Evidence map›Paper›PMID 29139019›Full record

ArticleInternational journal of clinical pharmacy2017

Pharmacists' confidence when providing pharmaceutical care on anticoagulants, a multinational survey.

John Papastergiou, Nadir Kheir, Katerina Ladova, Silas Rydant, Fabio De Rango, Sotiris Antoniou, Reka Viola, Maria Dolores Murillo, Stephane Steurbaut, Filipa Alves da Costa

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in International journal of clinical pharmacy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 14% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  18. Assessing Pharmacists Knowledge and Attitude Toward the Direct Oral Anticoagulants in Qatar.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 8 countries.

John PapastergiouLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, M4J 1L2, Canada.
Nadir KheirCollege of Pharmacy, Qatar University, PO Box 2713, Doha, Qatar.
Katerina LadovaDepartment of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Kralove, Charles University, Akademika Heyrovskeho 1203, 500 05, Hradec Kralove, Czech Republic.
Silas RydantPharmaceutical Care Division (Meduca), Royal Pharmacists Association of Antwerp (KAVA), Lange Leemstraat 187, 2018, Antwerpen, Belgium.
Fabio De RangoShoppers Drug Mart 1271, 2501 Third Line, Oakville, ON, L6M 5A9, Canada.
Sotiris AntoniouBarts Health Centre; Barts Health NHS Trust, London, UK.
Reka ViolaDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Szeged, Szikrautca 8, Szeged, 6724, Hungary.
Maria Dolores MurilloFarmacia Fernández Vega C.B., C/Par nº 26 Urbanización Club de Golf. Alcalá de Guadaira, Sevilla, 41500, Spain.
Stephane SteurbautResearch Group Clinical Pharmacology& Clinical Pharmacy (KFAR), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Filipa Alves da CostaCentro de Investigação Interdisciplinar Egas Moniz (CiiEM), Campus Universitário, Quinta da Granja, Monte da Caparica, 2829-551, Caparica, Portugal. filipa.alvesdacosta@ipact.org.ORCID http://orcid.org/0000-0003-0562-2514
Barts Health NHS Trust · GBCharles University · CZEscola Superior de Saúde Egas Moniz · PTLight Prescriptions Innovators (Spain) · ESQatar University · QAUniversity of Szeged · HUUniversity of Waterloo · CAVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Guidelines on the management of orally anticoagulated patients are continuously evolving, leading to an increased need for pharmacists to be fully integrated in care provision. Objective To identify self-reported gaps in confidence among practicing pharmacists in the area of anticoagulation. Setting Pharmacists in different work settings in different countries. Method Cross-sectional international survey from October 2015 till November 2016 among pharmacists working in different settings to assess their level of confidence when delivering anticoagulants as well as to identify possible educational needs regarding this medication class. Validation of the survey was ensured. Results Responses from 4212 pharmacists originating from 18 countries were obtained. Pharmacists' level of confidence was significantly higher (p < 0.001) when advising patients on vitamin K antagonists (VKAs) versus non-vitamin K antagonists (NOACs). In general, hospital pharmacists displayed higher confidence levels compared to community pharmacists when advising patients on anticoagulation (p < 0.001). Two distinct patterns of confidence levels emerged relating to basic and advanced pharmaceutical care. Confidence levels when providing advanced pharmaceutical care were significantly higher for Oceania and lower for South America (p < 0.005). Conclusions Pharmacists felt more confident in supporting patients receiving VKAs compared to the more recently introduced NOACs. With the increasing use of NOACs and the risks pertaining to anticoagulation therapy, it is essential to invest in education for pharmacists to address their knowledge gaps enabling them to confidently support patients receiving oral anticoagulants.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAnticoagulantsCommunity Pharmacy ServicesCross-Sectional StudiesFemaleHumansInternationalityMaleMiddle AgedPharmacistsPharmacy Service, HospitalYoung AdultAnticoagulantsAnticoagulantsEducation, pharmacyiPACTKnowledgeNeeds assessmentPharmacists

Identifiers

PMID29139019
PMCPMC5694509
OpenAlexW2768663712

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.