Arrhythmias & electrophysiology

Participant Engagement and Preference Study for Clinical Outcomes Associated With Atrial Fibrillation: The PEARL-AF Study

JACC AdvPublished Cross-sectional study

Authors' conclusion

Patients expressed relatively high levels of concern about major bleeding compared to moderate-severity stroke or systemic embolism, endpoints frequently used in AF trials.

Study context

Population
Patients with AF
Participants
1,028 patients
Outcome
Relative importance (best-worst scaling weights) of AF-related events
Methodological detailspreference survey, best-worst scaling
  • Preference survey
  • Best-worst scaling

Main finding

As reported in the abstract

Best-worst scaling importance weights (death reweighted to 1)
Death
1
Severe disabling stroke
0.83
Major bleeding
0.53
Myocardial infarction (MI) with heart failure (HF)
0.50
Moderate-severity stroke
0.28
Systemic embolism
0.13
Clinically relevant nonmajor bleeding
0.10
MI without HF
0.06
Minor stroke
0.04

Observational data: associations, not effects.

Further findings

Event ranking by age, sex and race (subgroups)

Event order consistent across age, sex and race; relative weights varied by sex and race

Original publication

Participant Engagement and Preference Study for Clinical Outcomes Associated With Atrial Fibrillation: The PEARL-AF Study. JACC Adv. Published 26 October 2024. doi:10.1016/j.jacadv.2024.101370

Composed by AI from the published abstract and checked against it. How Briefs are made →

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