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Letters |6 September 2011

Effect of Patient Self-testing and Self-management of Long-Term Anticoagulation on Major Clinical Outcomes

Andrea Siebenhofer, MD; Klaus Jeitler, MD; Ivo Rakovac, PhD

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Author, Article, and Disclosure Information
Potential Conflicts of Interest: None disclosed.
  • From Institute of General Practice, Goethe University Frankfurt, 60590 Frankfurt am Main, Germany; Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, 8036 Graz, Austria; and Institute for Biomedicine and Health Sciences, Joanneum Research, 8010 Graz, Austria.
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Potential Conflicts of Interest: None disclosed.
TO THE EDITOR:
We found the recent article by Bloomfield and colleagues (1) very interesting. Having recently conducted a trial on the same subject (2), we feel that some issues require further clarification.
Because patient self-testing and self-management are very different, variations in the effectiveness of the 2 interventions deserve special attention. Self-testing enables patients only to monitor the international normalized ratio, whereas self-management empowers patients to take action in achieving better anticoagulation control. Figuratively speaking, self-testing, in contrast to self-management, is like being a passenger watching the speedometer instead of being in...
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Siebenhofer A, Jeitler K, Rakovac I. Effect of Patient Self-testing and Self-management of Long-Term Anticoagulation on Major Clinical Outcomes. Ann Intern Med. 2011;155:336. doi: https://doi.org/10.7326/0003-4819-155-5-201109060-00018

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Published: Ann Intern Med. 2011;155(5):336.

DOI: 10.7326/0003-4819-155-5-201109060-00018

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