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Cohort study of Anticoagulation Self-Monitoring (CASM): a prospective study of its effectiveness in the community.

Ward A, Tompson A, Fitzmaurice D, Sutton S, Perera R, Heneghan C - Br J Gen Pract (2015)

Bottom Line: Increased age (P = 0.027), general wellbeing (EQ-5D visual score, P = 0.020), and lower target international normalised range (INR, P = 0.032) were all associated with high (>80% TTR) levels of control.The findings show that, even with little training, people on OAT can successfully self-monitor, and even self-manage, their INR.However, widespread use of self-monitoring of INR may be limited by the initial costs, as well as a lack of training and support at the outset.

View Article: PubMed Central - PubMed

Affiliation: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

No MeSH data available.


Related in: MedlinePlus

Flow chart of recruitment process.
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fig1: Flow chart of recruitment process.

Mentions: Of the individuals approached to participate in the study, 299 were eligible, completed the baselines questionnaires, and were recruited. Of these, three participants did not go on to begin self-monitoring (two due to lack of support from their healthcare provider and one for unknown reasons). Of the remaining 296 (from 290 general practices), 15 were lost to follow-up, seven stopped using OAT, and seven stopped self-monitoring; this gave a total of 267 (90.2%) who were still self-monitoring at 12 months (Figure 1). Of those who stopped self-monitoring, four did so due to lack of healthcare provider support, two were unable to use the monitor reliably, and one was for unknown reasons.


Cohort study of Anticoagulation Self-Monitoring (CASM): a prospective study of its effectiveness in the community.

Ward A, Tompson A, Fitzmaurice D, Sutton S, Perera R, Heneghan C - Br J Gen Pract (2015)

Flow chart of recruitment process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4484943&req=5

fig1: Flow chart of recruitment process.
Mentions: Of the individuals approached to participate in the study, 299 were eligible, completed the baselines questionnaires, and were recruited. Of these, three participants did not go on to begin self-monitoring (two due to lack of support from their healthcare provider and one for unknown reasons). Of the remaining 296 (from 290 general practices), 15 were lost to follow-up, seven stopped using OAT, and seven stopped self-monitoring; this gave a total of 267 (90.2%) who were still self-monitoring at 12 months (Figure 1). Of those who stopped self-monitoring, four did so due to lack of healthcare provider support, two were unable to use the monitor reliably, and one was for unknown reasons.

Bottom Line: Increased age (P = 0.027), general wellbeing (EQ-5D visual score, P = 0.020), and lower target international normalised range (INR, P = 0.032) were all associated with high (>80% TTR) levels of control.The findings show that, even with little training, people on OAT can successfully self-monitor, and even self-manage, their INR.However, widespread use of self-monitoring of INR may be limited by the initial costs, as well as a lack of training and support at the outset.

View Article: PubMed Central - PubMed

Affiliation: Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.

No MeSH data available.


Related in: MedlinePlus