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https://hdl.handle.net/2440/71626
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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 1532-8406 |
Statement of Responsibility: | 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. |
DOI: | 10.1016/j.arth.2011.05.003 |
Published version: | http://dx.doi.org/10.1016/j.arth.2011.05.003 |
Appears in Collections: | Aurora harvest Orthopaedics and Trauma publications |
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