Evidence-base for aspirin as venous thromboembolic prophylaxis following joint replacement

被引:24
作者
Jameson, S. S. [1 ]
Baker, P. N. [1 ]
Deehan, D. J. [1 ]
Port, A. [1 ]
Reed, M. R. [1 ]
机构
[1] South Tees Hosp NHS Fdn Trust, Middlesbrough TS4 3BW, Cleveland, England
关键词
Venous thromboembolism; Hip replacement; Knee replacement; Prophylaxis; NICE; MOLECULAR-WEIGHT HEPARIN; DEEP-VEIN THROMBOSIS; TOTAL KNEE REPLACEMENT; PRIMARY HIP; PULMONARY-EMBOLISM; ELECTIVE HIP; PREVENTION; ENOXAPARIN; THROMBOPROPHYLAXIS; SURGERY;
D O I
10.1302/2046-3758.35.2000225
中图分类号
Q813 [细胞工程];
学科分类号
摘要
The National Institute for Health and Clinical Excellence (NICE) has thus far relied on historical data and predominantly industry-sponsored trials to provide evidence for venous thromboembolic (VTE) prophylaxis in joint replacement patients. We argue that the NICE guidelines may be reliant on assumptions that are in need of revision. Following the publication of large scale, independent observational studies showing little difference between low-molecular-weight heparins and aspirin, and recent changes to the guidance provided by other international bodies, should NICE reconsider their recommendations?
引用
收藏
页码:146 / 149
页数:4
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