We read with interest the article by Evans and Kalra1 recently published in the ARCHIVES, and we have some concerns about their conclusions. By stating that patients undergoing anticoagulation (AC) therapy in clinical practice have stroke and major bleeding rates similar to those of patients in randomized controlled trials, the authors suggest that warfarin underuse depends exclusively on physician malpractice. We disagree; interpretation of the results should be more prudent.
Bellelli G, Guerini F, Bianchetti A, Trabucchi M. Anticoagulation Treatment in Disabled Patients. Arch Intern Med. 2002;162(1):107-108. doi: