At-Home Versus In-Clinic INR Monitoring: A Cost-Utility Analysis from The Home INR Study (THINRS).

ABSTRACT:

Background

Effective management of patients using warfarin is resource-intensive, requiring frequent in-clinic testing of the international normalized ratio (INR). Patient self-testing (PST) using portable at-home INR monitoring devices has emerged as a convenient alternative. As revealed by The Home INR Study (THINRS), event rates for PST were not significantly different from those for in-clinic high-quality anticoagulation management (HQACM), and a cumulative gain in quality of life was observed for patients undergoing PST.

Objective

To perform a cost-utility analysis of weekly PST versus monthly HQACM and to examine the sensitivity of these results to testing frequency.

Patients/interventions

In this study, 2922 patients taking warfarin for atrial fibrillation or m

SUBMITTER: Phibbs CS 

PROVIDER: S-EPMC4978674 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature