Monitoring Therapy with Anticoagulants in The Netherlands

Breukink-Engbers, W. G. M.

doi:10.1055/s-2007-996422

Cited by 28 publications

(12 citation statements)

References 3 publications

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“…9 This has led to an improved management of OAT, resulting in a decrease in thromboembolic and bleeding complications. Frequent monitoring of prothrombin time (PT)/INR values continues to be an important part of the treatment, but it has physical, psychological, social, and financial conse-…”

Section: Arch Internmentioning

confidence: 99%

Comparison of the Quality of Oral Anticoagulant Therapy Through Patient Self-management and Management by Specialized Anticoagulation Clinics in the Netherlands

Gadisseur¹,

Breukink-Engbers²,

Meer³

et al. 2003

Arch Intern Med

115

147

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Section: Arch Internmentioning

confidence: 99%

Comparison of the Quality of Oral Anticoagulant Therapy Through Patient Self-management and Management by Specialized Anticoagulation Clinics in the Netherlands

Gadisseur¹,

Breukink-Engbers²,

Meer³

et al. 2003

Arch Intern Med

115

147

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“…Many patients treated with oral anticoagulants benefit from education regarding this treatment [ 31 , 32 ]. European guidelines on cardiovascular disease prevention in clinical practice recommend to consider patients’ habits and preferences [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Discrepancies between Patients’ Preferences and Educational Programs on Oral Anticoagulant Therapy: A Survey in Community Pharmacies and Hospital Consultations

et al. 2016

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BackgroundOral anticoagulation therapy is increasingly used for the prevention and treatment of thromboembolic complications in various clinical situations. Nowadays, education programs for patients treated with anticoagulants constitute an integrated component of their management. However, such programs are usually based on the healthcare providers’ perceptions of what patients should know, rather than on patients’ preferences.ObjectiveTo investigate patients’ viewpoints on educational needs and preferred modalities of information delivery.MethodsWe conducted an observational study based on a self-administered questionnaire. To explore several profiles of patients, the study was designed for enrolling patients in two settings: during outpatient consultations in a cardiology department (Saint Antoine Hospital, Paris, France) and in community pharmacies throughout France.ResultsOf the 371 patients who completed the questionnaire, 187 (50.4%) were recruited during an outpatient consultation and 184 (49.6%) were recruited in community pharmacies. 84.1% of patients were receiving a vitamin K antagonist and 15.6% a direct oral anticoagulant. Patients ranked 16 of 21 (76.2%) questionnaire items on information about their treatment as important or essential; information on adverse effects of treatment was the highest ranked domain (mean score 2.38, 95% CI 2.30–2.46). Pharmacists (1.69, 1.58–1.80), nurses (1.05, 0.95–1.16), and patient associations (0.36, 0.29–0.44), along with group sessions (0.85, 0.75–0.95), the internet (0.77, 0.67–0.88), and delivery of material at the patient’s home (1.26, 1.14–1.38), were ranked poorly in terms of delivering educational material.ConclusionThis study revealed substantial discrepancies between patient preferences and current educational programs. These findings should be useful for tailoring future educational programs that are better adapted to patients, with a potential associated enhancement of their effectiveness.

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“…It has been estimated that 2·3% of people older than 40 years and 5·9% of those older than 65 years suffer from atrial fibrillation (Feinberg et al , 1995). In Cambridge, UK, 0·5% of the population take warfarin (Baglin, 1998), while the Dutch Thrombosis Service monitors the anticoagulation of 270 000 persons annually (1·8% of a population of 15 million) (Breukink‐Engbers, 1999).…”

mentioning

confidence: 99%