Evidence map›Paper›PMID 42675326›Full record

ArticleDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences2026

Patient knowledge and medication safety in chronic warfarin therapy: the roles of adherence, diet, and drug-drug interactions.

Ahmet Çakır, Melisa Sultan Tekşahin, Hasan Memiş, Mehmet Cansel

Abstract read
In one paragraph

Article in Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ahmet ÇakırDepartment of Clinical Pharmacy, Faculty of Pharmacy, Inonu University, Malatya, Türkiye. ahmet.cakir@inonu.edu.tr.
Melisa Sultan TekşahinDepartment of Clinical Pharmacy, Faculty of Pharmacy, Ege University, Izmir, Türkiye.
Hasan MemişDepartment of Clinical Pharmacy, Faculty of Pharmacy, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye.ORCID https://orcid.org/0000-0001-7158-1795
Mehmet CanselDepartment of Cardiology, Faculty of Medicine, Inonu University, Malatya, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnticoagulant knowledge, medication adherence, time in therapeutic range (TTR), and potential drug-drug interactions (pDDIs) are poorly understood, but they can increase the risk of thromboembolic events, major bleeding, and mortality.

objectivesThis study examined the relationship between oral anticoagulation knowledge and adherence in adults on long-term warfarin therapy, and their associations with TTR, clinical and demographic factors, bleeding risk, and pDDIs.

methodsThis cross-sectional study included adults on chronic warfarin therapy at a university-affiliated cardiology clinic. Turkish versions of the validated Oral Anticoagulation Knowledge (OAK) and Anticoagulant Therapy Adherence Scale (ATAS) assessed oral anticoagulation knowledge and adherence. Clinical, laboratory, and treatment data were obtained from health records, and lifestyle information via patient interviews. pDDIs were evaluated using UpToDate

resultsThe study included 126 adults on warfarin therapy, with a median TTR of 31.9% and 76% of patients below 60%. Patients exhibited moderate oral anticoagulant knowledge and relatively high self-reported adherence scores. A weak positive correlation (ρ = 0.24, p = 0.006) was detected between OAK and ATAS scores, while a negative correlation (ρ=-0.179, p = 0.045) was found between OAK and concurrent medications excluding warfarin. Education and employment status were associated with OAK scores, while the frequency of vitamin K-rich food consumption was associated with ATAS scores. Age and renal impairment were associated with an increased number of concurrent medications excluding warfarin and pDDIs identified by both UpToDate

conclusionAnticoagulation knowledge was weakly associated with adherence to warfarin therapy but not with anticoagulation control. Dietary behaviours, polypharmacy, and pDDIs may influence anticoagulation outcomes, highlighting the need for multifaceted management strategies.

Indexed as

AnticoagulantsDrug MonitoringHealth Knowledge, Attitudes, PracticeMedication AdherenceWarfarinAdultAgedAged, 80 and overCross-Sectional StudiesDietDrug InteractionsFemaleHemorrhageHumansMaleMiddle AgedAnticoagulantsWarfarinAnticoagulantsDrug interactionsMedication adherenceWarfarin

Identifiers

PMID42675326
PMCPMC13530084

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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.