Patient Self-Management of Anticoagulation: An Idea Whose Time Has Come
2005; American College of Physicians; Volume: 142; Issue: 1 Linguagem: Inglês
10.7326/0003-4819-142-1-200501040-00014
ISSN1539-3704
Autores Tópico(s)Venous Thromboembolism Diagnosis and Management
ResumoEditorials4 January 2005Patient Self-Management of Anticoagulation: An Idea Whose Time Has ComeRebecca J. Beyth, MD, MScRebecca J. Beyth, MD, MScFrom Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-1-200501040-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail As the indications for the use of oral vitamin K antagonists in the treatment and prophylaxis of thromboembolic disorders increase, thromboembolic disorders are increasingly being recognized as chronic conditions in which high-quality chronic care management is essential for maximizing the net benefit of therapy (1). As envisioned in the chronic care model, optimal chronic care occurs when a “prepared proactive practice team interacts with an informed activated patient” (2). Inherent in this model is the concept of the patient–professional partnership as a new paradigm in which patients with chronic conditions, such as thromboembolic disorders, are their own caregivers and health ...References1. Ansell J, Hirsh J, Dalen J, Bussey H, Anderson D, Poller L, et al. Managing oral anticoagulant therapy. Chest. 2001;119:22S-38S. [PMID: 11157641] CrossrefMedlineGoogle Scholar2. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, Part 2. JAMA. 2002;288:1909-14. [PMID: 12377092] CrossrefMedlineGoogle Scholar3. Holman H, Lorig K. Patients as partners in managing chronic disease. Partnership is a prerequisite for effective and efficient health care [Editorial]. BMJ. 2000;320:526-7. [PMID: 10688539] CrossrefMedlineGoogle Scholar4. 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Relationship between test frequency and outcomes of anticoagulation: a literature review and commentary with implications for the design of randomized trials of patient self-management. J Thromb Thrombolysis. 2000;9:283-92. [PMID: 10728029] CrossrefMedlineGoogle Scholar9. Meier DJ, Sonnad SS, Merz JC, Fay WP. Comparison of narrow versus standard target INR ranges [Abstract]. J Am Coll Cardiol. 2002;39:272a. CrossrefGoogle Scholar10. Palareti G, Legnani C, Manotti C. The first months of oral anticoagulant treatment are associated with a very low quality of laboratory control [Abstract]. Data from the Iscoat Study. Thromb Haemost. 1999;82:549. Google Scholar11. Azar AJ, Deckers JW, Rosendaal FR, van Bergen PF, van der Meer FJ, Jonker JJ, et al. Assessment of therapeutic quality control in a long-term anticoagulant trial in post-myocardial infarction patients. Thromb Haemost. 1994;72:347-51. [PMID: 7855782] CrossrefMedlineGoogle Scholar12. Gadisseur AP, Breukink-Engbers WG, van der Meer FJ, van den Besselaar AM, Sturk A, Rosendaal FR. Comparison of the quality of oral anticoagulant therapy through patient self-management and management by specialized anticoagulation clinics in the Netherlands: a randomized clinical trial. Arch Intern Med. 2003;163:2639-46. [PMID: 14638565] CrossrefMedlineGoogle Scholar13. Gadisseur AP, Van Der Meer FJ, Rosendaal FR. Sustained intake of paracetamol (acetaminophen) during oral anticoagulant therapy with coumarins does not cause clinically important INR changes: a randomized double-blind clinical trial. J Thromb Haemost. 2003;1:714-7. [PMID: 12871405] CrossrefMedlineGoogle Scholar14. Pattacini C, Manotti C, Pini M, Quintavalla R, Dettori AG. A comparative study on the quality of oral anticoagulant therapy (warfarin versus acenocoumarol). Thromb Haemost. 1994;71:188-91. [PMID: 8191397] MedlineGoogle Scholar15. Rosendaal FR, Cannegieter SC, van der Meer FJ, Briet E. A method to determine the optimal intensity of oral anticoagulant therapy. Thromb Haemost. 1993;69:236-9. [PMID: 8470047] CrossrefMedlineGoogle Scholar16. Schulman S. Clinical practice. Care of patients receiving long-term anticoagulant therapy. N Engl J Med. 2003;349:675-83. [PMID: 12917305] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Rebecca J. Beyth, MD, MScAffiliations: From Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.Disclosures: None disclosed.Corresponding Author: Rebecca J. Beyth, MD, MSc, Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Boulevard, Houston, TX 77030; e-mail, RebeccaJ.[email protected]va.gov. 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 Cited byPatient self-testing and self-management of oral anticoagulationPatient Self-Management of Oral AnticoagulationJuan Carlos Souto, MD, PhD, Bárbara Menéndez-Jándula, MD, and Jordi Fontcuberta, MD, PhD 4 January 2005Volume 142, Issue 1Page: 73-74KeywordsAnticoagulantsHealth careHemorrhageInternational normalized ratioLong-term carePatientsProphylaxisThromboembolismVitamin K ePublished: 4 January 2005 Issue Published: 4 January 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. 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