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

Eur Heart J Qual Care Clin OutcomesPublished Modelling study

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 →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.