Clinical Policy Title: Patient self-testing of prothrombin international normalized ratio (INR) measurement
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چکیده
ABOUT THIS POLICY: Keystone VIP Choice has developed clinical policies to assist with making coverage determinations. Keystone VIP Choice’s clinical policies are based on guidelines from established industry sources, such as the Centers for Medicare & Medicaid Services (CMS), state regulatory agencies, the American Medical Association (AMA), medical specialty professional societies, and peer-reviewed professional literature. These clinical policies along with other sources, such as plan benefits and state and federal laws and regulatory requirements, including any stateor plan-specific definition of “medically necessary,” and the specific facts of the particular situation are considered by Keystone VIP Choice when making coverage determinations. In the event of conflict between this clinical policy and plan benefits and/or state or federal laws and/or regulatory requirements, the plan benefits and/or state and federal laws and/or regulatory requirements shall control. Keystone VIP Choice’s clinical policies are for informational purposes only and not intended as medical advice or to direct treatment. Physicians and other health care providers are solely responsible for the treatment decisions for their patients. Keystone VIP Choice’s clinical policies are reflective of evidence-based medicine at the time of review. As medical science evolves, Keystone VIP Choice will update its clinical policies as necessary. Keystone VIP Choice’s clinical policies are not guarantees of payment.
منابع مشابه
Point of Care Prothrombin Time/International Normalized Ratio Devices for Monitoring Warfarin Therapy SCOPE The FDA has become aware of performance problems associated with point of care (POC) Prothrombin Time (PT)/International Normalized Ratio
The FDA has become aware of performance problems associated with point of care (POC) Prothrombin Time (PT)/International Normalized Ratio (INR) devices that raise patient safety concerns. Numerous reports of serious adverse events for POC PT/INR devices have been submitted to the FDA. The FDA’s postmarket analysis of these reports indicates that the adverse events appear to be linked to inaccur...
متن کاملPoint-of-care INR coagulometers for self-management of oral anticoagulation: primary care diagnostic technology update.
British Journal of General Practice, November 2012 e798 ADVANTAGES OVER EXISTING TECHNOLOGY Devices to measure international normalised ratio (INR) are intended for both professional use and patient self-testing to monitor oral anticoagulant therapy. INR is a standardised measurement of the prothrombin time, which is the time it takes blood to clot after addition of tissue factor. Point-of-care...
متن کاملClinical Utility and Accuracy of Coaguchek XS, a Reliable Alternative to Laboratory International Normalized Ratio Monitoring in Korean Patients With Atrial Fibrillation
Background and Objectives: To evaluate the accuracy and the clinical utility of the Coaguchek XS, a portable point-of-care coagulometer, compared to standard laboratory methods in Korean patients. Subjects and Methods: We included 107 patients with atrial fibrillation on long-term oral warfarin therapy. The prothrombin time as expressed by the international normalized ratio (INR) was measured b...
متن کاملA Case Report of a Patient Carrying CYP2C9*3/4 Genotype with Extremely Low Warfarin Dose Requirement
We report a case of intolerance to warfarin dosing due to impaired drug metabolism in a patient with CYP2C9*3/*4. A 73-yr-old woman with atrial fibrilation was taking warfarin. She attained a high prothrombin time international normalized ratio (INR) at the standard doses during the induction of anticoagulation and extremely low dose of warfarin (6.5 mg/week) was finally chosen to reach the tar...
متن کاملNecessity of Routine Repeat Testing of Critical Values in Various Working Shifts
Background & Objective: Accurate and timely reporting of critical values is an important issue. There is some doubt whether repeat testing of critical values would offer any advantage over single testing or not. The aim of this study was evaluation of utility of routine repeat testing of critical values in our referral center and to compare probable variations in different work...
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