Primary care anticoagulant clinic management using computerized decision support and near patient International Normalized Ratio (INR) testing: routine data from a practice nurse-led clinic
Why the study?
Does primary care management using computerized decision support and near patient testing provide adequate therapeutic control and cost savings for patients taking warfarin?
Population
29 patients taking warfarin within one inner city general practice
Comparison
Primary care oral anticoagulation monitoring… vs Hypothetical hospital-based monitoring
Design
Cohort
Authors
Discussion
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Member takes
Implication
May support nurse-led primary care warfarin monitoring; observational data leaves open randomized confirmation of benefits.
Structured PICO
Does primary care management using computerized decision support and near patient testing provide adequate therapeutic control and cost savings for patients taking warfarin?
P
Population
29 patients taking warfarin within one inner city general practice
I
Intervention
Primary care oral anticoagulation monitoring using computerized decision support (CDSS) and near patient testing (NPT) within a practice nurse-led clinic
C
Comparator
Hypothetical hospital-based monitoring (for cost comparison)
O
Outcome
Therapeutic and clinical control (percentage of patients within therapeutic range) and costssurrogate
A practice nurse-led clinic using computerized decision support and near patient testing for warfarin monitoring achieves good therapeutic control and may be cost-effective compared to hospital care.
Cite This Study
Fitzmaurice et al. (1998) studied this question.