Few urologists follow peri-op thromboprophylaxis guidelines

Few urologists follow peri-op thromboprophylaxis guidelines
Among American Urological Association members, self-reported adherence to the Best Practice Statement on the use of thromboprophylaxis in patients undergoing urological procedures is low, according to research published in the September issue of The Journal of Urology.

(HealthDay)—Among American Urological Association (AUA) members, self-reported adherence to the Best Practice Statement on the use of thromboprophylaxis in patients undergoing urological procedures is low, according to research published in the September issue of The Journal of Urology.

Steve Sterious, M.D., of the Temple University School of Medicine in Philadelphia, and colleagues sent an electronic survey to 10,966 AUA members to assess adherence to the AUA Best Practice Statement on the use of thromboprophylaxis for urological procedures.

The researchers found that, among 1,210 survey responses, the largest group of respondents was urological oncologists and/or laparoscopic/robotic specialists (26.0 percent); this group reported greater use of thromboprophylaxis (odds ratio [OR], 1.3) than non-urological and/or laparoscopic/robotic specialists. About half of the respondents were aware of the guidelines, and familiarity with the Best Practice Statement was associated with a higher likelihood of use of thromboprophylaxis (OR, 1.4). Urologists who recently completed residency training (graduating after the year 2000) were significantly more likely to use thromboprophylaxis in high- undergoing radical cystectomy (79.2 percent) than were earlier graduates (63.4 percent).

"Self-reported adherence to AUA Best Practice Statement was low, even in high risk cases with clear AUA Best Practice Statement recommendations such as radical cystectomy," the authors write. "These data identify opportunities for quality improvement in patients undergoing major urological surgery."

One study author disclosed financial ties to pharmaceutical companies.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Men say they want prostate cancer test, despite risks

Jul 09, 2013

A survey of men age 40 to 74 found that 54 percent said that they would still opt for a popular prostate cancer screening test despite recent recommendations that the test not be performed, finds a new study ...

Quality-of-life tools underused by prostate cancer docs

Jul 19, 2013

(HealthDay)—More than half of radiation oncologists and urologists in the United States use prostate cancer nomograms, but only about one-quarter use quality-of-life and life-expectancy prediction instruments, ...

Similar oncologic efficacy for robotic, open cystectomy

Dec 21, 2012

(HealthDay)—For patients with bladder cancer undergoing radical cystectomy, a robotic approach seems to have the same oncologic efficacy as an open approach and demonstrates potential perioperative benefits, ...

Recommended for you

Where Ebola battles are won

3 hours ago

(HealthDay)—Four hospitals that are home to advanced biocontainment facilities have become America's ground zero in the treatment of Ebola patients.

Depression tied to worse lumbar spine surgery outcomes

6 hours ago

(HealthDay)—Depressive symptoms are associated with poorer long-term outcome in patients undergoing surgery for lumbar spinal stenosis (LSS), according to research published in the Oct. 1 issue of The Sp ...

Ebola death toll edging to 4,900 mark: WHO

6 hours ago

The death toll in the world's worst-ever Ebola outbreak has edged closer to 4,900, while almost 10,000 people have now been infected, new figures from the World Health Organization showed Wednesday.

US to track everyone coming from Ebola nations

6 hours ago

U.S. authorities said Wednesday that everyone traveling into the U.S. from Ebola-stricken nations will be monitored for symptoms for 21 days. That includes returning American aid workers, federal health employees ...

User comments