|
Comparison of Patient Selection Methods in Prior Studies Examining Warfarin Utilization in AF Patients |
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| Study Period |
Author |
Setting |
Patient Selection for AF based on |
Patient Population Size |
Warfarin Utilization % |
"Warfarin Candidates" not on Warfarin % |
Method of determining Warfarin Utilization |
|
|
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| 1995–1998 |
Weisbord et al.13 |
VA |
Medical Chart review |
1289 |
65 |
3.5 |
Medical Chart reviewed by physicians for documented contraindication |
| 1996–1997 |
Go et al.11 |
Large HMO |
ICD-9-CM code |
13428 |
55 |
37.9 |
Pharmacy database, Outpatient INR, ICD for "Coumadin Therapy" |
| 1997–1998 |
McCormick et al.12 |
Long term Care Facility |
Medical Chart reviewed for EKG diagnosis or documentation by physician |
429 |
42 |
32 |
Warfarin prescriptions, INR, Physician Notes |
| 2000–2002 |
Waldo et al.9 |
Teaching, community and VA hospitals |
ICD-9-CM code |
945 |
54 |
22 |
ICD-9 & Medical chart review |
| 2000–2005 |
Darkow et al.7 |
HMO |
ICD-9-CM code |
12539 |
39 |
61 |
Unable to obtain |
| 2001–2003 |
Hylek et al.8 |
Urban teaching hospital |
Electronic medical chart review and ECG verified AF |
405 |
51 |
2 |
Electronic medical chart review for physician cited reasons for warfain non-use |
| 2004–2005 |
Our Study |
Single Tertiary Care Hospital |
Medical Chart review and physician confirmation of AF by EKG |
364 |
54 |
7.1 |
Medical chart reviewed by physicians for documented contraindication |
Srivastava et al. Thrombosis Journal 2008 6:6 doi:10.1186/1477-9560-6-6 |
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