EHRA-PATHS: Clinical and Health Economic Evaluation of New Care Pathways

NCT ID: NCT05773768

Last Updated: 2024-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

1300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-28

Study Completion Date

2026-01-01

Brief Summary

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In elderly atrial fibrillation (AF) patients, AF is usually a manifestation of risk factors and comorbidities not only limited to cardiovascular diseases. Especially in elderly often more than two comorbidities are present. The presence of comorbidities also affects outcomes in AF patients. Current healthcare systems are single-disease focused, which increases the risk of underdiagnosing, replicating diagnostic tests and adverse drug-drug interactions, placing a high burden on healthcare costs. Healthcare systems and hospitals are in need of new care pathways to address the complexity of multimorbid AF patients and to reduce costs. The EHRA-PATHS consortium set out to address this need for change in management for multimorbid, elderly AF patients in Europe through the development of new care pathways. The aim of this study is to evaluate the current management of risk factors and comorbidities, and subsequently implement the newly developed care pathways and evaluate if these pathways lead to better management of risk factors and comorbidities in multimorbid, elderly AF patients, compared to current standard care.

Detailed Description

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Conditions

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Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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New care program

The health care provider will use the EHRA-PATHS' newly developed care pathways to assess whether there is an indication for presence of risk factors and comorbidities. If this is the case, the care pathways will show possible next steps for confirming the presence of these risk factors and comorbidities. If confirmed, treatment according to the current guidelines should be initiated. Since this leads to an individualized management plan, procedures can differ between patients and will also depend on local processes.

Group Type EXPERIMENTAL

EHRA-PATHS software tool

Intervention Type DEVICE

Newly developed care pathways integrated into a care-management software tool

Routine clinical care

The health care provider follows current clinical practice with regards to history taking, physical examination etc.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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EHRA-PATHS software tool

Newly developed care pathways integrated into a care-management software tool

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed atrial fibrillation (paroxysmal, persistent or permanent)
* ≥65 years of age
* Willing and able to participate and to attend the scheduled follow-up visits.

Exclusion Criteria

* Atrial fibrillation episode was due to a trigger (i.e. postoperative, infection, hyperthyroidism etc.)
* Life expectancy of less than 1 year
* Participation in another clinical study (registry studies not included)
* Severe cognitive impairment / dementia (defined based on MMSE and CDR scoring systems)
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Groningen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Medical Center Groningen

Groningen, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Facility Contacts

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Bart A Mulder, MD/PhD

Role: primary

Other Identifiers

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EHRA-PATHS

Identifier Type: -

Identifier Source: org_study_id