The Australian arthroplasty thromboprophylaxis survey

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dc.contributor.authorMolnar, R.
dc.contributor.authorJenkin, D.
dc.contributor.authorMillar, M.
dc.contributor.authorCampbell, D.
dc.contributor.authorHarris, I.
dc.date.issued2011
dc.description.abstractPrevious 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.
dc.description.statementofresponsibilityRobert B. Molnar, Deanne E. Jenkin, Michael J. Millar, David Campbell and Ian A. Harris
dc.identifier.citationJournal of Arthroplasty, 2011; 27(2):173-179
dc.identifier.doi10.1016/j.arth.2011.05.003
dc.identifier.issn0883-5403
dc.identifier.issn1532-8406
dc.identifier.orcidCampbell, D. [0000-0002-1572-9529]
dc.identifier.urihttp://hdl.handle.net/2440/71626
dc.language.isoen
dc.publisherChurchill Livingstone Inc Medical Publishers
dc.rightsCopyright © 2012 Elsevier B.V.
dc.source.urihttps://doi.org/10.1016/j.arth.2011.05.003
dc.subjectHumans
dc.subjectAspirin
dc.subjectWarfarin
dc.subjectHeparin, Low-Molecular-Weight
dc.subjectAnticoagulants
dc.subjectMotion Therapy, Continuous Passive
dc.subjectArthroplasty, Replacement, Hip
dc.subjectArthroplasty, Replacement, Knee
dc.subjectData Collection
dc.subjectRisk Factors
dc.subjectAttitude of Health Personnel
dc.subjectAustralia
dc.subjectPractice Guidelines as Topic
dc.subjectVenous Thromboembolism
dc.subjectSurveys and Questionnaires
dc.subjectPractice Patterns, Physicians'
dc.titleThe Australian arthroplasty thromboprophylaxis survey
dc.typeJournal article
pubs.publication-statusPublished

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