|
Turkish Society of Cardiology
Young Cardiologists
President
Dr. Muzaffer Değertekin
Coordinator for the
Board of Directors
Dr. Ertuğrul Okuyan
Coordinator for the
Board of Directors
Dr. Can Yücel Karabay
Members
Dr. Adem Aktan
Dr. Gülşah Aktüre
Dr. Bayram Arslan
Dr. İnanç Artaç
Dr. Ahmet Oğuz Aslan
Dr. Görkem Ayhan
Dr. Ahmet Anıl Başkurt
Dr. Özkan Bekler
Dr. Oğuzhan Birdal
Dr. Yusuf Bozkurt Şahin
Dr. Serkan Bulgurluoğlu
Dr. Ümit Bulut
Dr. Veysi Can
Dr. Mustafa Candemir
Dr. Murat Çap
Dr. Göksel Çinier
Dr. Ali Çoner
Dr. Yusuf Demir
Dr. Ömer Furkan Demir
Dr. Murat Demirci
Dr. Ayşe İrem Demirtola Mammadli
Dr. Süleyman Çağan Efe
Dr. Mehmet Akif Erdöl
Dr. Kubilay Erselcan
Dr. Kerim Esenboğa
Dr. Duygu Genç
Dr. Kemal Göçer
Dr. Elif Güçlü
Dr. Arda Güler
Dr. Duygu İnan
Dr. Hasan Burak İşleyen
Dr. Muzaffer Kahyaoğlu
Dr. Sedat Kalkan
Dr. Yücel Kanal
Dr. Özkan Karaca
Dr. Ahmet Karaduman
Dr. Mustafa Karanfil
Dr. Ayhan Kol
Dr. Fatma Köksal
Dr. Mevlüt Serdar Kuyumcu
Dr. Yunus Emre Özbebek
Dr. Ahmet Özderya
Dr. Yasin Özen
Dr. Ayşenur Özkaya İbiş
Dr. Çağlar Özmen
Dr. Selvi Öztaş
Dr. Hasan Sarı
Dr. Serkan Sivri
Dr. Ali Uğur Soysal
Dr. Hüseyin Tezcan
Dr. Nazlı Turan
Dr. Berat Uğuz
Dr. Örsan Deniz Urgun
Dr. İdris Yakut
Dr. Mustafa Yenerçağ
Dr. Mehmet Fatih Yılmaz
Dr. Yakup Yiğit
Dr. Mehmet Murat Yiğitbaşı
Bulletin Editors
Dr. Muzaffer Değertekin
Dr. Can Yücel Karabay
Dr. Muzaffer Kahyaoğlu
Dr. Ahmet Karaduman
Contributors
Dr. Ahmet Karaduman
Dr. Berkant Öztürk
Dr. Burak Kardeşler
Dr. Kıvanç Eren
Dr. Mehmet Aydoğan
Dr. Murat Demirci
Dr. Murat Yiğitbaşı
Dr. Mustafa Candemir
Dr. Mustafa Lütfi Yavuz
Dr. Mustafa Yenerçağ
Dr. Ravza Betül Akbaş
Dr. Selvi Öztaş
Dr. Serkan Bulgurluoğlu
Dr. Yunus Çalapkulu
Dr. Yusuf Bozkurt
|
| |
|
|
|
Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm AssociationTürk Kardiyoloji Derneği Genç Kardiyologlar Bülteni - Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm Association (Dr. Mustafa Candemir)Dr. Mustafa Candemir
Design and deployment of the STEEER-AF trial to evaluate and improve guideline adherence: a cluster-randomized trial by the European Society of Cardiology and European Heart Rhythm Association
ESC 2024
Link: FULL TEXT
https://academic.oup.com/europace/article/26/7/euae178/7701021?login=false
Aims
The STEEER-AF trial was designed to outline the rationale, design, implementation, and baseline characteristics of the Stroke Prevention and Rhythm Control Treatment: Evaluation of an Educational Programme by the European Society of Cardiology. The primary goal was to objectively assess adherence to guidelines in routine clinical practice and to evaluate the impact of a targeted educational program for healthcare professionals.
Methods and Results
STEEER-AF is a pragmatic trial aimed at rigorously determining guideline adherence and assessing the effectiveness of an educational intervention for healthcare providers. The trial involved randomization of 70 centers across six countries (France, Germany, Italy, Poland, Spain, and the UK) between 2022 and 2023. A total of 1732 patients with atrial fibrillation (AF) were recruited, with a mean age of 68.9 years (SD 11.7) and a CHA2DS2-VASc score of 3.2 (SD 1.8); 647 of these patients (37%) were women. At enrollment, 843 patients (49%) were in AF, and 760 patients (44%) were in sinus rhythm. Oral anticoagulant therapy was prescribed to 1543 patients (89%), with the majority receiving direct oral anticoagulants (1378; 89%). Previous interventions such as cardioversion, antiarrhythmic drug therapy, or ablation were noted in 836 patients (48.3%). Currently, 551 patients (31.8%) were on antiarrhythmic drugs, and 446 patients (25.8%) were scheduled for future cardioversion or ablation. The educational program involved 195 healthcare professionals from centers randomized to the intervention group, including bespoke interactive online learning and reinforcement activities, supported by national expert trainers.
Conclusion
The STEEER-AF trial was successfully conducted across six European countries to explore guideline adherence in real-world settings and to evaluate whether a structured educational program for healthcare professionals can enhance patient-level care.
Comment
The STEEER-AF trial demonstrates that targeted education for health care professionals can improve patient-level guideline adherence where there are substantial gaps in implementation, as clearly demonstrated for rhythm control in AF.
|
