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Review
. 2002 Aug;24(4):253-7.
doi: 10.1046/j.1365-2257.2002.00443.x.

Patient self-management of oral anticoagulation

Manju Bhavnani  1 , C R Shiach
Affiliations
Review

Patient self-management of oral anticoagulation

Manju Bhavnani et al. Clin Lab Haematol. 2002 Aug.

Erratum in

  • Clin Lab Haematol. 2002 Dec;24(6):391

Abstract

Patient self-management of oral anticoagulation is now widely practised in Germany and the USA. There are three different home-testing monitors available in the UK which are all reliable in terms of accuracy and reproducibility of results. Selected patients can be trained to perform their own International Normalized Ratio (INR) testing and dosing, with outcomes as good if not better than those from specialized anticoagulant clinics. Consensus on the frequency of testing and what quality control should be deployed is lacking. The cost-effectiveness in the UK is unproven.

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