Survey of Perceptions and Practices among Canadian Gastroenterologists regarding the Prevention of Venous Thromboembolism for Hospitalized Inflammatory Bowel Disease PatientsReport as inadecuate




Survey of Perceptions and Practices among Canadian Gastroenterologists regarding the Prevention of Venous Thromboembolism for Hospitalized Inflammatory Bowel Disease Patients - Download this document for free, or read online. Document in PDF available to download.

Canadian Journal of Gastroenterology - Volume 26 2012, Issue 11, Pages 795-798

Original Article

Mount Sinai Hospital Centre for Inflammatory Bowel Disease, University of Toronto, Toronto, Ontario, Canada

IBD Clinical and Research Centre, University of Manitoba, Winnipeg, Manitoba, Canada

Received 9 April 2012; Accepted 18 April 2012

Copyright © 2012 Hindawi Publishing Corporation. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License CC BY-NC http:-creativecommons.org-licenses-by-nc-4.0-, which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.

Abstract

BACKGROUND: Patients with inflammatory bowel disease IBD who are hospitalized with disease flares are known to be at an increased risk of venous thromboembolism VTE. This is a preventable complication; however, there is currently no standardized approach to the prevention and management of VTE.

OBJECTIVES: To characterize the opinions and general prophylaxis patterns of Canadian gastroenterologists and IBD experts.

METHODS: A survey questionnaire was sent to Canadian gastroenterologists affiliated with a medical school or IBD referral centre. Participants were required to be practicing physicians who had completed all of their training and had been involved in the care of IBD patients within the previous 12 months. Various clinical scenarios were presented and demographic data were solicited.

RESULTS: The majority of respondents were practicing in an academic setting 95% and considered themselves to be IBD experts or subspecialists 71%. Eighty-three per cent reported providing VTE prophylaxis most, if not all of the time, and most 96% used pharmacological prophylaxis alone, usually heparin or one of its analogues. There was less consistency among respondents with respect to whether IBD patients in remission, but admitted for another condition, should be given prophylaxis. There was also less agreement regarding the duration of anticoagulation in patients with confirmed VTE.

CONCLUSION: There was a general consensus among academic gastroenterologists that IBD inpatients are at an increased risk for VTE and would benefit from VTE prophylaxis. However, areas of uncertainty still exist and the IBD community would benefit from evidence-based clinical practice guidelines to standardize the management of this important problem.





Author: Roshan Razik, Charles N Bernstein, Justina Sam, Reka Thanabalan, and Geoffrey C Nguyen

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents