Comparing quality of life and treatment satisfaction between patients on warfarin and direct oral anticoagulants: a cross-sectional study.

convenience direct oral anticoagulants quality of life treatment satisfaction warfarin

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2019
Historique:
received: 05 02 2019
accepted: 27 03 2019
entrez: 17 10 2019
pubmed: 17 10 2019
medline: 17 10 2019
Statut: epublish

Résumé

Patient quality of life (QOL) while on long-term oral anticoagulant therapy has been receiving greater attention in recent years due to the increase in life expectancy brought about by advances in medical care. This study aimed to compare the QOL, treatment satisfaction, hospitalization and bleeding rate in patients on long-term warfarin versus direct oral anticoagulants (DOAC). This was a cross-sectional study of patients with non-valvular atrial fibrillation (NVAF) or venous thromboembolism (VTE) on long-term anticoagulant therapy attending the cardiology clinic and anticoagulation clinic of the University Malaya Medical Centre from July 1, 2016, to June 30, 2018. Patient QOL was assessed by using the Short Form 12 Health Survey (SF12), while treatment satisfaction was assessed by using the Perception of Anticoagulation Treatment Questionnaire 2 (PACT-Q2). A total of 208 patients were recruited; 52.4% received warfarin and 47.6% received DOAC. There was no significant difference in QOL between warfarin and DOAC based on SF12 (physical QOL, Compared to warfarin, treatment of NVAF and VTE with DOAC showed comparable QOL, higher treatment satisfaction, lesser hospitalization, and a non-significant trend toward fewer bleeding episodes.

Identifiants

pubmed: 31616136
doi: 10.2147/PPA.S204246
pii: 204246
pmc: PMC6698611
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1363-1373

Informations de copyright

© 2019 Ng et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

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Auteurs

Diana Leh-Ching Ng (DL)

Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.

Gin-Gin Gan (GG)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Chee-Shee Chai (CS)

Department of Medicine, Faculty of Medicine and Health Science, University Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.

Kok-Han Chee (KH)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Kok-Leng Tan (KL)

Department of Medicine, Faculty of Medicine, University Science Malaysia, Penang, Malaysia.

Seng-Beng Tan (SB)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Ping-Chong Bee (PC)

Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Classifications MeSH