Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study
Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed ra...
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Veröffentlicht in: | Urologia internationalis 2014-01, Vol.92 (3), p.289-293 |
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creator | Benyo, Matyas Harsfalvi, Jolan Pfliegler, Gyorgy Molnar, Zsuzsanna Muranyi, Mihaly Jozsa, Tamas Flasko, Tibor |
description | Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed radical prostatectomies, way of thrombosis prophylaxis and number of experienced thrombotic events was posted to all departments of urology in Hungary. With a response rate of 59%, 506 radical prostatectomies were reported. Low molecular weight heparin was administered by 100% of the departments. Graduated support stockings were applied by 37% of the patients. Early mobilization was the most common form of mechanic prophylaxis (57%). Thrombotic events were experienced in 1.4%, 0.2% were fatal. The thrombosis prophylaxis of patients undergoing radical prostatectomy is not unified. Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines. |
doi_str_mv | 10.1159/000353918 |
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There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed radical prostatectomies, way of thrombosis prophylaxis and number of experienced thrombotic events was posted to all departments of urology in Hungary. With a response rate of 59%, 506 radical prostatectomies were reported. Low molecular weight heparin was administered by 100% of the departments. Graduated support stockings were applied by 37% of the patients. Early mobilization was the most common form of mechanic prophylaxis (57%). Thrombotic events were experienced in 1.4%, 0.2% were fatal. The thrombosis prophylaxis of patients undergoing radical prostatectomy is not unified. Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines.</description><identifier>ISSN: 0042-1138</identifier><identifier>EISSN: 1423-0399</identifier><identifier>DOI: 10.1159/000353918</identifier><identifier>PMID: 24280912</identifier><language>eng</language><publisher>Basel, Switzerland</publisher><subject>Early Ambulation ; Fibrinolytic Agents - administration & dosage ; Health Care Surveys ; Heparin, Low-Molecular-Weight - administration & dosage ; Humans ; Hungary ; Male ; Original Paper ; Practice Patterns, Physicians ; Prostatectomy - adverse effects ; Prostatectomy - mortality ; Stockings, Compression ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome ; Venous Thromboembolism - etiology ; Venous Thromboembolism - mortality ; Venous Thromboembolism - prevention & control</subject><ispartof>Urologia internationalis, 2014-01, Vol.92 (3), p.289-293</ispartof><rights>2013 S. 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Karger AG, Basel.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334t-6a5268678f618a33418f74c42bbba2179c62e5792677a464ac81f962aa8ef5603</citedby><cites>FETCH-LOGICAL-c334t-6a5268678f618a33418f74c42bbba2179c62e5792677a464ac81f962aa8ef5603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24280912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benyo, Matyas</creatorcontrib><creatorcontrib>Harsfalvi, Jolan</creatorcontrib><creatorcontrib>Pfliegler, Gyorgy</creatorcontrib><creatorcontrib>Molnar, Zsuzsanna</creatorcontrib><creatorcontrib>Muranyi, Mihaly</creatorcontrib><creatorcontrib>Jozsa, Tamas</creatorcontrib><creatorcontrib>Flasko, Tibor</creatorcontrib><title>Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study</title><title>Urologia internationalis</title><addtitle>Urol Int</addtitle><description>Venous thromboembolism is a possible fatal complication after pelvic surgery. There is a lack of trials assessing the effect of prophylactic measures in urology. The aim of the study was to evaluate the practice of thrombosis prophylaxis in a Central European country. A questionnaire of performed radical prostatectomies, way of thrombosis prophylaxis and number of experienced thrombotic events was posted to all departments of urology in Hungary. With a response rate of 59%, 506 radical prostatectomies were reported. Low molecular weight heparin was administered by 100% of the departments. Graduated support stockings were applied by 37% of the patients. Early mobilization was the most common form of mechanic prophylaxis (57%). Thrombotic events were experienced in 1.4%, 0.2% were fatal. The thrombosis prophylaxis of patients undergoing radical prostatectomy is not unified. Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines.</description><subject>Early Ambulation</subject><subject>Fibrinolytic Agents - administration & dosage</subject><subject>Health Care Surveys</subject><subject>Heparin, Low-Molecular-Weight - administration & dosage</subject><subject>Humans</subject><subject>Hungary</subject><subject>Male</subject><subject>Original Paper</subject><subject>Practice Patterns, Physicians</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatectomy - mortality</subject><subject>Stockings, Compression</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Venous Thromboembolism - etiology</subject><subject>Venous Thromboembolism - mortality</subject><subject>Venous Thromboembolism - prevention & control</subject><issn>0042-1138</issn><issn>1423-0399</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0DtPwzAUBWALgWh5DOwIWWKBIeBH4thsVVVoJV4COkc3rgOBPIrtSM2_x1WhE5Otcz8fyRehE0quKE3UNSGEJ1xRuYOGNGY8IlypXTQkJGYRpVwO0IFzn4QErNJ9NGAxk0RRNkSrZ2ucaTx-tqB9qQ1uC_z2Yds6b13pQtwuP_oKVuEeJi-wKDVU69h58Eb7tu5x2WDAky5QAw0et13jbX-DR3jaNe9gyxA-dNW6vfHG4lffLfojtFdA5czx73mI5reTt_E0un-6m41H95HmPPaRgIQJKVJZCCohRFQWaaxjluc5MJoqLZhJUsVEmkIsYtCSFkowAGmKRBB-iC42vUvbfnfG-awunTZVBY1pO5fRhErBiGAi0MsN1eF3zpoiW9qyBttnlGTrRWfbRQd79lvb5bVZbOXfZgM43YAvsO_GbsH2_fm_4_nscSOy5aLgP4xljWg</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Benyo, Matyas</creator><creator>Harsfalvi, Jolan</creator><creator>Pfliegler, Gyorgy</creator><creator>Molnar, Zsuzsanna</creator><creator>Muranyi, Mihaly</creator><creator>Jozsa, Tamas</creator><creator>Flasko, Tibor</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study</title><author>Benyo, Matyas ; Harsfalvi, Jolan ; Pfliegler, Gyorgy ; Molnar, Zsuzsanna ; Muranyi, Mihaly ; Jozsa, Tamas ; Flasko, Tibor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334t-6a5268678f618a33418f74c42bbba2179c62e5792677a464ac81f962aa8ef5603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Early Ambulation</topic><topic>Fibrinolytic Agents - administration & dosage</topic><topic>Health Care Surveys</topic><topic>Heparin, Low-Molecular-Weight - administration & dosage</topic><topic>Humans</topic><topic>Hungary</topic><topic>Male</topic><topic>Original Paper</topic><topic>Practice Patterns, Physicians</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatectomy - mortality</topic><topic>Stockings, Compression</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Venous Thromboembolism - etiology</topic><topic>Venous Thromboembolism - mortality</topic><topic>Venous Thromboembolism - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benyo, Matyas</creatorcontrib><creatorcontrib>Harsfalvi, Jolan</creatorcontrib><creatorcontrib>Pfliegler, Gyorgy</creatorcontrib><creatorcontrib>Molnar, Zsuzsanna</creatorcontrib><creatorcontrib>Muranyi, Mihaly</creatorcontrib><creatorcontrib>Jozsa, Tamas</creatorcontrib><creatorcontrib>Flasko, Tibor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urologia internationalis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benyo, Matyas</au><au>Harsfalvi, Jolan</au><au>Pfliegler, Gyorgy</au><au>Molnar, Zsuzsanna</au><au>Muranyi, Mihaly</au><au>Jozsa, Tamas</au><au>Flasko, Tibor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study</atitle><jtitle>Urologia internationalis</jtitle><addtitle>Urol Int</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>92</volume><issue>3</issue><spage>289</spage><epage>293</epage><pages>289-293</pages><issn>0042-1138</issn><eissn>1423-0399</eissn><abstract>Venous thromboembolism is a possible fatal complication after pelvic surgery. 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Due to the potential mortality of thrombotic complications it should be evaluated and prophylaxis should be recommended in urological guidelines.</abstract><cop>Basel, Switzerland</cop><pmid>24280912</pmid><doi>10.1159/000353918</doi><tpages>5</tpages></addata></record> |
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subjects | Early Ambulation Fibrinolytic Agents - administration & dosage Health Care Surveys Heparin, Low-Molecular-Weight - administration & dosage Humans Hungary Male Original Paper Practice Patterns, Physicians Prostatectomy - adverse effects Prostatectomy - mortality Stockings, Compression Surveys and Questionnaires Time Factors Treatment Outcome Venous Thromboembolism - etiology Venous Thromboembolism - mortality Venous Thromboembolism - prevention & control |
title | Present Practice of Thrombosis Prophylaxis of Radical Prostatectomy in a European Country: A Hungarian Multicenter Study |
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