Why the study?
Does anticoagulation management by specialty clinics improve the proportion of time spent in therapeutic INR range compared to usual care by community physicians in AF patients treated with warfarin?
Population
Atrial fibrillation patients treated with warfarin in the United States
Comparison
Anticoagulation management by specialty clinics vs Usual care by community physicians
Design
Meta-analysis
Authors
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Anticoagulation clinics may increase TTR versus usual care in AF; reinforces observational data but leaves outcome benefits open.
Does anticoagulation management by specialty clinics improve the proportion of time spent in therapeutic INR range compared to usual care by community physicians in AF patients treated with warfarin?
Specialty anticoagulation clinics are associated with better INR control compared to standard community care for AF patients on warfarin in the US, though overall time in therapeutic range remains suboptimal at 55%.
Baker et al. (2009) studied this question.
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