Document Detail


The clinical thrombosis center and clinical thrombologist: a new US health systems paradigm for the management of venous thromboembolic disease.
MedLine Citation:
PMID:  14739633     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
New paradigms for the diagnosis, prophylaxis, acute treatment, and ongoing management of patients with venous thromboembolic disease (VTE), a better understanding of the genotypic and phenotypic mechanisms of thrombophilic states, and the possibility of a greatly expanded armamentarium of antithrombotic therapies are necessitating a more formalized and systematic approach to VTE management. This has required many US healthcare institutions to develop piecemeal approaches in management models for VTE utilizing local champions from a variety of subspecialties. Development of a formalized Clinical Thrombosis Center from an already established Anticoagulant Management Service utilizing a clinical thrombologist, a new role for a physician who has developed expertise in anticoagulation and VTE management, presents a new paradigm in which this disease may be approached at a formalized, institutional level. Thus the clinical thrombologist working through a Clinical Thrombosis Center can develop a system-of-care approach to link the rapid advances in the field of thromboembolism to clinical applications, formulate evidence-based disease management guidelines, and conduct patient-oriented translational clinical research in VTE.
Authors:
Alex C Spyropoulos; William Haire
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of thrombosis and thrombolysis     Volume:  15     ISSN:  0929-5305     ISO Abbreviation:  J. Thromb. Thrombolysis     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2004-01-23     Completed Date:  2004-10-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9502018     Medline TA:  J Thromb Thrombolysis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  IM    
Affiliation:
Clinical Thrombosis Center, Lovelace Health Systems, 5400 Gibson Boulevard SE, Albuquerque, NM 87108, USA. alex.spyropoulos@lovelacesandia.com
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MeSH Terms
Descriptor/Qualifier:
Cardiology / manpower,  organization & administration*
Disease Management
Hematology / manpower,  organization & administration
Hospital Units / manpower,  organization & administration*
Humans
Institutional Practice*
Patient Care Management*
Practice Guidelines as Topic
Thromboembolism / therapy
United States
Venous Thrombosis / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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