Self-monitoring and self-management of oral anticoagulation (Clinical) - Cochrane Journal Club

P L A I N  L A N G U A G E  S U M M A R Y

In conclusion, self-monitoring or self-management can improve the quality of oral anticoagulant therapy, leading to fewer thromboembolic
events and lower mortality, without a reduction in the number of major bleeds. Self-monitoring and self-management are not
feasible for all patients, which requires the identification and education of suitable patients.

EvidenceUpdates-Cochrane Collaboration review/commentaries: Self-monitoring and self-management of oral anticoagulation (Warfarin)

Note - warfarinCONCLUSIONS:
Compared to standard monitoring, patients who self-monitor or self-manage can improve the quality of their oral anticoagulation therapy. The number of thromboembolic events and mortality were decreased without increases in harms. However, self-monitoring or self-management were not feasible for up to half of the patients requiring anticoagulant therapy. Reasons included patient refusal, exclusion by their general practitioner, and inability to complete training.