Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey
It is estimated that 10–15% of oral anticoagulant (OAC) patients, would need to hold their OAC for scheduled surgery. Especially for warfarin, this process is complex and requires multi-layer risk assessment and decisions across different specialties. Clinical guidelines deliver broad recommendation...
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| Veröffentlicht in: | Journal of thrombosis and thrombolysis 2020-11, Vol.50 (4), p.957-968 |
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| creator | Eljilany, Islam El-Bardissy, Ahmed Nemir, Arwa Elzouki, Abdel-Naser El Madhoun, Ihab Al-Badriyeh, Daoud Elewa, Hazem |
| description | It is estimated that 10–15% of oral anticoagulant (OAC) patients, would need to hold their OAC for scheduled surgery. Especially for warfarin, this process is complex and requires multi-layer risk assessment and decisions across different specialties. Clinical guidelines deliver broad recommendations in the area of warfarin management before surgery which can lead to different trends and practices among practitioners. To evaluate the current attitude, awareness, and practice among health care providers (HCPs) on warfarin periprocedural management. A multiple-choice questionnaire was developed, containing questions on demographics and professional information and was completed by187 HCPs involved in warfarin periprocedural management. The awareness median (IQR) score was moderate [64.28% (21.43)]. The level of awareness was associated with the practitioner’s specialty and degree of education (
P
= 0.009, 0.011 respectively). Practice leans to overestimate the need for warfarin discontinuation as well as the need for bridging. Participants expressed interest in using genetic tests to guide periprocedural warfarin management [median (IQR) score (out of 10) = 7 (5)]. In conclusion, the survey presented a wide variation in the clinical practice of warfarin periprocedural management. This study highlights that HCPs in Qatar have moderate awareness. We suggest tailoring an educational campaign or courses towards the identified gaps. |
| doi_str_mv | 10.1007/s11239-020-02111-w |
| format | Article |
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P
= 0.009, 0.011 respectively). Practice leans to overestimate the need for warfarin discontinuation as well as the need for bridging. Participants expressed interest in using genetic tests to guide periprocedural warfarin management [median (IQR) score (out of 10) = 7 (5)]. In conclusion, the survey presented a wide variation in the clinical practice of warfarin periprocedural management. This study highlights that HCPs in Qatar have moderate awareness. We suggest tailoring an educational campaign or courses towards the identified gaps.</description><identifier>ISSN: 0929-5305</identifier><identifier>EISSN: 1573-742X</identifier><identifier>DOI: 10.1007/s11239-020-02111-w</identifier><identifier>PMID: 32307632</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Anticoagulants ; Cardiology ; Cross-sectional studies ; Demography ; Disease management ; Genetic screening ; Hematology ; Medicine ; Medicine & Public Health ; Multiple choice ; Risk assessment ; Surgery ; Warfarin</subject><ispartof>Journal of thrombosis and thrombolysis, 2020-11, Vol.50 (4), p.957-968</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-8d29da26143697e6630ca624c2b3c7cca4fad92bc3e2279fafab549c9efdd9cc3</citedby><cites>FETCH-LOGICAL-c474t-8d29da26143697e6630ca624c2b3c7cca4fad92bc3e2279fafab549c9efdd9cc3</cites><orcidid>0000-0001-6387-5419 ; 0000-0003-1594-1199</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11239-020-02111-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11239-020-02111-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32307632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eljilany, Islam</creatorcontrib><creatorcontrib>El-Bardissy, Ahmed</creatorcontrib><creatorcontrib>Nemir, Arwa</creatorcontrib><creatorcontrib>Elzouki, Abdel-Naser</creatorcontrib><creatorcontrib>El Madhoun, Ihab</creatorcontrib><creatorcontrib>Al-Badriyeh, Daoud</creatorcontrib><creatorcontrib>Elewa, Hazem</creatorcontrib><title>Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey</title><title>Journal of thrombosis and thrombolysis</title><addtitle>J Thromb Thrombolysis</addtitle><addtitle>J Thromb Thrombolysis</addtitle><description>It is estimated that 10–15% of oral anticoagulant (OAC) patients, would need to hold their OAC for scheduled surgery. Especially for warfarin, this process is complex and requires multi-layer risk assessment and decisions across different specialties. Clinical guidelines deliver broad recommendations in the area of warfarin management before surgery which can lead to different trends and practices among practitioners. To evaluate the current attitude, awareness, and practice among health care providers (HCPs) on warfarin periprocedural management. A multiple-choice questionnaire was developed, containing questions on demographics and professional information and was completed by187 HCPs involved in warfarin periprocedural management. The awareness median (IQR) score was moderate [64.28% (21.43)]. The level of awareness was associated with the practitioner’s specialty and degree of education (
P
= 0.009, 0.011 respectively). Practice leans to overestimate the need for warfarin discontinuation as well as the need for bridging. Participants expressed interest in using genetic tests to guide periprocedural warfarin management [median (IQR) score (out of 10) = 7 (5)]. In conclusion, the survey presented a wide variation in the clinical practice of warfarin periprocedural management. This study highlights that HCPs in Qatar have moderate awareness. 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A cross sectional survey</title><author>Eljilany, Islam ; El-Bardissy, Ahmed ; Nemir, Arwa ; Elzouki, Abdel-Naser ; El Madhoun, Ihab ; Al-Badriyeh, Daoud ; Elewa, Hazem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-8d29da26143697e6630ca624c2b3c7cca4fad92bc3e2279fafab549c9efdd9cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anticoagulants</topic><topic>Cardiology</topic><topic>Cross-sectional studies</topic><topic>Demography</topic><topic>Disease management</topic><topic>Genetic screening</topic><topic>Hematology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multiple choice</topic><topic>Risk assessment</topic><topic>Surgery</topic><topic>Warfarin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eljilany, Islam</creatorcontrib><creatorcontrib>El-Bardissy, Ahmed</creatorcontrib><creatorcontrib>Nemir, Arwa</creatorcontrib><creatorcontrib>Elzouki, Abdel-Naser</creatorcontrib><creatorcontrib>El Madhoun, Ihab</creatorcontrib><creatorcontrib>Al-Badriyeh, Daoud</creatorcontrib><creatorcontrib>Elewa, Hazem</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of thrombosis and thrombolysis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eljilany, Islam</au><au>El-Bardissy, Ahmed</au><au>Nemir, Arwa</au><au>Elzouki, Abdel-Naser</au><au>El Madhoun, Ihab</au><au>Al-Badriyeh, Daoud</au><au>Elewa, Hazem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey</atitle><jtitle>Journal of thrombosis and thrombolysis</jtitle><stitle>J Thromb Thrombolysis</stitle><addtitle>J Thromb Thrombolysis</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>50</volume><issue>4</issue><spage>957</spage><epage>968</epage><pages>957-968</pages><issn>0929-5305</issn><eissn>1573-742X</eissn><abstract>It is estimated that 10–15% of oral anticoagulant (OAC) patients, would need to hold their OAC for scheduled surgery. Especially for warfarin, this process is complex and requires multi-layer risk assessment and decisions across different specialties. Clinical guidelines deliver broad recommendations in the area of warfarin management before surgery which can lead to different trends and practices among practitioners. To evaluate the current attitude, awareness, and practice among health care providers (HCPs) on warfarin periprocedural management. A multiple-choice questionnaire was developed, containing questions on demographics and professional information and was completed by187 HCPs involved in warfarin periprocedural management. The awareness median (IQR) score was moderate [64.28% (21.43)]. The level of awareness was associated with the practitioner’s specialty and degree of education (
P
= 0.009, 0.011 respectively). Practice leans to overestimate the need for warfarin discontinuation as well as the need for bridging. Participants expressed interest in using genetic tests to guide periprocedural warfarin management [median (IQR) score (out of 10) = 7 (5)]. In conclusion, the survey presented a wide variation in the clinical practice of warfarin periprocedural management. This study highlights that HCPs in Qatar have moderate awareness. We suggest tailoring an educational campaign or courses towards the identified gaps.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32307632</pmid><doi>10.1007/s11239-020-02111-w</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-6387-5419</orcidid><orcidid>https://orcid.org/0000-0003-1594-1199</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of thrombosis and thrombolysis, 2020-11, Vol.50 (4), p.957-968 |
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| source | SpringerLink Journals |
| subjects | Anticoagulants Cardiology Cross-sectional studies Demography Disease management Genetic screening Hematology Medicine Medicine & Public Health Multiple choice Risk assessment Surgery Warfarin |
| title | Assessment of the attitude, awareness and practice of periprocedural warfarin management among health care professional in Qatar. A cross sectional survey |
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