Arrhythmias & electrophysiology
Estimating the impact of implementing an integrated care management approach with Atrial fibrillation Better Care (ABC) pathway for patients with atrial fibrillation in England from 2020 to 2040
Authors' conclusion
We estimate that there will be a substantial healthcare burden in the UK NHS associated with AF, from strokes, bleeds, and mortality over the next decades. If patients are managed with a holistic or integrated care approach based on the ABC pathway, this could prevent strokes and bleeds that equate to substantial NHS healthcare cost reductions, and save lives.
Study context
- Population
- Patients with atrial fibrillation (AF) in the UK
- Comparison
- ABC pathway implementation vs current management
- Outcome
- Number of AF patients, their morbidity and mortality, and associated healthcare costs
- Follow-up
- Each year up to 2040
Methodological detailshealthcare cost analysis, UK National Health Service (NHS) perspective, projection 2020–2040
- Healthcare cost analysis
- UK NHS perspective
- Projection 2020–2040
Main finding
As reported in the abstract
Estimated AF patients and annual stroke and bleed healthcare costs
- 2020: AF patients
- 1 463 538
- 2020: stroke care cost
- £286 million
- 2020: bleed-related care cost
- £191 million
- 2030: AF patients
- 2 115 332
- 2030: stroke healthcare cost
- £666 million
- 2030: bleed-related healthcare cost
- £444 million
- 2040: AF patients
- 2 856 489
- 2040: stroke healthcare cost
- £1096 million
- 2040: bleed-related healthcare cost
- £731 million
Further findings
Impact of ABC pathway management, depending on proportion of patients managed on the pathway · up to 2040
- Strokes prevented
- 3724–18 622
- Bleeds prevented
- 5378–26 890
- Lives saved
- 16 131–80 653
- Cost reductions for the year
- £143.9 million–£719.6 million
Original publication
Estimating the impact of implementing an integrated care management approach with Atrial fibrillation Better Care (ABC) pathway for patients with atrial fibrillation in England from 2020 to 2040. Eur Heart J Qual Care Clin Outcomes. Published 11 September 2023. doi:10. 1093/ ehjqcco/ qcad055
Composed by AI from the published abstract and checked against it. How Briefs are made →