Cover of Safe and Effective Anticoagulation in the Outpatient Setting

Safe and Effective Anticoagulation in the Outpatient Setting

A Systematic Review of the Evidence

Evidence-based Synthesis Program

, MD, MPH, , PhD, MPH, , MD, , MD, , PhD, , MS, , BA, and , MD, MPH1.

1 VA Evidence-based Synthesis Program (ESP) Center, Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center
Washington (DC): Department of Veterans Affairs (US); .
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Excerpt

The primary objectives of this systematic review were to: 1. Determine whether specialized anticoagulation clinics (ACC) are more effective and safer than care in non-specialized clinics (e.g., primary care clinics, physician offices) for management of long- term anticoagulation in adults; 2. Determine whether patient self testing (PST), either alone or in combination with patient self management (PSM), is more effective and safer than standard care; and 3. Identify the risk factors for serious bleeding in patients on chronic anticoagulant therapy.