Patient perspectives on taking vitamin K antagonists: a qualitative study in the UK, USA and Spain

Expert Rev Pharmacoecon Outcomes Res. 2009 Oct;9(5):467-74. doi: 10.1586/erp.09.48.

Abstract

Aim: Limitations of vitamin K antagonists (VKAs) include frequent monitoring, dietary restrictions and drug interactions. This study conducted an indepth exploration of perspectives of VKA therapy in respondents with atrial fibrillation or venous thromboembolism.

Methods: A total of 60 respondents, recruited from the UK, USA and Spain, were interviewed on their experiences and views of VKA therapy. Thematic analysis was conducted on the data.

Results: Although there were some differences between the countries and some small differences between atrial fibrillation and venous thromboembolism respondents, many respondents found various aspects of VKA to be burdensome, including the international normalized ratio monitoring and dietary considerations.

Conclusion: Atrial fibrillation and venous thromboembolism respondents accept the limitations of VKAs and the adjustments to their lifestyles, but recognize a lack of alternative treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anticoagulants / adverse effects
  • Anticoagulants / pharmacology*
  • Atrial Fibrillation / drug therapy*
  • Atrial Fibrillation / physiopathology
  • Data Collection
  • Diet
  • Drug Monitoring / methods
  • Female
  • Humans
  • International Normalized Ratio
  • Male
  • Middle Aged
  • Patient Satisfaction
  • Spain
  • United Kingdom
  • United States
  • Venous Thromboembolism / drug therapy*
  • Venous Thromboembolism / physiopathology
  • Vitamin K / antagonists & inhibitors*

Substances

  • Anticoagulants
  • Vitamin K