Cargando…
Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ)
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...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda.
2022
|
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550374/ https://www.ncbi.nlm.nih.gov/pubmed/36226205 http://dx.doi.org/10.1055/s-0042-1745802 |
_version_ | 1784805869709426688 |
---|---|
author | Maradei-Pereira, João Alberto Ramos Barbosa, Mateus Costa Newbery, Derek Frederick Silva Torres, Marcelo Rodrigues Kuhn, André Demange, Marco Kawamura |
author_facet | Maradei-Pereira, João Alberto Ramos Barbosa, Mateus Costa Newbery, Derek Frederick Silva Torres, Marcelo Rodrigues Kuhn, André Demange, Marco Kawamura |
author_sort | Maradei-Pereira, João Alberto Ramos |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9550374 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Thieme Revinter Publicações Ltda. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95503742022-10-11 Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) Maradei-Pereira, João Alberto Ramos Barbosa, Mateus Costa Newbery, Derek Frederick Silva Torres, Marcelo Rodrigues Kuhn, André Demange, Marco Kawamura Rev Bras Ortop (Sao Paulo) 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. Thieme Revinter Publicações Ltda. 2022-08-01 /pmc/articles/PMC9550374/ /pubmed/36226205 http://dx.doi.org/10.1055/s-0042-1745802 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Maradei-Pereira, João Alberto Ramos Barbosa, Mateus Costa Newbery, Derek Frederick Silva Torres, Marcelo Rodrigues Kuhn, André Demange, Marco Kawamura Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title | Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title_full | Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title_fullStr | Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title_full_unstemmed | Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title_short | Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) |
title_sort | preferences and practices of brazilian orthopedists for thromboprophylaxis techniques in total knee arthroplasty: survey among members of the brazilian society of knee surgery (sbcj) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9550374/ https://www.ncbi.nlm.nih.gov/pubmed/36226205 http://dx.doi.org/10.1055/s-0042-1745802 |
work_keys_str_mv | AT maradeipereirajoaoalbertoramos preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj AT barbosamateuscosta preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj AT newberyderekfredericksilva preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj AT torresmarcelorodrigues preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj AT kuhnandre preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj AT demangemarcokawamura preferencesandpracticesofbrazilianorthopedistsforthromboprophylaxistechniquesintotalkneearthroplastysurveyamongmembersofthebraziliansocietyofkneesurgerysbcj |