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أعرض في EDS

Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ)

التفاصيل البيبلوغرافية
العنوان: Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ)
المؤلفون: João Alberto Ramos Maradei-Pereira, Mateus Costa Barbosa, Derek Frederick Silva Newbery, Marcelo Rodrigues Torres, André Kuhn, Marco Kawamura Demange
المصدر: Revista Brasileira de Ortopedia, Vol 57, Iss 5, Pp 747-765 (2022)
بيانات النشر: Thieme Revinter Publicações Ltda., 2022.
سنة النشر: 2022
المجموعة: LCC:Medicine
LCC:Orthopedic surgery
مصطلحات موضوعية: thrombosis, thromboembolism, embolism and thrombosis, low-molecular weight heparin, enoxaparin, intermittent pneumatic compression devices, Medicine, Orthopedic surgery, RD701-811
الوصف: Abstract Objective The present study describes the preferences and current practices of a sample of knee surgeons in Brazil regarding thromboprophylaxis in total knee arthroplasty (TKA). Method In the present internet survey, surgeons from the Brazilian Knee Surgery Society (SBCJ, in the Portuguese acronym) voluntarily answered an anonymous questionnaire including time of personal surgical experience, perceptions about the best thromboprophylaxis options, and actual practices in their work environment. Results From December 2020 to January 2021, 243 participants answered the questionnaire. All, except for 3 (1.2%), reported using thromboprophylaxis, and most (76%) combined pharmacological and mechanical techniques. The most prescribed drug was enoxaparin (87%), which changed to rivaroxaban (65%) after discharge. The time of thromboprophylaxis initiation varied according to the length of training of the knee surgeon (p ≤ 0.03), and their preferences and practices differed according to the Brazilian region (p< 0.05) and the health system in which the surgeons work (public or private sector; p= 0.024). The option for mechanical thromboprophylaxis also depended on the training time of the surgeon. Conclusion Thromboprophylaxis preferences and practices in TKA are diverse across Brazilian regions and health systems (public or private sectors). Given the lack of a national clinical guideline, most orthopedists follow either their hospital guidelines or none. The mechanical prophylaxis method and the little use of aspirin are the points that most diverge from international guidelines and practices.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Portuguese
تدمد: 1982-4378
Relation: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500747&lng=en&tlng=en; http://www.scielo.br/pdf/rbort/v57n5/0102-3616-rbort-57-05-0747.pdf; https://doaj.org/toc/1982-4378
DOI: 10.1055/s-0042-1745802
URL الوصول: https://doaj.org/article/4c0bac6caa554504b41387cd0428073f
رقم الأكسشن: edsdoj.4c0bac6caa554504b41387cd0428073f
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19824378
DOI:10.1055/s-0042-1745802