Does adherence and persistence with direct oral anticoagulants differ between anticoagulant-naïve and anticoagulant-experienced adults with atrial fibrillation?
Adults with atrial fibrillation
Direct oral anticoagulants (DOACs)
Anticoagulant-experienced patients (compared to anticoagulant-naïve patients)
Medication adherence and persistence at 6 and 12 months post-index
Real-world adherence and persistence to DOACs in adults with atrial fibrillation decline over time and are particularly suboptimal in anticoagulant-naïve patients, highlighting a need for targeted patient education.
Medication adherence and persistence with DOACs declined over time and both were suboptimal and lower (at 6 and 12 mo postindex) in AC-naïve compared to AC-experienced patients. These findings can help target future strategies or interventions for patient education and long-term AC management especially in those patients naïve to DOAC therapy. Future investigation should examine potential reasons for differences in DOAC adherence and persistence between AC-experienced versus AC-naïve patients and the implications for patient outcomes.
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Beenish S. Manzoor
Todd A. Lee
Lisa K. Sharp
Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy
University of Illinois Chicago
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Manzoor et al. (Fri,) studied this question.
www.synapsesocial.com/papers/69dd5ffe80eea7d3f699c2cd — DOI: https://doi.org/10.1002/phar.1989