Use of Tromboprophylaxis in Renal Surgery in the Nordic Countries

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Fältnamn	Indikatorer	Metadata
000		03794naa a2200313 4500
001		oai:DiVA.org:oru-75254
003		SwePub
008		190725s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-752542 URI
040		a (SwePub)oru
041		a engb eng
042		9 SwePub
072	7	a vet2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Pedersen, Torben Brochneru Odense University Hospital, Odense, Denmark4 aut
245	1 0	a Use of Tromboprophylaxis in Renal Surgery in the Nordic Countries
264	1	b Taylor & Francis,c 2019
338		a print2 rdacarrier
520		a Introduction: In 2017 a work panel under the European Association of Urology (EAU) pubslished the first comprehensive guideline specific to urology. The guideline offers practical evidence based guidance on use of tromboproprophylaxis (TP). Prior to this guideline publication, a previous questionaire (The NoRenCa-2 study) suggested a high degree of variation in TP practice in renal surgery across the nordic countries. We sought to examine the current practice at different urological departments accross the nordic region.Materials and Method: A questionaire was distrubuted by e-mail to urological departments performing renal surgery. The questionnaire addressed familiarity with The American College of Chest Physicians (AACP), The National Institute for Health and Care Excellence (NICE), EAU, local and national guidelines and adressed TP practice specific for renal surgical procedures.Results: Eighty-four sites were invited to complete the questionarie (reponse rate 45.9%). Participants expressed familiarity with the local (71.8%) guidelines followed by EAU (61.5%), National (41.0%) and AACP (7.7%) guidelines. Local (64.1%) guidelines was adhered to the most followed by EAU (43.6%) and National (23.1%) guidelines. For open nephrectomy, with no known risk factor for thrombosis, 94.9% offered Low Molecular Weight Heparin followed by early ambulation (69.2%), Graduated compression stockings (48.7%), Intermittent Pneumatic Compressionstockings (5.1%) and unfractionated Heparin (5.1%). A duration of 28 days (30.8%) was suggested by a majority while the remainder continued prophylaxis until discharge (20.5%), 10-14 days (5.1%), other duration (5.1%), 14-21 days (2.6%), 21-27 days (2.6%) and until ambulation(2.6%). Pharmacological TP was initiated postoperatively (56.4%) rather than preoperatively (37.2%)Conclusion: TP is used widely across the nordic countries in a majority of renal procedures. Timing, duration and type of TP nevertheless varies greatly among sites
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
700	1	a Skov-Jeppesen, Sune Mølleru Department of Urology, Odense University Hospital, Odense, Denmark4 aut
700	1	a Sundqvist, Pernilla,d 1973-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology4 aut0 (Swepub:oru)pst
700	1	a Nisen, Harryu Department of Urology, Helsinki University Central Hospital, Helsinki, Finland4 aut
700	1	a Guðmundsson, Eirikur Orriu Department of Urology, Landspitali University hospital, Reykjavik, Iceland4 aut
700	1	a Lund, Larsu Odense University Hospital, Odense, Denmark4 aut
710	2	a Odense University Hospital, Odense, Denmarkb Department of Urology, Odense University Hospital, Odense, Denmark4 org
773	0	t Scandinavian journal of urologyd : Taylor & Francisg 53:Suppl. 221, s. 37-37q 53:Suppl. 221<37-37x 2168-1805x 2168-1813
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-75254

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Av författaren/redakt...: Pedersen, Torben ...; Skov-Jeppesen, S ...; Sundqvist, Perni ...; Nisen, Harry; Guðmundsson, Eir ...; Lund, Lars

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Av lärosätet: Örebro universitet

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