Outcomes registry for better informed treatment of atrial fibrillation: rationale and design of ORBIT-AF.


Journal Article

BACKGROUND: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is associated with an increased risk of stroke, heart failure, and death. Data on contemporary treatment patterns and outcomes associated with AF in clinical practice are limited. METHODS/DESIGN: The Outcomes Registry for Better Informed Treatment of Atrial Fibrillation is a multicenter, prospective, ambulatory-based registry of incident and prevalent AF. The registry will be a nationwide collaboration of health care providers, including internists, primary care physicians, cardiologists, and electrophysiologists. Initial target enrollment is approximately 10,000 patients to be recruited from approximately 200 US outpatient practices. Enrolled patients will be observed for ≥2 years. A patient-reported outcomes substudy in ≥1,500 patients will provide serial quality-of-life assessments. The goal is to characterize treatment and outcomes of patients with AF, thereby promoting better quality of AF care and improved patient outcomes. CONCLUSION: The Outcomes Registry for Better Informed Treatment of Atrial Fibrillation will provide insights into "real-world" treatment including rate and rhythm control, stroke prevention, transitions to new therapies, and clinical and patient-centered outcomes among patients with AF in community practice settings (ClinicalTrials.gov NCT01165710).

Full Text

Duke Authors

Cited Authors

  • Piccini, JP; Fraulo, ES; Ansell, JE; Fonarow, GC; Gersh, BJ; Go, AS; Hylek, EM; Kowey, PR; Mahaffey, KW; Thomas, LE; Kong, MH; Lopes, RD; Mills, RM; Peterson, ED

Published Date

  • October 2011

Published In

Volume / Issue

  • 162 / 4

Start / End Page

  • 606 - 612.e1

PubMed ID

  • 21982650

Pubmed Central ID

  • 21982650

Electronic International Standard Serial Number (EISSN)

  • 1097-6744

Digital Object Identifier (DOI)

  • 10.1016/j.ahj.2011.07.001


  • eng

Conference Location

  • United States