P303Higher persistence but lower compliance with direct oral anticoagulants treatment for atrial fibrillation following a personalized therapeutic information: paradoxical results of the MONACO study

Davy, J.-M.; Tapiero, A.; Fournie, J. M.; Couturier, Jl.; Pinzani, A; Barde, S.; Decorps, A.; Mura, Thibault; Tt, Cung; Vergés, Montserrat Palau; Massin, F.; Cransac, F.; Roubille, François; Pasquie, J.-L.

doi:10.1093/ehjci/eux141.030

Cited by 2 publications

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“…Duplicates were removed, and the articles based on titles and abstracts were screened. For all articles, (including published conference abstracts), 31,38 the full-text version was retrieved and assessed according to the objectives of this review. The reference lists of the retrieved articles and review articles were examined manually to identify further relevant studies not identified using the search strategy.…”

Section: Methodsmentioning

confidence: 99%

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Patient-focused interventions to support vulnerable people using oral anticoagulants: a narrative review

Yiu

Bajorek

2019

Therapeutic Advances in Drug Safety

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The aim of this review was to identify patient-focused interventions that have been trialed to support vulnerable patient populations taking oral anticoagulants (warfarin and the direct-acting oral anticoagulants (DOACs)) such as older persons (65 years and over), those with limited health literacy, and those from culturally and linguistically diverse (CALD) backgrounds. This review also aimed to report on the effects of these interventions on outcomes relevant to the use of anticoagulant therapy. Original articles published between 1 January 1995 and 30 June 2017 were identified using several electronic databases such as Medline, Ovid, Embase, Scopus, Cochrane, and Google Scholar. The following terms were used for the three-tiered search: Tier 1, elderly, aged, older adult, geriatrics; Tier 2, health literacy, literacy, low health literacy, low English proficiency, patient literacy; and Tier 3, ethnicity, ethnic, ethnic groups, CALD, culturally and linguistically diverse, NESB, non-English speaking background, race, racial groups, religion, religious groups, and minority groups. The terms for each tier were combined with the following terms: anticoagulants, anticoagulation, warfarin, apixaban, dabigatran, rivaroxaban, DOACS, new oral anticoagulants, novel oral anticoagulants, patient care, patient knowledge, comprehension, patient education, patient participation, and communication. A total of 41 studies were identified. Most of the interventions identified included older persons taking warfarin who were monitored using the international normalized ratio (INR) and who received patient education. Many interventions reported a significant positive impact on patients’ knowledge, reduction in the number of adverse events caused by hemorrhage, and better INR control. More research on patient-focused interventions is needed that includes patients with limited health literacy, those from CALD backgrounds, and family members and caregivers of patients taking oral anticoagulants.

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Section: Methodsmentioning

confidence: 99%

“…72 Another program included personalized therapeutic information, including phone calls on days 15, 30, and 45, paper booklet offerings, and website suggestions. 38…”

Section: Programs With Multiple Componentsmentioning

confidence: 99%