The Clinical Thrombosis Center and Clinical Thrombologist: A New US Health Systems Paradigm for the Management of Venous Thromboembolic Disease
| Autor: | Alex C. Spyropoulos, William D. Haire |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Cardiology Disease Venous thromboembolic disease Thromboembolism Antithrombotic Health care medicine Humans cardiovascular diseases Disease management (health) Intensive care medicine Venous Thrombosis business.industry Disease Management Hematology medicine.disease Thrombosis United States Patient Care Management Venous thrombosis Clinical research Practice Guidelines as Topic Workforce Cardiology and Cardiovascular Medicine business Hospital Units Institutional Practice |
| Zdroj: | Journal of Thrombosis and Thrombolysis. 15:227-232 |
| ISSN: | 0929-5305 |
| DOI: | 10.1023/b:thro.0000011378.16223.e4 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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