Clinician Trends in Prescribing Direct Oral Anticoagulants for US Medicare Beneficiaries.

ABSTRACT:

Importance

Contemporary national clinical practice guidelines recommend direct-acting oral anticoagulants (DOACs) as the first-line anticoagulant strategy over warfarin for most indications, especially among older individuals with an elevated bleeding risk.

Objective

To evaluate anticoagulant prescribing and DOAC uptake by US clinicians in the Medicare population.

Design, setting, and participants

This retrospective cohort study included all US clinicians with more than 10 Medicare oral anticoagulant prescription claims, who were included in the national Medicare Provider Utilization and Payment Data (2013-2018). Data analyses were conducted between October 2020 and October 2021.

Exposures

DOAC prescription in 2013.

Main outcomes and measures

Clinicians

SUBMITTER: Wheelock KM 

PROVIDER: S-EPMC8649845 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature