Evidence map›Paper›PMID 29605836›Full record

ArticleJournal of thrombosis and thrombolysis2018

Structure and function of anticoagulation clinics in the United States: an AC forum membership survey.

Geoffrey D Barnes, Eva Kline-Rogers, Christopher Graves, Eric Puroll, Xiaokui Gu, Kevin Townsend, Ellen McMahon, Terri Craig, James B Froehlich

Abstract read
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In one paragraph

Article in Journal of thrombosis and thrombolysis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  15. Anticoagulation Across Care Transitions: Identifying Minimum Data to Maximize Drug Safety.Joint Commission journal on quality and patient safety · 2018
    Article
  16. Review
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

9 authors.

Geoffrey D BarnesMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA. gbarnes@umich.edu.
Eva Kline-RogersMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA.
Christopher GravesMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA.
Eric PurollMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA.
Xiaokui GuMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA.
Kevin TownsendPfizer, US Medical Affairs, New York, NY, USA.
Ellen McMahonPfizer, US Medical Affairs, New York, NY, USA.
Terri CraigPfizer, US Medical Affairs, New York, NY, USA.
James B FroehlichMichigan Clinical Outcomes Research and Reporting Program, University of Michigan, Arbor, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many anticoagulation clinics have adapted their services to provide care for patients taking direct oral anticoagulants (DOAC) in addition to traditional warfarin management. Anticoagulation clinic scope of service and operations in this transitional environment have not been well described in the literature. A survey was conducted of United States-based Anticoagulation Forum members to inquire about anticoagulation clinic structure, function, and services provided. Survey responses are reported using summary or non-parametric statistics, when appropriate. Unique clinic survey responses were received from 159 anticoagulation clinics. Clinic structure and staffing are highly variable, with approximately half of clinics (52%) providing DOAC-focused care in addition to traditional warfarin-focused care. Of those clinics managing DOAC patients, this accounts for only 10% of their clinic volume. These clinics commonly have a DOAC follow up protocol (75%). Clinics assign a median of 190.5 (interquartile range 50-300) patients per staff full-time-equivalent, with more patients assigned in phone-based care clinics than in face-to-face based care clinics. Most clinics (68.5%) report receiving reimbursement, which occur either through a combination of patient and insurance provider billing (78.2%), insurance reimbursement only (19.5%) or patient reimbursement only (2.3%). There is wide heterogeneity in anticoagulation clinic structure, function, and services provided. Half of all survey-responding anticoagulation clinics provide care for DOAC-treated patients. Understanding how changes in healthcare policy and reimbursement have impacted these clinics remains to be explored.

Indexed as

Administration, OralAmbulatory Care FacilitiesAnticoagulantsHumansReimbursement MechanismsSurveys and QuestionnairesUnited StatesWarfarinAnticoagulantsWarfarin

Identifiers

What OpenQuestion holds

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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.