Primary care management for patients receiving long-term antithrombotic treatment: A cluster-randomized controlled trial.

ABSTRACT:

Purpose

To examine whether applying case management in general practices reduces thromboembolic events requiring hospitalization and major bleeding events (combined primary outcome). Secondary endpoints were mortality, frequency and duration of hospitalization, severe treatment interactions, adverse events, quality of anticoagulation, health-related quality of life and intervention costs, patients' assessment of chronic illness care, self-reported adherence to medication, GP and HCA knowledge, patient knowledge and satisfaction with shared decision-making.

Methods

Cluster-randomized controlled trial undertaken at 52 general practices in Germany with adult patients with a long-term indication for oral anticoagulation. The complex intervention included training for healthcare

SUBMITTER: Siebenhofer A 

PROVIDER: S-EPMC6326474 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature