International Journal of Applied and Basic Medical Research

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 11  |  Issue : 3  |  Page : 177--181

Cross-sectional survey of anticoagulant use among specialist physicians with a focus on direct anticoagulants


Jagdeep Singh1, Suman Sethi2, Tejaswani Kaur3, Ambika Bhardwaj4, Manish Meena5, Suvir Singh6, Monika Singla7 
1 Department of Medical Oncology, Dayanand Medical College, Ludhiana, Punjab, India
2 Department of Nephrology, Dayanand Medical College, Ludhiana, Punjab, India
3 Department of Periodontics, Christian Dental College, Ludhiana, Punjab, India
4 New Medical College and Hospital, Kota, Rajasthan, India
5 Department of Internal Medicine, New Medical College, Kota, Rajasthan, India
6 Department of Clinical Hematology and Oncology, Dayanand Medical College, Kota, Rajasthan, India
7 Department of Neurology, Dayanand Medical College, Kota, Rajasthan, India

Correspondence Address:
Suvir Singh
Department of Clinical Hematology and Stem Cell Transplantation, Dayanand Medical College and Hospital, Ludhiana - 141 001, Punjab
India

Introduction: Direct oral anticoagulants (DOACs) have been available for clinical use since 2010 and offer the advantages of a lower bleeding risk with similar efficacy compared to Vitamin K antagonists (VKAs). However, no data is available on practice patterns anticoagulation usage and determinants of the same among physicians in India. Methods: A cross-sectional survey was conducted using Google Forms comprising of 24 questions in 4 categories on baseline information, practice details, knowledge, and outlook. Results: A total of 412 physicians were contacted, of which complete responses were received from 50 (12%). Majority had a subspecialist (58%) or a specialist (32%) qualification, with 54% working in a medical college. VKAs were the preferred first-line agent for 46%, with the most common perceived disadvantage being need of regular monitoring. The absence of regular blood testing was the most prominent advantage attributed to novel oral anticoagulants (NOACs) by 76% participants. Equivalent number of participants perceived efficacy to be similar in both groups, and 86% indicated NOACs to have better safety. Most participants responded to knowledge-based questions correctly and cited high costs of DOACs as the most common barrier to clinical use (78%). Conclusions: Our survey indicates VKAs as the preferred first-line agents despite perceived disadvantages. Among specialist physicians, high drug costs and not lack of knowledge or familiarity appear to be predominant factors precluding more frequent use of NOACs.


How to cite this article:
Singh J, Sethi S, Kaur T, Bhardwaj A, Meena M, Singh S, Singla M. Cross-sectional survey of anticoagulant use among specialist physicians with a focus on direct anticoagulants.Int J App Basic Med Res 2021;11:177-181


How to cite this URL:
Singh J, Sethi S, Kaur T, Bhardwaj A, Meena M, Singh S, Singla M. Cross-sectional survey of anticoagulant use among specialist physicians with a focus on direct anticoagulants. Int J App Basic Med Res [serial online] 2021 [cited 2021 Sep 16 ];11:177-181
Available from: https://www.ijabmr.org/article.asp?issn=2229-516X;year=2021;volume=11;issue=3;spage=177;epage=181;aulast=Singh;type=0