Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ)
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 Portugues...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2022-11-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500747&lng=en&tlng=en |
| _version_ | 1797334398133075968 |
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| author | João Alberto Ramos Maradei-Pereira Mateus Costa Barbosa Derek Frederick Silva Newbery Marcelo Rodrigues Torres André Kuhn Marco Kawamura Demange |
| author_facet | João Alberto Ramos Maradei-Pereira Mateus Costa Barbosa Derek Frederick Silva Newbery Marcelo Rodrigues Torres André Kuhn Marco Kawamura Demange |
| author_sort | João Alberto Ramos Maradei-Pereira |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-08T08:20:14Z |
| format | Article |
| id | doaj.art-4c0bac6caa554504b41387cd0428073f |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:20:14Z |
| publishDate | 2022-11-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-4c0bac6caa554504b41387cd0428073f2024-02-02T06:13:42ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782022-11-0157574776510.1055/s-0042-1745802Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ)João Alberto Ramos Maradei-Pereirahttps://orcid.org/0000-0003-4330-9406Mateus Costa Barbosahttps://orcid.org/0000-0003-3934-2852Derek Frederick Silva Newberyhttps://orcid.org/0000-0002-5321-9546Marcelo Rodrigues Torreshttps://orcid.org/0000-0001-8468-7273André Kuhnhttps://orcid.org/0000-0003-2959-9048Marco Kawamura Demangehttps://orcid.org/0000-0003-1999-9478Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500747&lng=en&tlng=enthrombosisthromboembolismembolism and thrombosislow-molecular weight heparinenoxaparinintermittent pneumatic compression devices |
| spellingShingle | João Alberto Ramos Maradei-Pereira Mateus Costa Barbosa Derek Frederick Silva Newbery Marcelo Rodrigues Torres André Kuhn Marco Kawamura Demange Preferences and Practices of Brazilian Orthopedists for Thromboprophylaxis Techniques in Total Knee Arthroplasty: Survey Among Members of the Brazilian Society of Knee Surgery (SBCJ) Revista Brasileira de Ortopedia thrombosis thromboembolism embolism and thrombosis low-molecular weight heparin enoxaparin intermittent pneumatic compression devices |
| 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 |
| topic | thrombosis thromboembolism embolism and thrombosis low-molecular weight heparin enoxaparin intermittent pneumatic compression devices |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000500747&lng=en&tlng=en |
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