1.

Record Nr.

UNINA9910717370303321

Autore

Adam Soheir S.

Titolo

Comparative effectiveness of warfarin and newer oral anticoagulants for the long-term prevention and treatment of arterial and venous thromboembolism / / investigators, Soheir S. Adam [and four others]

Pubbl/distr/stampa

Washington, DC : , : Department of Veterans Affairs, Health Services Research and Development Service, , [2012]

©2012

Descrizione fisica

1 online resource (iv, 115 pages) : illustrations

Collana

Evidence-Based Synthesis Program

Disciplina

616.145

Soggetti

Thromboembolism

Technical reports.

United States

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

"Evidence-based synthesis program."

"April 2012."

Nota di bibliografia

Includes bibliographical references.

Sommario/riassunto

The Veterans Health Administration (VHA) System serves a largely older, male population with a high prevalence of chronic atrial fibrillation (AF) and venous thromboembolism (VTE). Many veterans with chronic AF have risk profiles for stroke that, according to current clinical guidelines, place them in a risk group where chronic anticoagulation is recommended. Adjusted-dose warfarin has been the preferred approach to chronic anticoagulation in the VHA, and in many VHA settings, specialized therapeutic drug-monitoring services provide high-quality warfarin treatment. However, the advent of newer anticoagulants with the promise of simplified long-term anticoagulation requires reconsideration of current treatment practices. The purpose of this systematic review was to study the comparative effectiveness of warfarin and the newer oral anticoagulants used for the long-term prevention and treatment of arterial and venous thromboembolism. An evaluation of newer oral anticoagulants for VTE prophylaxis in the perioperative period will be the subject of a later



report.