État des connaissances et des pratiques sur l'utilisation des anticoagulants oraux directs par les médecins généralistes réunionnais

Abstract : Recommendations on the use of direct oral anticoagulants are evolving and the specificity of each AOD may make their use in general practice complex. The main objective of the study was to assess the knowledge and practices on their use in the office of general medicine in Reunion. This is a qualitative, prospective, declarative-type investigation using a questionnaire sent to GPs from June to November 2016. 74 GPs responded to the questionnaire. 90% of physicians prescribe AOD and 51% initiate. Venous thromboembolic disease and the maintenance of difficult INR in a patient under AVK are the two main indications used for initiation. 34% of doctors contraindicate AODs if the patient is aged (> 75 years). In the indications for prevention and treatment of venous thromboembolic events, rivaroxaban was the most selected. 12.5% of physicians do not consider further examination at initiation of treatment. The complex situations encountered in the practice are most often haemorrhagic complications. 11 doctors stopped treatment with AOD because of a serious side effect. Finally, 64% of the doctors have no knowledge of an antidote. The procedures for initiation, contraindications and indications for AOD are known to general practitioners. Although doctors are not reluctant to prescribe AOD, the particularities of each anticoagulant and the evolution of the recommendations are not obvious. This makes their use complex.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01516013
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, April 28, 2017 - 2:54:00 PM
Last modification on : Friday, September 8, 2017 - 1:09:19 AM

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Marion Leroy. État des connaissances et des pratiques sur l'utilisation des anticoagulants oraux directs par les médecins généralistes réunionnais. Médecine humaine et pathologie. 2017. ⟨dumas-01516013⟩

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