The 'carry-over' effects of patient self-testing: positive effects on usual care management by an anticoagulation management service.

Hdl Handle:
http://hdl.handle.net/10147/200095
Title:
The 'carry-over' effects of patient self-testing: positive effects on usual care management by an anticoagulation management service.
Authors:
Ryan, Fiona; O'Shea, Susan; Byrne, Stephen
Affiliation:
Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.
Citation:
The 'carry-over' effects of patient self-testing: positive effects on usual care management by an anticoagulation management service. 2010, 126 (5):e345-8 Thromb. Res.
Publisher:
Elsevier
Journal:
Thrombosis research
Issue Date:
Nov-2010
URI:
http://hdl.handle.net/10147/200095
DOI:
10.1016/j.thromres.2010.08.001
PubMed ID:
20828796
Abstract:
Patient self-testing (PST) of the international normalised ratio (INR) has a positive effect on anticoagulation control. This study investigated whether the benefits of PST (other than increased frequency of testing, e.g. patient education, empowerment, compliance etc.) could be 'carried-over' into usual care management after a period of home-testing has ceased.; Patients that completed a six month period of PST (as part of a randomised controlled trial) but returned to clinic management when the trial ended were included in the study. The primary outcome variable was the difference in anticoagulation control (measured using the time in therapeutic range) between the two periods. A group of patients who were managed solely by the anticoagulation clinic served as the control.; There was no significant difference in median time in therapeutic range (TTR) between the 52 patients during clinic management post-PST and the six month period of PST (75% vs 75.3%; p=0.061). Patients tested more frequently while home-testing compared with the subsequent six month period of clinic management (once every 5.6±0.7days compared with once every 23.2±7.4days; p=0.000). Patients with previous experience of PST performed significantly better than the control group of patients (n=107) that were managed solely by the anticoagulation clinic (75% vs 59.7%; p=0.009) despite less frequent monitoring of the INR (every 23.2±7.4days vs. 17.4±6.7days; p=0.000).; The improvements in anticoagulation control observed during a period of PST can be sustained when patients cease home-testing and revert back to usual care management.
Item Type:
Article
Language:
en
MeSH:
Anticoagulants; Cardiovascular Diseases; Diagnostic Self Evaluation; Drug Monitoring; Female; Humans; International Normalized Ratio; Male; Middle Aged; Prothrombin Time; Quality of Health Care; Retrospective Studies; Warfarin
ISSN:
1879-2472

Full metadata record

DC FieldValue Language
dc.contributor.authorRyan, Fionaen
dc.contributor.authorO'Shea, Susanen
dc.contributor.authorByrne, Stephenen
dc.date.accessioned2012-01-04T16:25:08Z-
dc.date.available2012-01-04T16:25:08Z-
dc.date.issued2010-11-
dc.identifier.citationThe 'carry-over' effects of patient self-testing: positive effects on usual care management by an anticoagulation management service. 2010, 126 (5):e345-8 Thromb. Res.en
dc.identifier.issn1879-2472-
dc.identifier.pmid20828796-
dc.identifier.doi10.1016/j.thromres.2010.08.001-
dc.identifier.urihttp://hdl.handle.net/10147/200095-
dc.description.abstractPatient self-testing (PST) of the international normalised ratio (INR) has a positive effect on anticoagulation control. This study investigated whether the benefits of PST (other than increased frequency of testing, e.g. patient education, empowerment, compliance etc.) could be 'carried-over' into usual care management after a period of home-testing has ceased.-
dc.description.abstractPatients that completed a six month period of PST (as part of a randomised controlled trial) but returned to clinic management when the trial ended were included in the study. The primary outcome variable was the difference in anticoagulation control (measured using the time in therapeutic range) between the two periods. A group of patients who were managed solely by the anticoagulation clinic served as the control.-
dc.description.abstractThere was no significant difference in median time in therapeutic range (TTR) between the 52 patients during clinic management post-PST and the six month period of PST (75% vs 75.3%; p=0.061). Patients tested more frequently while home-testing compared with the subsequent six month period of clinic management (once every 5.6±0.7days compared with once every 23.2±7.4days; p=0.000). Patients with previous experience of PST performed significantly better than the control group of patients (n=107) that were managed solely by the anticoagulation clinic (75% vs 59.7%; p=0.009) despite less frequent monitoring of the INR (every 23.2±7.4days vs. 17.4±6.7days; p=0.000).-
dc.description.abstractThe improvements in anticoagulation control observed during a period of PST can be sustained when patients cease home-testing and revert back to usual care management.-
dc.language.isoenen
dc.publisherElsevieren
dc.subject.meshAnticoagulants-
dc.subject.meshCardiovascular Diseases-
dc.subject.meshDiagnostic Self Evaluation-
dc.subject.meshDrug Monitoring-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshInternational Normalized Ratio-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshProthrombin Time-
dc.subject.meshQuality of Health Care-
dc.subject.meshRetrospective Studies-
dc.subject.meshWarfarin-
dc.titleThe 'carry-over' effects of patient self-testing: positive effects on usual care management by an anticoagulation management service.en
dc.typeArticleen
dc.contributor.departmentPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.en
dc.identifier.journalThrombosis researchen
dc.description.provinceMunster-

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