TY - JOUR T1 - Self management of long term oral anticoagulation was as effective as specialist anticoagulation clinic management JF - Evidence Based Medicine JO - Evid Based Med SP - 41 LP - 41 DO - 10.1136/ebm.6.2.41 VL - 6 IS - 2 A2 - , Y1 - 2001/03/01 UR - http://ebm.bmj.com/content/6/2/41.abstract N2 - (2000) Lancet 356, 97. Cromheecke ME, Levi M, Colly LP, et al.. Oral anticoagulation self-management and management by a specialist anticoagulation clinic: a randomised cross-over comparison.. Jul 8;. :. –102.OpenUrlCrossRefPubMedWeb of Science
 
 QUESTION: In patients needing long term oral anticoagulation treatment, is self management as effective as specialist anticoagulation clinic management? 6 month, randomised {allocation concealed*}†, controlled crossover trial with blinded outcome assessments (patients and clinicians)*. Anticoagulation clinic in the Netherlands. 50 self supporting patients (mean age 42 y, 59% men) who were receiving long term anticoagulation treatment with oral agents. 49 patients (98%) completed the study. Self managed care involved education about the principles and monitoring of treatment. Live and video instructions were given on how to use a capillary fingerstick and automated device for self measurement. Patients were then instructed about dose adjustments of oral anticoagulants by using a standard nomogram. Anticoagulation clinic management included measurements and dosing done at the clinic. After 3 months, patients crossed … ER -