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Primary care
Shared decision making for thromboembolic prophylaxis in non-valvular atrial fibrillation: promise and problems with the American College of Cardiology’s AnticoagEvaluator (based on SPARCtool)

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  • Contributors MM is the sole author and guarantor of this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests Although I truly feel I have no conflicts of interest, in the interest of full disclosure, I declare the following: I conceived of and composed this manuscript when I was employed academically as a professor and clinically in internal medicine and cardiology. I remain clinically active, but I resigned my academic post at the end of June after being offered and accepting a position with EBSCO Health in their Innovations and Evidence-Based Medicine Development department. To whatever extent it might be considered important, I had no prospect of employment with EBSCO Health when I conceived of and composed this manuscript. My employment with EBSCO Health may seem relevant to some readers, because EBSCO Health is involved in, among other things, producing consumable resources for clinicians. As such, my critiques of AnticoagEvaluator and SPARCtool might be seen by some as potentially advantaging EBSCO Health by creating a perceived need for a more accurate tool. Importantly, however, and entirely irrespective of the timing aforementioned, the arguments I present herein are not subjective in nature, and as such, my employment is immaterial to my arguments. Furthermore, although I am critical of AnticoagEvaluator and SPARCtool in their present forms, I also suggest corrections and laud their efforts, and I am not advocating for the use of any other currently existing tool or any potential future tool, whether from EBSCO Health, any of its parent or subsidiary organisations, or any other entity entirely unrelated to EBSCO Health. I just want to contribute to evidence-based medicine and shared decision making being carried out judiciously.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Not required.

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