RT Journal A1 Gomes T, Mamdani MM, Holbrook AM, Paterson J, Juurlink DN T1 PErsistence with therapy among patients treated with warfarin for atrial fibrillation JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2012 FD November 26 VO 172 IS 21 SP 1687 OP 1689 DO 10.1001/archinternmed.2012.4485 UL http://dx.doi.org/10.1001/archinternmed.2012.4485 AB The major challenges of warfarin therapy relate to poor adherence and persistence, the need for regular monitoring, and the risk of hemorrhage. In clinical trials, persistence with warfarin treatment ranges from 75% to 79% at 1 year,1- 2 but persistence in clinical practice is thought to be poorer. Small observational studies suggest that approximately one-quarter of patients cease warfarin treatment within a year of initiation.3- 4 To our knowledge, there are currently no large studies offering real-world estimates of persistence among warfarin users.