You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness II1 Apr 2012273 ADHERENCE TO AMERICAN UROLOGICAL ASSOCIATION (AUA) BEST PRACTICE RECOMMENDATIONS FOR USE OF THROMBOEMBOLIC PROPHYLAXIS AMONGST AUA MEMBERS Steven Sterious, Ryan Fogg, Boris Gershman, Jay Simhan, Jose Reyes, Christopher Long, Tianyu Li, Karthik Devarajan, Sylwester Ratowt, Ervin Teper, Marc Smaldone, Serge Ginzberg, Anthony Corcoran, Robert Uzzo, and Alexander Kutikov Steven SteriousSteven Sterious Philadelphia, PA More articles by this author , Ryan FoggRyan Fogg Philadelphia, PA More articles by this author , Boris GershmanBoris Gershman Boston, PA More articles by this author , Jay SimhanJay Simhan Philadelphia, PA More articles by this author , Jose ReyesJose Reyes Philadelphia, PA More articles by this author , Christopher LongChristopher Long Philadelphia, PA More articles by this author , Tianyu LiTianyu Li Philadelphia, PA More articles by this author , Karthik DevarajanKarthik Devarajan Philadelphia, PA More articles by this author , Sylwester RatowtSylwester Ratowt Philadelphia, PA More articles by this author , Ervin TeperErvin Teper Philadelphia, PA More articles by this author , Marc SmaldoneMarc Smaldone Philadelphia, PA More articles by this author , Serge GinzbergSerge Ginzberg Philadelphia, PA More articles by this author , Anthony CorcoranAnthony Corcoran Philadelphia, PA More articles by this author , Robert UzzoRobert Uzzo Philadelphia, PA More articles by this author , and Alexander KutikovAlexander Kutikov Philadelphia, PA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.331AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Thromboprophylaxis (TP) with subcutaneous heparin or low molecular weight heparin may be underutilized in urologic practice. In 2008, the AUA released a best practice statement (BPS) regarding the use of TP following urologic procedures. Here we surveyed urologists to determine familiarity with AUA BPS and to assess actual practice patterns regarding perioperative TP use. METHODS An 11 question survey instrument was designed to assess familiarity with AUA BPS and determine practice patterns amongst urologists regarding the use of TP following a variety of urologic procedures. The survey was sent to all AUA members with a valid email address (n=10,966). We assessed the association between adherence to AUA BPS and factors such as specialty, year of graduation, and familiarity with guidelines. An association by procedure was assessed using the Chi-square test. Also, a common odds ratio amongst all procedures was calculated using the Cochran-Mantel-Haenszel test. RESULTS The total survey response rate was 11% (1,210/10,966). Of these 26% self-reported to be either urologic oncologists and/or laparoscopic/robotic specialists (UOLRS). These individuals were much more likely to employ TP when compared to non-oncologic/laparoscopic urologists in high-risk patients (OR 1.58, p <0.0001). The strongest AUA BPS recommendations for TP use are for patients undergoing radical cystectomy (RC) where UOLRS were much more likely to employ TP (p<0.0001). Nevertheless, 19% of UOLRS and 34% of non-UOLRS urologists reported averting routine TP use in patients undergoing RC. 72% of responders graduating after the year 2000 used TP in RC patients in contrast to only 52% of those graduating prior to 2000 (p < 0.0001). Only 72% of responders reported having read the AUA BPS, which strongly correlated with routine use of TP (OR 1.36, P<0.0001). CONCLUSIONS Over a quarter of AUA member responders reported avoidance of TP use for patients in whom AUA BPS strongly recommends routine use of subcutaneous heparin or low molecular weight heparin. Although younger age and self reported urologic oncology and/or laparoscopic specialist status correlated strongly with TP use, adherence to AUA BPS remains low. These data, for the first time, quantify practice patterns with regard to adherence to AUA BPS for use of thromboembolic prophylaxis and identify potential quality of care concerns. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e111 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Steven Sterious Philadelphia, PA More articles by this author Ryan Fogg Philadelphia, PA More articles by this author Boris Gershman Boston, PA More articles by this author Jay Simhan Philadelphia, PA More articles by this author Jose Reyes Philadelphia, PA More articles by this author Christopher Long Philadelphia, PA More articles by this author Tianyu Li Philadelphia, PA More articles by this author Karthik Devarajan Philadelphia, PA More articles by this author Sylwester Ratowt Philadelphia, PA More articles by this author Ervin Teper Philadelphia, PA More articles by this author Marc Smaldone Philadelphia, PA More articles by this author Serge Ginzberg Philadelphia, PA More articles by this author Anthony Corcoran Philadelphia, PA More articles by this author Robert Uzzo Philadelphia, PA More articles by this author Alexander Kutikov Philadelphia, PA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...