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ACP Journal Club |19 July 2011

Review: Self-testing or self-management of oral anticoagulation reduces thromboembolic events and mortality more than usual care

Julio Hajdenberg, MD, FACP

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Bloomfield HE, Krause A, Greer N, et al. Meta-analysis: effect of patient self-testing and self-management of long-term anticoagulation on major clinical outcomes. Ann Intern Med. 2011;154:472-82. 21464349

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Within a period of 7 months, the US Department of Veterans Affairs released 2 studies that provide seemingly contradictory level 1 evidence for and against PST or PSM of oral anticoagulation. The meta-analysis reported by Bloomfield and colleagues included 22 RCTs, of which 5 were high quality and 2 were conducted in the US. PST or PSM was safe in terms of major bleeding complications, and thromboembolic events were reduced (number...
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Hajdenberg J. Review: Self-testing or self-management of oral anticoagulation reduces thromboembolic events and mortality more than usual care. Ann Intern Med. 2011;155:JC1–6. doi: https://doi.org/10.7326/0003-4819-155-2-201107190-02006

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Published: Ann Intern Med. 2011;155(2):JC1-6.

DOI: 10.7326/0003-4819-155-2-201107190-02006

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