New oral anticoagulants in primary care: The general practitioner's point of view

被引：0

作者：

Frappe, Paul ^{[1
,2
,3
]}

Liebart, Sandra ^{[1
,2
]}

机构：

[1] Univ St Etienne, Dept Med Gen, F-42023 St Etienne, France

[2] Univ St Etienne, Grp Rech Thrombose, EA3065, F-42023 St Etienne, France

[3] Inserm DGOS, CIE3, F-42055 St Etienne, France

来源：

PRESSE MEDICALE | 2013年 / 42卷 / 09期

关键词：

ATRIAL-FIBRILLATION; DECISION-MAKING; RISK; DABIGATRAN; MANAGEMENT; PHYSICIANS; COMMUNITY; WARFARIN; PATIENT; DRUGS;

D O I：

10.1016/j.lpm.2013.06.009

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The assessment of new anticoagulants benefits is based on the assessment of thromboembolism and bleeding risks, referring when possible to CHA(2)DS(2)-VASc and HAS-BLED scores. The management of patients treated with new anticoagulants includes a clinical assessment and the annual measure of the creatinine clearance (three times per year in some particular cases). New anticoagulants make hemostasis tests not reliable. The general practitioner has a role in preventing interactions and reporting potential adverse drug reactions. The context of uncertainty about the risk/benefit ratio of new anticoagulants emphasizes the need to integrate the values of the patient in treatment decisions.

引用

页码：1267 / 1273

页数：7

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