July 30, 2008Expert Review of Cardiovascular Therapy
Self-management of anticoagulation
Why the study?
Does self-management of anticoagulation improve control of anticoagulation and patient satisfaction in patients treated with vitamin K antagonists?
Population
Patients treated with vitamin K antagonists (warfarin or coumadin derivatives)
Comparison
Self-testing of the INR and self-adjusting of… vs Regular care by general practitioners or…
Design
Review
Authors
Discussion
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Member takes
Implication
May enhance INR control and QoL via warfarin self-management; leaves open confirmation in contemporary RCTs.
Structured PICO
Does self-management of anticoagulation improve control of anticoagulation and patient satisfaction in patients treated with vitamin K antagonists?
P
Population
Patients treated with vitamin K antagonists (warfarin or coumadin derivatives)
I
Intervention
Self-testing of the INR and self-adjusting of the warfarin dose using portable coagulometers
C
Comparator
Regular care by general practitioners or specialists, or management by a specialized anticoagulation clinic
O
Outcome
Control of anticoagulation (time in therapeutic target range)surrogate
Self-management of anticoagulation using portable coagulometers improves INR control and patient quality of life compared to standard care models.
Cite This Study
Marcel Levi (2008) studied this question.