk score may range from 0 to 9 with 0 being the best outcome.

Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients With History of Thromboembolic Events by CategoriesThe study consisted of a single visit between April 2017 and January 2018

Percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients with history of thromboembolic events by categories are presented.

Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients With History of Haemorrhagic Events by CategoriesThe study consisted of a single visit between April 2017 and January 2018

Percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients with history of haemorrhagic events by categories are presented.

Number of Visits to the Physician of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Number of visits to the internal medicine specialist per year of uncontrolled non-valvular atrial fibrillation (NVAF) patients is presented.

Therapeutic Time in Range (TTR%) of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Therapeutic time in range (TTR%) of uncontrolled non-valvular atrial fibrillation (NVAF) patients determined by the Rosendaal method (poor control \< 65%) or by the direct method (poor control \< 60%).

Time Since Treatment Initiation of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) PatientsThe study consisted of a single visit between April 2017 and January 2018

Time since treatment initiation of uncontrolled non-valvular atrial fibrillation (NVAF) patients was calculated as the time from the start date of treatment to the date of the baseline visit.

Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients Received Type of VKA TreatmentThe study consisted of a single visit between April 2017 and January 2018

Percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients received type VKA treatment is presented.

The Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients With Concomitant DiseasesThe study consisted of a single visit between April 2017 and January 2018

The percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients with at least one other concomitant diseases recorded in the medical history.

History of Non-valvular Atrial Fibrillation (NVAF) - Time Since DiagnosisThe study consisted of a single visit between April 2017 and January 2018

Analysis of data regarding the specific NVAF profile of uncontrolled patients indicated that the average (± SD) time since diagnosis (calculated as the time from the date of diagnosis to the date of the baseline visit).

The Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients With Active Concomitant Diseases on Visit DayThe study consisted of a single visit between April 2017 and January 2018

The percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients with active concomitant diseases on visit day. The percentage was calculated on total patients who presented each of the diseases.

The Percentage of Uncontrolled Non-valvular Atrial Fibrillation (NVAF) Patients With Concomitant TreatmentThe study consisted of a single visit between April 2017 and January 2018

The percentage of uncontrolled non-valvular atrial fibrillation (NVAF) patients with concomitant treatment is presented.

Trial Locations

Locations (39)

Hospital Universitario Príncipe de Asturias

🇪🇸

Alcalá De Henares (Madrid), Spain

Hospital Público Virgen de los Lirios

🇪🇸

Alcoy (Alicante), Spain

Hospital San Juan de Dios

🇪🇸

Bormujos (Sevilla), Spain

Hospital General Universitario de Castellón

🇪🇸

Castellón De La Plana (Castellón), Spain

Hospital Universitario de La Plana

🇪🇸

Villarreal (Castellón), Spain

Hospital Universitario de Torrevieja

🇪🇸

Torrrevieja (Alicante), Spain

Hospital Universitario Reina Sofía

🇪🇸

Córdoba, Spain

Hospital Universitari Arnau de Vilanova

🇪🇸

Lleida, Spain

Hospital de La Princesa

🇪🇸

Madrid, Spain

Hospital General Universitario Gregorio Marañon

🇪🇸

Madrid, Spain

Hospital Universitario de Móstoles

🇪🇸

Móstoles (Madrid), Spain

Hospital Comarcal Francesc de Borja

🇪🇸

Gandía (València), Spain

Hospital De Llíria (depende del Arnau de Vilanova)

🇪🇸

Llíria (Valencia), Spain

Hospital Universitario Doce de Octubre

🇪🇸

Madrid, Spain

Hospital Universitario Virgen Macarena

🇪🇸

Sevilla, Spain

Hospital Universitario Infanta Sofia

🇪🇸

San Sebastián De Los Reyes (Madrid), Spain

Hospital Lluis Alcanyis

🇪🇸

Xàtiva (Valencia), Spain

Consorcio Hospital General Universitario de Valencia

🇪🇸

Valencia, Spain

Hospital de Sagunto

🇪🇸

Sagunto (Valencia), Spain

Hospital Universitario Fundación Jiménez Díaz

🇪🇸

Madrid, Spain

Hospital Universitario Puerta de Hierro

🇪🇸

Majadahonda (Madrid), Spain

Hospital Vega Baja

🇪🇸

Orihuela (Alicante), Spain

Hospital Regional de Málaga (Carlos Haya)

🇪🇸

Málaga, Spain

Hospita Universitario Fundación Alcorcón

🇪🇸

Alcorcón (Madrid), Spain

HospitalUniversitario Príncipe de Asturias

🇪🇸

Alcalá De Henares (Madrid), Spain

Hospital General Universitario de Elche

🇪🇸

Elche (Alicante), Spain

Hospital Universitario de Fuenlabrada

🇪🇸

Fuenlabrada (Madrid), Spain

Hospital Universitario Monteprincipe

🇪🇸

Boadilla Del Monte (Madrid), Spain

Hospital General Universitario de Alicante

🇪🇸

Alicante, Spain

Complejo Hospitalario Torrecárdenas

🇪🇸

Almería, Spain

Hospital Universitario San Juan de Alicante

🇪🇸

Alicante, Spain

Hospital Universitario Virgen de las Nieves

🇪🇸

Granada, Spain

Hopital Clinico San Carlos

🇪🇸

Madrid, Spain

Hospital Costa del Sol

🇪🇸

Marbella (Málaga), Spain

Complejo Hospitalario de Especialidades Virgen de la Victoria

🇪🇸

Málaga, Spain

Hospital Universitario Rey Juan Carlos

🇪🇸

Móstoles (Madrid), Spain

Hospital Virgen del Camino

🇪🇸

Pamplona (Navarra), Spain

Hospital General de Requena

🇪🇸

Requena (Valencia), Spain

Hospital Clínico Universitariio de Valencia

🇪🇸

Valencia, Spain

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