Article

Point of care INR testing

Roche Diagnostics
Published on January 30, 2020 | 7 min read
Coagulation self-monitoring

The benefits of point of care testing

Point of care testing (POCT), is comparable to laboratory testing for INR measurements with regards to the precision1-3 and accuracy3-6 of results and the clinical agreement in the VKA-dosing decision. 3,6,7

CoaguChek systems offer a holistic solution that can help you improve quality of care, patient satisfaction and workflow efficiency.

Streamline your workflow

POCT can streamline anticoagulation management and improve workflow efficiency over usual care by providing:

  • Shorter clinic visits13-15
  • Reduced workload9,14
  • Faster clinical decisions including immediate on-the-spot dose adjustment9,14,16,17
More time more efficiency

Improve patient care and satisfaction

Patients managed with POCT achieve a higher time in therapeutic range and fewer values out of range compared with patients treated with usual care.18-20

This results in:

  • Fewer treatment-related complications9,21
  • Fewer hospitalizations and emergency department visits9,21
  • Improved patient satisfaction13,22,23
More freedom

Increase revenue and cut costs

Economic evaluations have shown that POCT is a cost-effective alternative to usual care24,25 and is associated with:

  • Reduced clinic running costs14,22
  • Increased revenue generation in some settings9
  • Cost savings due to fewer hospitalizations and emergency department visits9,10
  • The potential to reduce costs for the healthcare system24-26
More control
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Contributors

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Roche Diagnostics

Roche Diagnostics is a division of Roche, developing and integrating diagnostic solutions that address today’s healthcare challenges while anticipating tomorrow’s needs. In more than 100 countries, we provide one of the industry’s most comprehensive in vitro diagnostics portfolios spanning molecular diagnostics, clinical chemistry and immunoassays, tissue diagnostics, Point of Care testing, patient self-testing, next-generation sequencing, laboratory automation and IT, as well as digital health and decision-support solutions.

Our articles are authored by Roche Diagnostics subject matter experts, drawing on collective expertise across multiple disciplines to provide reliable insights for healthcare professionals worldwide.

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Abbreviations

INR: International Normalized Ratio; VKA: vitamin K antagonist

References

  1. Bonar et al. (2015). Semin Thromb Hemost 41, 279–286
  2. Plesch et al. (2008). Thromb Res 123, 381–389.
  3. Christensen et al. (2012). J Thromb Haemost 10, 251–60 
  4. Meneghelo et al. (2015). Int J Lab Hematol 37, 536–543
  5. Plesch et al. (2009). Int J Lab Hematol 31, 20–5 
  6. Dillinger et al. (2016). Thromb Res 140, 66–72
  7. Colella et al. (2012). Blood Coagul Fibrinolysis 23, 172–174
  8. Larsson et al. (2015). Ups J Med Sci 120, 1–10
  9. Wurster & Doran. (2006). Dis Manag 9, 201–209
  10. Rudd & Dier. (2010). Pharmacotherapy 30, 330–338
  11. Shaw et al. (2014). Int J Pharm Pract 22, 397–406
  12. Gubala et al. (2012). Anal Chem 84, 487–515
  13. Kong et al. (2008). Ann Hematol 87, 905–910
  14. Fernholm & Hermansson. (2015). BMJ Qual Improv Rep 4, pii: u208905.w3692
  15. Kasinathan et al. (2016). OALib J 3, e242281
  16. Smith et al. (2012). Am J Med Sci 344, 289–293
  17. Richter et al. (2016). Ann Pharmacother 50, 645–648
  18. Harrison et al. (2015). Int J Pharm Pract 23, 173-181
  19. Okuyama et al. (2014). Circ J 78, 1342–1348
  20. Mearns et al. (2014). Thromb J 12, 14
  21. Karlsson (2016). BMJ Qual Improv Rep 5, pii: u211003.w4421
  22. Chan et al. (2006). Br J Clin Pharmacol 62, 601–609
  23. Thompson et al. (2009). Pharm Pract (Granada) 7, 213–217
  24. Health Quality Ontario. (2009). Ont Health Technol Assess Ser 9, 1–114
  25. Claes et al. (2006). Value Health 9, 369–376  
  26. Gerkens et al. (2012). J Thromb Thrombolysis 34, 300–309