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Type: Journal article
Title: The Australian arthroplasty thromboprophylaxis survey
Author: Molnar, R.
Jenkin, D.
Millar, M.
Campbell, D.
Harris, I.
Citation: Journal of Arthroplasty, 2011; 27(2):173-179
Publisher: Churchill Livingstone Inc Medical Publishers
Issue Date: 2011
ISSN: 0883-5403
Statement of
Robert B. Molnar, Deanne E. Jenkin, Michael J. Millar, David Campbell and Ian A. Harris
Abstract: Previous surveys of orthopedic surgeons have shown considerable variation in thromboprophylaxis for venous thromboembolism after joint arthroplasty. This survey aimed to determine the current practice among Australian orthopedic surgeons. A questionnaire regarding the duration, reasons, and methods of chemical and mechanical prophylaxis for hip and knee arthroplasty patients was sent to the 1082 surgeons identified; 593 (55%) members completed the questionnaire. The survey revealed that 98% of surgeons used chemical thromboprophylaxis, mainly low-molecular-weight heparin (84% hip and 79% knee). Those who use low-molecular-weight heparin were more likely to prescribe anticoagulants in fear of litigation (19.2% vs 10.1%, P = .04) and more likely to rely on protocols or guidelines (32.2% vs 17.2%, P = .004) instead of basing their decision on their own reading (52.4% vs 71.3%, P = .001). Most orthopedic surgeons in our survey have indicated that they would welcome guidelines from their association or college regarding thromboprophylaxis in arthroplasty.
Keywords: Humans; Aspirin; Warfarin; Heparin, Low-Molecular-Weight; Anticoagulants; Motion Therapy, Continuous Passive; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Data Collection; Risk Factors; Attitude of Health Personnel; Australia; Practice Guidelines as Topic; Venous Thromboembolism; Surveys and Questionnaires; Practice Patterns, Physicians'
Rights: Copyright © 2012 Elsevier B.V.
RMID: 0020117698
DOI: 10.1016/j.arth.2011.05.003
Appears in Collections:Orthopaedics and Trauma publications

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