Effect of Patient Characteristics, Knowledge and Satisfaction with Warfarin Therapy on Willingness to Switch to a New Oral Anticoagulant

Wiley, Kenneth C; Maneno, Mary; Beach, Yolanda McKoy; Daftary, Monika N.

doi:10.21767/2254-9137.100048

Cited by 1 publication

(1 citation statement)

References 20 publications

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“…Further to this, Ikeda et al [29] found approximately 50% of patients offered to change from warfarin to an NOAC elected not to for reasons including long-term positive experiences with warfarin. Similarly, Wiley et al [30] determined that patients were more willing to switch to an NOAC if satisfaction with warfarin was low. DeCaterina et al [31] found patients switched to NOAC were more often dissatisfied with the OAC treatment, and studies [32,33,34] have also reported between 5 and 13% of patients converting from warfarin to NOAC actually returned to warfarin therapy for reasons including intolerance or bleeds.…”

Section: Discussionmentioning

confidence: 99%

Treatment Expectations, Convenience, and Satisfaction with Anticoagulant Treatment: Perceptions of Patients in South-East Queensland, Australia

Gospos

Bernaitis

2019

JCM

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Background: Warfarin has long been the only oral anticoagulant (OAC) available, but options now include non-vitamin K antagonists. Prescribing an OAC may be influenced by patient factors and preferences influenced by dosing, monitoring, and adverse effects, which may ultimately impact patient satisfaction and convenience. The aim of this study was to explore the perception of OAC treatment by Australian patients in terms of treatment expectations, convenience, and satisfaction. Methods: The Perception of Anticoagulant Treatment Questionnaire was distributed to patients dispensed OAC medication from three pharmacies in South-East Queensland. Responses to questions using a five-point Likert scale were collated and mean results utilised to assess expectations, convenience, and satisfaction, including an analysis across demographic groups. Results: A total of 56 (26.8%) surveys were returned, with the majority of respondent’s male (58.2%). Highest mean scores for treatment expectation were for an OAC that was easy to take (4.85 ± 0.79) and that could be taken care of by the respondents themselves (4.11 ± 1.14). The mean overall score for convenience was 68.90 ± 11.44% and for satisfaction 69.43 ± 16.58%. Significantly higher mean convenience scores were found in females and patients with atrial fibrillation. Conclusions: Patients’ highest expectations were for an OAC that would be easy to take, and overall satisfaction and convenience was around 69%. Factors including demographics can influence perceptions of therapy, and addressing individual preferences for OAC therapy may increase ratings of satisfaction and convenience.

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