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    Öğe
    The changes in preferences for venous thromboembolism prophylaxis after total joint arthroplasty in Turkey: A survey
    (Turkish Joint Diseases Foundation, 2018) Azboy, Nesrullah; Cimen, Cgouzhan; Demirtas, Abdullah; Elci, Serhat; Azboy, Ibrahim
    Objectives: This study aims to investigate the changes in preferences of orthopedic surgeons for venous thromboembolism (VTE) prophylaxis after total knee arthroplasty (TKA) and total hip arthroplasty (THA) and the factors that affect such changes in Turkey. Materials and methods: Turkish Orthopedics and Traumatology Association members (n=2.180) were invited to fill in the questionnaire. A total of 366 orthopedic surgeons responded and completed questionnaire. The questionnaire was comprised of 12 questions investigating the demographics of surgeons. their preferences for VTE prophylaxis. the changes in their preferences over the course of the past three years. and the causes of such changes. Results: In the past three years, 31.1% of surgeons changed their VTE prophylaxis method and 32.7% used risk classifications. The use of low molecular weight heparin (LMWH) decreased from 89.4% to 42.5% and from 85.8% to 44.2% after TKA and THA. respectively. The use of aspirin increased from 10.6% to 43.4% and from 9.7% to 37.2% after TKA and TIIA, respectively. The use of oral anticoagulants increased from 11.5% to 41.6% and from 10.6% to 39.8% after TKA and THA, respectively. Still, orthopedic surgeons in Turkey preferred LN1W11 at rates of 75.7% and 74% after TKA and Tim. respectively. Congressional presentations were the first (47.7%) among the causes of the changes in preferences for VTE prophylaxis. Preferences of up to 60% of surgeons working at universities were influenced by the American Academy of Orthopedic Surgeons guidelines. Conclusion: In the past three years, approximately one third of orthopedic surgeons changed their preferences for VTE prophylaxis after total joint arthroplasty in Turkey. Changes in preferences were largely in favor of aspirin and oral anticoagulants in parallel to changes in guidelines for VTE prevention.
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    Öğe
    Preferences of surgeons in total knee and hip arthroplasty, and operating room facilities in Turkey: a survey
    (Turkish Joint Diseases Foundation, 2016) Azboy, Ibrahim; Yalvac, Eyyup Serdar; Azboy, Nesrullah; Sahin, Ilhami; Zehir, Sinan
    Objectives: This study aims to determine the pre- and postoperative approaches of orthopedic surgeons and operative room environment facilities in total knee arthroplasty (TKA) and total hip arthroplasty (THA) in Turkey. Materials and methods: Data for this study were collected through a questionnaire completed by 234 physicians randomly identified from the database of Turkish Society of Orthopedics and Traumatology. The questionnaire comprised 19 questions investigating the operative room environment, demographic characteristics of surgeons, laboratory and radiologic analyses required by surgeons in pre- and postoperative patient evaluation, and management of postoperative complications. Results: In Turkey, 48% of the operating rooms where TKA and THA are performed lack laminar airflow, while 35% lack HEPA filters. Only 20.5% of surgeons continue antibiotic prophylaxis for postoperative 24 hours. Low molecular weight heparins are the most preferred anticoagulant (86%) for thromboembolism prophylaxis. While all surgeons perform primary TKA or THA, only 63.7% perform revision TKA or THA. Of the surgeons, 84.6% do not recommended antibiotic prophylaxis before dental or urologic procedures in patients who were performed TKA or THA. Conclusion: In Turkey, although consensus has been built on many issues regarding TKA and THA, different approaches are adopted based on academic position, duration of specialty, and employer institution.
  • [ X ]
    Öğe
    Türkiye'de total diz ve kalça artroplastisinde cerrahların tercihleri ve ameliyathane olanakları: Bir anket
    (2016) Yalvaç, Eyyüp Serdar; Azboy, İbrahim; Zehir, Sinan; Şahin, İlhami; Azboy, Nesrullah
    Amaç: Bu çalışmada Türkiye'de total diz artroplastisi (TDA) ve total kalça artroplastisinde (TKA) ortopedik cerrahların ameliyat öncesi ve sonrası yaklaşımları ve ameliyathane olanakları değerlendirildi.Gereç ve yöntemler: Bu çalışmanın verileri Türk Ortopedi ve Travmatoloji Birliği Derneği'nin veri tabanından rastgele belirlenen 234 hekim tarafından doldurulan bir anket aracılığıyla elde edildi. Anket; ameliyathane ortamını, cerrahların demografik özelliklerini, ameliyat öncesi ve sonrası hasta değerlendirmesinde istedikleri laboratuvar ve radyolojik incelemeleri ve ameliyat sonrası komplikasyonların yönetimini araştıran 19 sorudan oluşuyordu.Bulgular: Türkiye'deki TDA ve TKA'nın uygulandığı ameliyathanelerin %48'inde laminar hava akımı, %35'inde de HEPA filtre bulunmamaktadır. Cerrahların sadece %20.5'i antibiyotik profilaksisine ameliyat sonrası 24 saat devam etmektedir. Tromboembolizm profilaksisinde en çok (%86) tercih edilen antikoagülan düşük moleküler ağırlıklı heparinlerdir. Cerrahların tamamı primer TDA veya TKA uygularken, sadece %63.7'si revizyon TDA veya TKA uygulamaktadır. Cerrahların %84.6'sı TDA veya TKA uygulanan hastalarda dental ve ürolojik girişimler öncesinde antibiyotik profilaksisi önermemektedir.Sonuç: Türkiye'de TDA ve TKA'ya ilişkin birçok konuda görüş birliğine ulaşılmış olsa da; akademik pozisyon, uzmanlık süresi ve çalışılan kuruma bağlı olarak farklı yaklaşımlar benimsenmektedir.