Patient satisfaction up with pharmacist-managed warfarin Tx

Patient satisfaction up with pharmacist-managed warfarin tx

(HealthDay)—Pharmacist-managed warfarin anticoagulation therapy is associated with improved patient satisfaction, although the benefits in terms of control, safety, and mortality are unclear, according to a review published online Sept. 28 in the Journal of Clinical Pharmacy and Therapeutics.

S. Zhou, M.Pharm., from the Peking University First Hospital in Beijing, and colleagues conducted a systematic review to compare the effectiveness of pharmacist-managed anticoagulation control of warfarin with other models. Data were included from eight randomized controlled trials with a total of 1,493 patients.

The researchers observed a significant difference for satisfaction between pharmacist-managed care and other models (mean difference [MD], 0.41; 95 percent confidence interval [CI], 0.01 to 0.81; P = 0.04), and in the percentage of time within the standard therapeutic range (MD, 3.66; 95 percent CI, 2.20 to 5.11; P < 0.00001). There was no significant improvement in the percentage of time within the expanded therapeutic range (MD, 2.85; 95 percent CI, −0.56 to 6.26; P = 0.10), mortality (odds ratio, 0.97; 95 percent CI, 0.44 to 2.11; P = 0.09), the prevention of bleeding events (odds ratio, 0.89; 95 percent CI, 0.56 to 1.44; P = 0.64), and thrombosis events (odds ratio, 0.81; 95 percent CI, 0.34 to 1.92; P = 0.64) for the pharmacist-managed group.

"Compared with other models, the superiority of pharmacist-managed warfarin anticoagulation needs to be further evaluated and validated in future research," the authors write.

More information: Abstract
Full Text

Copyright © 2016 HealthDay. All rights reserved.

Citation: Patient satisfaction up with pharmacist-managed warfarin Tx (2016, October 4) retrieved 19 March 2024 from https://medicalxpress.com/news/2016-10-patient-satisfaction-pharmacist-managed-warfarin-tx.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Explore further

Medication review at ICU to ward transfer cuts drug problems

 shares

Feedback to editors