Re: E-DRUG: Low Molecular Weight Heparins

[Joel Lexchin <joel.lexchin@utoronto.ca>]

E-DRUG: Low Molecular Weight Heparins (cont)
--------------------------------------------

> [Thanks, Joel! Is the Annals of Int Med somewhere on the Internet? WB]

To access past issues of the Annals of Internal Medicine go to:
<www.acponline.org/journals/annals/pastiss.htm>

Joel Lexchin
121 Walmer Rd.
Toronto, Ontario
CANADA M5R 2X8
Phone: +416-964-7186
Fax:   +416-923-9515
e mail:  joel.lexchin@utoronto.ca

---------- 
From: "Randy Trinkle" <rtrinkle@rosencrantz.citytel.net>

> [Thanks, Joel! Is the Annals of Int Med somewhere on the Internet? WB]

Low-Molecular-Weight Heparins Compared with Unfractionated Heparin 
for Treatment of Acute Deep Venous Thrombosis: A Meta-Analysis of
Randomized, Controlled Trials 

Annals of Internal Medicine, 18 May 99.130:800-809.

Michael K. Gould, MD, MSc; Anne D. Dembitzer, MD; Ramona L. Doyle, MD;
Trevor J. Hastie, PhD; and Alan M. Garber, MD, PhD

http://www.acponline.org/journals/annals/18may99/gould2.htm

Low-Molecular-Weight Heparins Compared with Unfractionated Heparin for
Treatment of Acute Deep Venous Thrombosis: A Cost-Effectiveness
Analysis 

Annals of Internal Medicine, 18 May 99. 130:789-799.

Michael K. Gould, MD, MSc; Anne D.; Dembitzer, MD; Gillian D. 
Sanders, PhD; and Alan M. Garber, MD, PhD

http://www.acponline.org/journals/annals/18may99/gould.htm
________________________________________

Regarding pharmacoeconomic analyses:  I'm curious how the
results based on practice/drug costs/lab costs translate
from one country to the next.  In our province, for example,
many drugs used in hospital are purchased at a contract 
price that is frequently than that available to community
pharmacies.  Monitoring practices - entailing eg platelet
counts or PTT (for standard heparin) - in our hospital may
not be the same as in others.  To what extent can one 
extrapolate findings such as those in the second article?

Any thoughts?

***************************************
Randy Trinkle, BScPharm, BA
Pharmacy Department
Prince Rupert Regional Hospital
Prince Rupert, BC
mailto:rtrinkle@mail.citytel.net
Health Science links:
http://www.rupert.net/~rtrinkle
***************************************
  
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