The quality of oral anticoagulation before, during and after a period of patient self-management

Piso, B.; Jimenz-Boj, E; Krinninger, B; Watzke, Herbert

doi:10.1016/s0049-3848(02)00098-1

Cited by 17 publications

(15 citation statements)

References 13 publications

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“…[34,44,77,102], since the use of algorithms as guidelines reflect experience/knowledge collected from many patients on conventional management. Some have advocated that physicians should use algorithms in order to improve quality [103].…”

Section: Training Programmentioning

confidence: 99%

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Self-Management of Oral Anticoagulant Therapy: A Review

Christensen

2004

J Thromb Thrombolysis

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Patient self-management of oral anticoagulant therapy has over the last years gained increasing attention and widespread use. The method implies self-testing using a coagulometer (point-of-care device) and self-dosaging of coumarin. The method entails advantages for selected patients, who do not need to go to the hospital or family doctor for blood specimen and drug dosage adjustment. In contrast to patients on conventional management, patients performing self-managing have a reduced binding to the health care system, and it allows these patients unhindered to travel and manage their job or school. Therefore, the patients have a high degree of compliance because they are highly motivated. This has been the main justification for patient self-management. Furthermore, the conducted trials have also indicated a better quality of treatment compared to conventional management. In this paper the different aspects of this new treatment modality are critically reviewed, with special focus on the published clinical studies and the evaluation of the used coagulometers.

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Section: Training Programmentioning

confidence: 99%

“…PSM has been compared to a highly specialized anticoagulation clinic in six studies [25,27,34,38,77,102], of which two was RCT [25,27]. No significant difference in the RCT was found in the endpoints, except regarding patient satisfaction.…”

Section: Rct: (Including Cross-over Studies)mentioning

confidence: 99%

Self-Management of Oral Anticoagulant Therapy: A Review

Christensen

2004

J Thromb Thrombolysis

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“…43 Our results are consistent with those of Piso et al, who measured stability of control of anticoagulation before, during and after a period of self-management. 44 In their study, each patient was educated about anticoagulation, the mechanisms of action of warfarin and its adverse effects, and given training in self-testing and self-dosing. Quality of control improved during the one-year period of selfmanagement but remained better even upon return to conventional clinic care over a following year of study.…”

Section: How Can Factors Which Influence Stability Of Control Be Affementioning

confidence: 99%

Factors contributing to the stability of anticoagulation control and outcome of thromboembolic prophylaxis in the older population

Wynne

Khan

Sconce

et al. 2005

Rev. Clin. Gerontol.

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“…Looking at the medical literature, we can distinguish between studies where the interest is in which group of patients can deviate less from a target, as in the gait studies, and studies of which of two (or occasionally more) treatments or products can attain a target value better, which is the larger category and into which class the present study falls. Eye studies by Aslanides et al (2011), Randleman et al (2007) and Wachler et al (2009) and the study of Piso et al (2002) of oral anticoagulation under two treatment regimes all concern the comparison of treatments or products, while Walters et al (2006) evaluates the adherence to target volume of a new make of spirometer. Daskalaki et al (2012) and Lteif and Schwenk (1999) are also evaluating methods and products, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…This is compared for old and new treatments, using presumably a t-test, although the type of test done is usually not specified. Thus, Aslanides et al (2011), Grunte et al (2010, Randleman et al (2007), Verschueren et al (2002), Wachler et al (2009), Williamson et al (2009), Walters et al (2006, and Lteif and Schwenk (1999) all compare the MAE of two groups, while Piso et al (2002) compared RMSEs and proportions in a specified range, and Daskalaki et al (2012) also compared RMSEs. The RMSE is defined as…”

Section: Introductionmentioning

confidence: 99%

Analysing Deviation-From-Target Data: Applying the Correct Force in Sellick’s Maneuver

Baker

Taylor

Smurthwaite

et al. 2014

Journal of Biopharmaceutical Statistics

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The problem of comparing the deviation from a target of two or more treatments or procedures arises now and again in medicine. Practitioners usually carry out a t-test on a loss function such as absolute error. We have adapted and developed statistical methods to give a normative methodology for deviation-from-target problems and exemplify them by evaluating the performance of a tactile feedback device. Parametric and nonparametric analyses are compared and contrasted. We recommend nonparametric methods for inference about loss functions such as absolute error, with a permutation test for testing the hypothesis that the two methods perform identically, and the nonparametric bootstrap for deriving standard errors and confidence intervals on loss function ratios. We develop a new permutation test that can be used when the practitioner is unwilling to decide which loss function should be used. We recommend parametric analysis when more insight into how one method is superior is desired, or there are covariates, and discuss the complications. The results for our example are that the tactile sensing device reduces an upward bias in applied force, and more importantly reduces the spread (variance) of the applied force. It performs significantly better than manual force application.

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The quality of oral anticoagulation before, during and after a period of patient self-management

Cited by 17 publications

References 13 publications

Self-Management of Oral Anticoagulant Therapy: A Review

Self-Management of Oral Anticoagulant Therapy: A Review

Factors contributing to the stability of anticoagulation control and outcome of thromboembolic prophylaxis in the older population

Analysing Deviation-From-Target Data: Applying the Correct Force in Sellick’s Maneuver

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