Key result
Patient self-monitoring of oral anticoagulation therapy resulted in significantly better time in therapeutic INR range compared to routine clinic care (71% vs 60%, p=0.003).
Why the study?
Does patient self-monitoring of oral anticoagulation therapy improve time in therapeutic range compared to routine clinic care in patients newly referred for anticoagulation?
Population
318 consecutive patients referred for the first time to an anticoagulation clinic for oral anticoagulation…
Comparison
Patient self-monitoring of oral anticoagulation… vs Routine hospital anticoagulation clinic care.
Design
Cohort
Authors
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May support self-monitoring from anticoagulation start in practice; extends real-world evidence but remains hypothesis-generating.
Observational (n=318)
Does patient self-monitoring of oral anticoagulation therapy improve time in therapeutic range compared to routine clinic care in patients newly referred for anticoagulation?
Absolute Event Rate: 71% vs 60%
p-value: p=0.003
Patient self-monitoring of oral anticoagulation, when offered from the start of treatment, achieves higher uptake and better time in therapeutic range compared to routine clinic care in a real-world setting.
Gardiner et al. (2009) conducted an observational in Oral anticoagulation therapy (n=318). Patient self-monitoring (PSM) vs. Routine hospital anticoagulation clinic care was evaluated on Uptake of PSM and the percentage time in target therapeutic INR range (TIR) (p=0.003). Patient self-monitoring of oral anticoagulation therapy resulted in significantly better time in therapeutic INR range compared to routine clinic care (71% vs 60%, p=0.003).