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Rapid Point-of-Care Assay of Enoxaparin Anticoagulant Efficacy in Whole Blood
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Quality measures for anticoagulation care.

Diana M Sobieraj1, C Michael White1, Matthew Parker2

  • 1a University of Connecticut School of Pharmacy , Storrs , CT , USA.

Current Medical Research and Opinion
|June 10, 2016
PubMed
Summary
This summary is machine-generated.

Current anticoagulation quality measures primarily focus on older drugs and processes, with limited applicability to novel oral anticoagulants (NOACs). Improvements are needed to capture adverse events and NOAC benefits in atrial fibrillation (AF) and venous thromboembolism (VTE) care.

Keywords:
AnticoagulantsAtrial fibrillationQuality measuresThrombosisVenous thromboembolism

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Area of Science:

  • Clinical Quality Measurement
  • Pharmacology
  • Evidence-Based Medicine

Background:

  • Anticoagulation is crucial for managing atrial fibrillation (AF) and venous thromboembolism (VTE).
  • Existing quality measures guide anticoagulation practices but may not reflect current therapeutic advancements.

Purpose of the Study:

  • To systematically identify and assess quality measures for anticoagulation in AF, VTE treatment, and surgical VTE prophylaxis.
  • Evaluate the scope and limitations of current anticoagulation quality metrics.

Main Methods:

  • Systematic search of quality measure websites and bibliographic databases (2000-2016).
  • Inclusion of US-developed quality measures related to anticoagulation for specific indications or general use.
  • Independent data extraction by two reviewers on measure characteristics.

Main Results:

  • Thirty-five quality measures were identified, predominantly for VTE treatment (48.6%) and process measures (82.9%).
  • Most measures (65.7%) focused on warfarin or parenteral anticoagulants, lacking applicability to novel oral anticoagulants (NOACs).
  • Ten measures (28.6%) are utilized by major health organizations like CMS and The Joint Commission.

Conclusions:

  • Quality measures are established in anticoagulation care, particularly for AF and VTE.
  • Significant opportunities exist to enhance measures beyond process indicators.
  • Future measures should incorporate adverse events and the benefits of NOACs for comprehensive anticoagulation quality assessment.