Anticoagulation in primary care - a cross sectional study in 14 heterogeneous countries

Streit, Sven; Roberts, Richard; Burman, Robert Anders; Honkoop, Persijn J.; Meli, Damian N. (2013). Anticoagulation in primary care - a cross sectional study in 14 heterogeneous countries. Cardiovascular medicine, 16(11), pp. 299-302. EMH Swiss Medical Publishers Ltd

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Background: New oral anticoagulants (NOACs) are predicted to become the new standard treatment for stroke prevention in patients with atrial fibrillation, and may replace vitamin K antagonists (VKAs). NOACs are prescribed less than expected, even though they do not require international normalised ratio (INR) monitoring. In this study we assessed methods for INR monitoring after the introduction of NOACs a in heterogeneous sample of countries.
Methods: We asked representatives of the Vasco da Gama Movement, a network of junior and future gen- eral practitioners (GPs) in Europe, and WONCA, the World Organization of Family Doctors, to describe the way INR is monitored in their respective countries.
Results: Representatives of 14 countries responded. In most countries, the INR is monitored by GPs; in some countries, these patients are treated by other specialists or in specialised anticoagulation centres. In only a few countries, anticoagulated patients monitor the INR themselves.
Conclusion: Our study showed several strategies for managing anticoagulation in different countries. In most countries, the INR is monitored by GPs. These consultations offer opportunities to address other is- sues, such as blood pressure control or medication adherence. These factors may be considered when de- ciding to switch patients from VKAs to NOACs.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine

UniBE Contributor:

Streit, Sven

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1423-5528

Publisher:

EMH Swiss Medical Publishers Ltd

Language:

English

Submitter:

Sven Streit

Date Deposited:

24 Apr 2014 16:36

Last Modified:

06 Jul 2015 10:06

Related URLs:

Uncontrolled Keywords:

anticoagulation, INR monitoring, worldwide

BORIS DOI:

10.7892/boris.43216

URI:

https://boris.unibe.ch/id/eprint/43216

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