Evaluation of pharmacist-based compared to doctor-based anticoagulation management in Qatar
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Rationale, aims and objectives 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. Method A retrospective cohort study was designed to compare the anticoagulation control of pharmacist-based warfarin clinic to the usual doctor-care. Results 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 (81.8% vs. 69.8%, P < 0.001). Additionally, the percentage of visits within therapeutic range were significantly higher in the pharmacist's group compared to doctor's group (76.5% vs. 71.2%, P = 0.011). At the same time, percentage of visits with extreme subtherapeutic INR was reduced in the pharmacist-managed clinic (5.17% vs. 7.05%, P = 0.007) Conclusions Our study indicates that pharmacist-based anticoagulation has better INR control when compared to the traditional anticoagulation management. Pharmacist-managed anticoagulation clinics should be considered and supported for warfarin management. 2016 John Wiley & Sons, Ltd.
- Pharmacy Research [478 items ]
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Implementation of An Ambulatory Pharmacist-Managed Anticoagulation Clinic In Qatar: Development of A New Service and A Pilot On Patients' Satisfaction and Quality of Life Awaisu, A.; Kheir, N.; Mohamed, Ibrahim M.I.; Al-Taweel, H.M.; Elmubark, A.E. ( Elsevier , 2014 , Article)Objectives Pharmacist-managed anticoagulation clinics have been shown to improve the quality of life (QoL) of patients receiving anti-clot treatment. The first pharmacist-managed anticoagulation clinic in Qatar was ...
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