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Rajani Shakya
Rajani Shakya
Nepal
Publications
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Research Article
Impact of Physician-Pharmacist Collaborative Anticoagulation Clinic on Warfarin Therapy Management
Author(s): Binaya Sapkota, Sweta Shrestha, Anurodh Ghimirey, Navin Chandra Gautam and Rajani ShakyaBinaya Sapkota, Sweta Shrestha, Anurodh Ghimirey, Navin Chandra Gautam and Rajani Shakya
Background: Approximately 40-45% interpatient variability in response to warfarin is still conspicuous. These uncertainties contribute to warfarin’s underuse in patients who could benefit from anticoagulation. Anticoagulation clinics provide systematic method for anticoagulation management, warfarin dosage adjustment and patient education. Methods: Prospective case-control study was conducted from May to September 2012 at surgical outpatient department at Shahid Gangalal National Heart Center, Nepal to compare physician-pharmacist collaborative anticoagulation clinic (PPAC) approach on warfarin therapy management (case) to usual anticoagulation therapy (UAT) provided by physicians (control). Control (n=75) and case group (n=75) were selected by systematic random sampling in such a way that ratio of control to case is 1:1. Participants who required warfarin for their mech.. View More»
DOI: 10.4172/2155-9864.1000256