Key result
Education and counseling in a dedicated warfarin clinic significantly improved good medication compliance from 76.1% at baseline to 86.7% at the six-month follow-up visit.
Why the study?
To evaluate the effect of a dedicated hospital-based warfarin clinic on assessing patients' drug knowledge and improving medication compliance at a tertiary cardiac center in Pakistan.
Does a dedicated hospital-based warfarin clinic with counseling improve drug compliance in patients using warfarin for cardiovascular indications?
Cross-Sectional (n=401)
No
Does a dedicated hospital-based warfarin clinic with counseling improve drug compliance in patients using warfarin for cardiovascular indications?
A dedicated hospital-based warfarin clinic was assessed for its impact on patient knowledge and compliance using the MMAS-8 scale in a Pakistani cohort.
Answers are grounded in this paper and cite their sources.
Dedicated warfarin clinics may boost compliance in LMIC cohorts; leaves open need for RCTs before practice change.
Objective: To assess the impact of a dedicated hospital based warfarin clinic assessing patients’ knowledge and improving the drug compliance in a tertiary cardiac center of Pakistan. Study Design: Descriptive cross sectional study. Place and Duration of Study: Rawalpindi Institute of Cardiology from Jan 2019 to Jul 2019. Methodology: Patients presenting in the anticoagulation clinic using warfarin for different cardiovascular indications from Jan to Jul 2019 were included in the study. Patients were assessed for their underlying cardiovascular condition, their international normalized ratio levels checked using a standard technique. The patients’ knowledge about the drug and the degree of compliance was judged by eight-item Morisky Medication Adherence Scale (MMAS-8). The patients were thoroughly counseled and reassessed six months later assessing the improvement in compliance with the warfarin therapy. Results: Total number of 401 patients using warfarin for different cardiovascular diseases were studied. The mean age was 43.3 ± 13.3 years with 218 (54.5%) patients being male. Most of the patient 300 (75%) belonged to the low socio-economic group with average monthly income of
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Nazir et al. (2021) conducted a cross-sectional in Cardiovascular conditions requiring warfarin therapy (n=401). Dedicated hospital-based warfarin clinic (counseling and education) vs. Baseline (pre-intervention) was evaluated on Good compliance with warfarin therapy (MMAS-8 score of 8) (p=0.0042). Education and counseling in a dedicated warfarin clinic significantly improved good medication compliance from 76.1% at baseline to 86.7% at the six-month follow-up visit.
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