Evidence map›Paper›PMID 16926932›Full record

ArticleCanadian family physician Medecin de famille canadien2005

Anticoagulation management in remote primary care.

Shauna L Nast, Martin J Tierney, Ray McIlwain

Abstract readEvaluation Study
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Anticoagulation in urban family practice training.Canadian family physician Medecin de famille canadien · 2005
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Shauna L NastUniversity of British Columbia, Vancouver.
Martin J Tierney
Ray McIlwain

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine anticoagulation management at the Bella Coola Medical Clinic in British Columbia.

designCharts of all patients in the Bella Coola Valley receiving warfarin were assessed. Data were analyzed using Microsoft Excel.

settingBella Coola Medical Clinic on the remote central coast of British Columbia.

participantsTwenty-one patients at the Bella Coola Medical Clinic who were receiving warfarin.

main outcome measuresAll international normalized ratio (INR) tests over the preceding 12 months were examined for results, time elapsed since previous test, and interval until next scheduled test.

resultsAn in-range INR rate of 60% is considered acceptable for anticoagulation services. The clinic had performed 406 INR tests on these 21 patients over the last 12 months. We found that 53% of all INR results fell strictly within the recommended therapeutic range. The relative success of anticoagulation management in Bella Coola probably results from several factors. For instance, physicians usually responded to out-of-range INR results with close monitoring: in 71% of cases, follow-up tests were scheduled within 1 week. On average, patients attended 77% of these visits on schedule; 58% of all out-of-range INR results were followed up with retesting within 1 week.

conclusionOur results suggest that primary care physicians can manage anticoagulation adequately, even in remote settings.

Indexed as

International Normalized RatioAgedAnticoagulantsBlood Coagulation DisordersBritish ColumbiaFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'Primary Health CareRural Health ServicesWarfarinAnticoagulantsWarfarin

Identifiers

PMID16926932
PMCPMC1472961

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.