Comprehensive approach to atrial fibrillation in primary care

Introduction: Integrated care has been proposed as a solution to the growing disease burden of atrial fibrillation Objective: To assess whether integrated care of AF organized in primary care is not inferior to usual care. Methods: A pragmatic, open-label, cluster-randomized, noninferiority study was conducted in 26 primary care practices. Results: the reduction in the risk of noncardiovascular mortality was more pronounced than the reduction in the risk of cardiovascular mortality [adjusted HR for noncardiovascular mortality 0.47 (95% CI 0.27-0.82). Conclusions: All-cause mortality was reduced by providing integrated care for the elderly with AF in primary care compared to usual care