1997
DOI: 10.1177/106002809703100516
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Consensus Guidelines for Coordinated Outpatient Oral Anticoagulation Therapy Management

Abstract: Systematic outpatient anticoagulation services are systems of care designed to coordinate and optimize the delivery of anticoagulation therapy by (1) evaluating patient-specific risks and benefits to determine the appropriateness of therapy; (2) facilitating the management of anticoagulation dosages and prescription pick up or delivery; (3) providing ongoing education of the patient and other caregivers about warfarin and the importance of self-care behavior leading to optimal outcomes; (4) providing continuou… Show more

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Cited by 106 publications
(64 citation statements)
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“…Adherence to medical advice and routine monitoring of the international normalized ratio (INR) are therefore important, and in England the service is usually provided by specialized anticoagulation clinics. 2,3 There is good evidence [4][5][6][7][8][9] that adherence to medical treatment is enhanced by knowledge and understanding of the drug, its benefits and its side-effects. Other influences are the views of family and friends, societal pressures and cultural or ethnic background.…”
Section: Introductionmentioning
confidence: 99%
“…Adherence to medical advice and routine monitoring of the international normalized ratio (INR) are therefore important, and in England the service is usually provided by specialized anticoagulation clinics. 2,3 There is good evidence [4][5][6][7][8][9] that adherence to medical treatment is enhanced by knowledge and understanding of the drug, its benefits and its side-effects. Other influences are the views of family and friends, societal pressures and cultural or ethnic background.…”
Section: Introductionmentioning
confidence: 99%
“…Even though it may be cumbersome to check a patient's INR regularly in order to properly adjust the dose, warfarin is certainly a lifesaving medicine (Ansell et al 1997). While the appropriate individual warfarin dose is affected by weight, age, and sex as well as the genetic polymorphism like cytochrome (CYC) P450 isoenzyme and vitamin K epoxide reductase complex subunit 1 (Wadelius et al 2005; Aquilante et al 2006), the major factors that induce unexpected change of INR are usually other coadministered medications, food, alcohol, and dietary supplements.…”
Section: Discussionmentioning
confidence: 99%
“…A close monitoring of the clotting level is required in order to maintain the balance between bleeding and thrombosis. Therefore, when other drugs are co-prescribed with warfarin, they should be checked to see whether or not they affect the anti-coagulative effect of warfarin (Ansell et al 1997).…”
mentioning
confidence: 99%
“…8 To enhance the provision of anticoagulation care, the Forum developed consensus statements outlining suggested policies and procedures. 9,10 In designing our AMS, these were considered and implemented in our daily operations. Second, the Anticoagulation Forum offers a certification examination.…”
Section: Discussionmentioning
confidence: 99%