Table 1.
Inclusion criteria | Exclusion criteria |
---|---|
Elective hip or knee arthroplasty (not hip fracture) | Currently taking warfarin |
≥65 years of age | Incarcerated or institutionalized |
Has Medicare Part B | Thrombocytopenia (platelets < 75K) |
Warfarin prophylaxis anticipated for at least 4 weeks | History of venous thromboembolism |
Reliable telephone access | History of thrombophilia |
Willing to give consent (English only) | History of major bleeding or bleeding disorder (e.g. hemophilia, von Willebrand disease, etc.) |
Willing/able to have Doppler Ultrasound at 4–6 week follow-up visit | Planned administration of any anticoagulant other than warfarin (except heparin flushes) |
Baseline INR <1.35 | Warfarin genotypes or prior therapeutic warfarin dose known |
Life expectancy >6 months | Warfarin allergy |
Unlikely to be compliant (e.g. history of non-compliance, substance abuse, etc.) | |
First degree relative with VTE before age 50 | |
Planned administration of interacting medications, except those taken into account by WarfarinDosing.org* | |
Alcoholism not in remission for past 6 months |
carbamazepine, rifampin, barbiturates, phenytoin