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Title: Thromboprophylaxis among Australasian colorectal surgeons.
Epworth Authors: Smart, Philip
Lynch, A. Craig
Heriot, Alexander
Other Authors: Burbury, Kate
Lingaratnam, S.
Mackay, John
Keywords: Colorectal neoplasm
Colorectal surgery
Health care survey
Issue Date: Sep-2013
Citation: ANZ J Surg. 2013 Sep;83(9):646-50.
Abstract: BACKGROUND: Thromboembolism is a common cause of morbidity and mortality in patients with colorectal cancer, but thromboprophylaxis (TP) is underutilized. Current guidelines do not make specific recommendations for colorectal cancer patients and provide minimal guidance for the ambulatory setting, although emerging evidence suggests TP may be warranted during chemoradiotherapy or in the extended post-operative phase. A survey of Australasian colorectal surgeons was therefore performed to assess current TP practice and attitudes. METHODS: An online survey was sent to 204 surgeons who were members of the Colorectal Surgical Society of Australia and New Zealand. RESULTS: One hundred twenty-eight surgeons (63%) completed the survey. Most surgeons consult available guidelines, and where recommendations are made, current practice is in line with them. Lack of data, lack of ownership, logistical issues and an absence of guideline recommendations currently prevent surgeons from instituting TP in the neoadjuvant treatment period. Fifty-four per cent of surgeons currently prescribe TP after hospital discharge; those that do not, cite logistical issues as the main constraint. CONCLUSION: More data on thromboembolism risk during various treatment phases are required and should be promulgated in tumour-specific guidelines. Logistical barriers to adopting TP in the ambulatory setting should be addressed.
Description: Survey
DOI: 10.1111/j.1445-2197.2012.06245.x
PubMed URL:
ISSN: 1445-2197
Journal Title: ANZ Journal of Surgery
Type: Journal Article
Affiliated Organisations: Department of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Appears in Collections:Cancer Services

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