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8/15/2000

Geriatrics Society Advises on Warfarin Use

Katherine M. Bennett

To encourage the appropriate use of warfarin in the elderly, the American Geriatrics Society has developed clinical practice guidelines specific for patients older than 65 years.

The guidelines, whose development was supported by the manufacturer of Coumadin, are a reworking of recommendations from the 1998 American College of Chest Physicians consensus guidelines on antithrombotic therapy—with more recent literature taken into account—and are available in the February issue of the Journal of the American Geriatrics Society. Warfarin therapy is underused in older adults despite their risk for conditions warranting treatment. The evidence and a commentary by Charles A. Cefalu, M.D., can help practitioners identify the well-accepted indications for warfarin use in the elderly and select the best regimen.