Patient Self-Management of Oral Anticoagulation

Letters21 June 2005Patient Self-Management of Oral AnticoagulationBenton M. Wheeler III, MDBenton M. Wheeler III, MDFrom The West Clinic, Memphis, TN 38120.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-12_Part_1-200506210-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The design of the study by Menéndez-Jándula and colleagues on patient self-management of oral anticoagulant therapy (1) has some important limitations. The authors compared monthly conventional management of anticoagulant therapy with weekly self-management and reported no significant difference in unadjusted percentages of end-range international normalized ratios (INRs). However, this is an unfair comparison.In my office, prothrombin times are checked every 2 weeks and then weekly if the dose has to be adjusted. Patients who do not require frequent dose adjustments can have this interval increased to 3 or 4 weeks. It would seem more reasonable for ...Reference1. Menendez-Jandula B, Souto JC, Oliver A, Montserrat I, Quintana M, Gich I, et al. Comparing self-management of oral anticoagulant therapy with clinic management: a randomized trial. Ann Intern Med. 2005;142:1-10. [PMID: 15630104] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From The West Clinic, Memphis, TN 38120.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComparing Self-Management of Oral Anticoagulant Therapy with Clinic Management Bárbara Menéndez-Jándula , Juan Carlos Souto , Arturo Oliver , Isabel Montserrat , Mireia Quintana , Ignasi Gich , Xavier Bonfill , and Jordi Fontcuberta Patient Self-Management of Oral Anticoagulation Juan Carlos Souto , Bárbara Menéndez-Jándula , and Jordi Fontcuberta Patient Self-Management of Oral Anticoagulation Juan Carlos Souto , Bárbara Menéndez-Jándula , and Jordi Fontcuberta Metrics 21 June 2005Volume 142, Issue 12_Part_1Page: 1023KeywordsAnticoagulant therapyAnticoagulantsConflicts of interestResearch laboratoriesThrombin ePublished: 21 June 2005 Issue Published: 21 June 2005 CopyrightCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...