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January 1, 2009Thrombosis and Haemostasis

Will a once-weekly anticoagulant for the treatment and secondary prevention of thromboembolism improve adherence?

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Key result

Once-weekly anticoagulants such as idraparinux offer the potential to improve adherence and clinical outcomes compared to daily warfarin for the treatment and prevention of thromboembolism.

Why the study?

Does a once-weekly anticoagulant improve adherence compared to daily dosing in patients requiring long-term treatment and secondary prevention of thromboembolism?

Population

Patients requiring long-term treatment and secondary prevention of thromboembolism

Comparison

Once-weekly anticoagulants (e.g., idraparinux) vs Daily oral anticoagulation (e.g., warfarin)

Design

Review

Authors

LML. MaillardetYYYshai YavinACAlexander T. Cohen

Discussion

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Overview

May enhance adherence in long-term use; leaves open confirmation of outcome benefits versus daily regimens.

Structured PICO

Does a once-weekly anticoagulant improve adherence compared to daily dosing in patients requiring long-term treatment and secondary prevention of thromboembolism?

P
Population
Patients requiring long-term treatment and secondary prevention of thromboembolism
I
Intervention
Once-weekly anticoagulants (e.g., idraparinux)
C
Comparator
Daily oral anticoagulation (e.g., warfarin)
O
Outcome
Adherence and persistence

Once-weekly anticoagulants like idraparinux may improve patient adherence and clinical outcomes compared to daily warfarin therapy.

Cite This Study

Maillardet et al. (2009) conducted a review in Thromboembolism. Once-weekly anticoagulants (e.g., idraparinux) vs. Warfarin once daily was evaluated. Once-weekly anticoagulants such as idraparinux offer the potential to improve adherence and clinical outcomes compared to daily warfarin for the treatment and prevention of thromboembolism.

synapsesocial.com/papers/6aa01e040fbdfd5dd81defe4https://doi.org/10.1160/th08-02-0094
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ADHERENCE TO THE USE OF NEW ORAL ANTICOAGULANTS IN PATIENTS WITH ATRIAL FIBRILLATION – THE WAY TO SOLVE THE PROBLEM OF EFFICACY AND SAFETY OF TREATMENT2017 · 1 citations
  2. 2Benefits of once-daily dosing with non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation2016 · 7 citations
  3. 3Implementation of pharmacist-managed anticoagulation in patients receiving newer anticoagulants2013 · 6 citations
  4. 4Non-vitamin K antagonist oral anticoagulants: considerations on once- vs. twice-daily regimens and their potential impact on medication adherence2015 · 173 citations
  5. 5Discontinuation of anticoagulant treatment: from clinical trials to medication persistence2015 · 10 citations