Evaluation of pharmacist-based compared to doctor-based anticoagulation management in Qatar

Journal of Evaluation in Clinical Practice
Hazem ElewaShaban Mohammed

Abstract

For over 60 years, warfarin has been the mainstay anticoagulant used in the outpatient setting for the prevention and treatment of a wide variety of thromboembolic clinical conditions. Guidelines recommend that health care providers managing oral anticoagulation therapy should do so in a systematic and coordinated fashion. Studies have shown that, when compared to traditional doctor-based anticoagulation management, pharmacist-managed anticoagulation services can improve patient outcomes. The first pharmacist-based anticoagulation clinic in Qatar was launched in 2013 at Alwakra Hospital. The primary objective of this research was to evaluate the impact of pharmacist versus doctor-based anticoagulation management on the percentage time under therapeutic INR (International Normalized Ratio; TTR), INR within therapeutic range and the extreme out of range INRs. A retrospective cohort study was designed to compare the anticoagulation control of pharmacist-based warfarin clinic to the usual doctor-care. Data from 278 patients taking warfarin (78 managed at pharmacist and 200 at doctor-based clinic) were evaluated. Subjects followed at the pharmacist-based clinic had a superior TTR compared to those managed at the doctor-based clinic ...Continue Reading

References

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Citations

Feb 1, 2017·Journal of Thrombosis and Thrombolysis·Hazem ElewaRajvir Singh
Oct 6, 2017·Journal of Cardiovascular Pharmacology and Therapeutics·Hazem ElewaZainab Ali
Sep 3, 2020·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Eman Nawash AlhmoudAbdelnasser Y Elzouki
Sep 23, 2020·International Journal of Clinical Pharmacy·Tesnime JebaraDerek Stewart
Sep 5, 2019·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Amr Mohamed FahmiMohamed Omar Saad
Jul 25, 2017·The Annals of Pharmacotherapy·Beenish S ManzoorEdith A Nutescu
Jul 28, 2018·International Journal of Clinical Pharmacy·Alla El-AwaisiLesley Diack
Jun 2, 2021·Current Problems in Cardiology·Islam EljilanyDaoud Al-Badriyeh
Jun 15, 2021·International Journal of Clinical Pharmacy·Derek StewartMoza Al Hail
Jul 31, 2021·Journal of Clinical Pharmacy and Therapeutics·Paul FirmanKaren Hay

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