Evidence map›Paper›PMID 35435469›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022

Prophylaxis for preventing venous thromboembolism in knee arthroscopy and soft tissue reconstruction: consensus statements from an international panel of experts.

Raju Easwaran, Moin Khan, Parag Sancheti, Ashok Shyam, Mohit Bhandari, Anil S Ranawat, Savyasachi Thakkar, Shital Parikh, Volker Musahl, Siddharth Joglekar and 31 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors at 20 institutions in 16 countries.

Raju EaswaranShree Meenakshi Orthopedics and Sports Medicine Clinic, B H 41 East, Shalimar Bagh, New Delhi, 110088, India. contact@drraju.in.ORCID http://orcid.org/0000-0002-3706-3553
Moin KhanSports Medicine and Shoulder Surgery, Division of Orthopaedic Surgery, McMaster University, Hamilton, Canada.
Parag SanchetiSancheti Institute for Orthopaedics and Rehabilitation and PG College, Pune, India.
Ashok ShyamSancheti Institute for Orthopedics and Rehabilitation, Pune, India.
Mohit BhandariChair, Department of Surgery, McMaster University, Hamilton, Canada.
Anil S RanawatKnee Division of SMI, Hospital for Special Surgery, New York, USA.
Savyasachi ThakkarJohns Hopkins Orthopaedics, Hip and Knee Reconstruction Surgery, Columbia, USA.
Shital ParikhOrthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, USA.
Volker MusahlUPMC Freddie Fu Sports Medicine Center, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, USA.
Siddharth JoglekarOrthopedic Service, VA Central California Health Care System, Fresno, CA, USA.
Ajit J DeshmukhNYU Langone Health, New York, NY, USA.
Kevin PlancherAlbert Einstein College of Medicine/Montefiore Medical Center, New York, NY, USA.
Nikhil VermaDivision of Sports Medicine, Sports Medicine Fellowship, Rush University Medical Center, Midwest Orthopedics at Rush, Chicago, USA.
David McAllisterSports Medicine Service, Vice Chair of Academic Affairs, Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, USA.
Peter VerdonkOrthopaedic Center Antwerp, Antwerp, Belgium.
Sebastien LustigDepartment of Orthopedic Surgery and Sport Medicine, Croix-Rousse Hospital, Lyon, France.
Amit ChandrateyaPrincess of Wales Hospital Bridgend, Cwm Taf Morgannwg University Health Board, Bridgend, UK.
Robert SmigleiskiOrthopaedics and Sports Medicine, Department at LIFE Institute, LIFE Institute Biological Treatment Centre, Warsaw, Poland.
Gandhi SolayarOrthopaedic Specialist Centre, Subang Jaya, Selangor, Malaysia.
Bancha ChernchujitDepartment of Orthopedics, Thammasat University Hospital, Khlong Nueng, Thailand.
Patrick YungDepartment of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), Hong Kong, China.
Nicolaas BudhiparamaSchool of Vocational Studies and Department of Orthopaedics and Traumatology, School of Medicine, University of Airlangga, Jl. Mayjend. Prof. Dr. Moestopo, Jawa Timur, Indonesia.
Yuichi HoshinoDepartment of Orthopaedic Surgery, School of Medicine, Kobe University, Kobe, Japan.
Nathan WhiteMelbourne Knee Centre, Kew, Australia.
David ParkerSydney Orthopaedic Research Institute, Chatswood, Australia.
Mark ClatworthyMiddlemore Hospital, Auckland, New Zealand.
Charlie BrownInternational Knee and Joint Centre, Abu Dhabi, United Arab Emirates.
Mojieb ManzaryOrthopedic Services, Johns Hopkins Aramco Health Care Center, Dhahran, Saudi Arabia.
David RajanOrtho One-Orthopaedic Speciality Centre, Coimbatore, India.
Abhay NarvekarP D Hinduja Hospitals Mumbai, Global Hospital Parel, Mumbai, India.
Sachin TapasviThe Orthopaedic Speciality Clinic, Pune, India.
Dinshaw PardiwalaArthroscopy Service, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.
Ranjit PanigrahiPG Dept of Orthopaedics, Hitech Medical College and Hospital, Bhubaneswar, Odisha, India.
S ArumugamCentre for Sports Science, Sri Ramachandra Institute of Higher Education and Research (Deemed University), Chennai, India.
Vikash KapoorMedica Superspeciality Hospital, Medica Hospitals, Kolkata, India.
Bharat ModyWelcare Hospital, Atladra-Vadsar Ring Road, Atladra, Vadodara, Gujarat, India.
Jitender MaheshwariKnee and Shoulder Service, Department of Orthopaedics, Sitaram Bharatiya Hospital, New Delhi, India.
Vivek DahiyaAdult Reconstruction Lower Limb, Institute of Musculoskeletal Disorders and Orthopaedics, Medanta, Gurugram, India.
Clement JosephArthroscopy and Sports Medicine, Asian Joint Reconstruction Institute, SIMS, Chennai, India.
Mukesh LaddhaRNH, Hospital, Dhantoli, Nagpur, Maharashtra, India.
Ashok RajgopalInstitute of Musculoskeletal Diseases and Orthopaedics, Medanta Medicity, Gurugram, Haryana, India.
Sancheti Institute For Orthopaedics & Rehabilitation · INAirlangga University · IDAlbert Einstein College of Medicine · USAl Khawarizmi International College · AEAsian Institute of Gastroenterology · INBharat Heavy Electricals (India) · INChinese University of Hong Kong · HKCincinnati Children's Hospital Medical Center · USFortis Healthcare · INHi-Tech Medical College & Hospital · INHôpital de la Croix-Rousse · FRHospital for Special Surgery · USJohns Hopkins University · USJohns Hopkins University Applied Physics Laboratory · USKestrel Institute · USKobe University · JPKokilaben Dhirubhai Ambani Hospital · INLife Science Institute · JPMcMaster University · CAMcMaster University Medical Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a lack of consensus regarding need for Venous Thrombo Embolism (VTE) prophylaxis following arthroscopic knee surgery and open soft tissue knee reconstruction. Clear cut guidelines like ones for trauma surgery and arthroplasty do not exist and the published literature is limited to case reports with a few society guidelines. Given this lack of consensus, we conducted a modified Delphi questionnaire of international experts to provide recommendations on this topic.

methodsThe consensus statements were generated using an anonymised 3 round modified Delphi questionnaire, sent to an international panel of 38 knee surgeons, with an 80% agreement being set as the limit for consensus. The responses were analysed using descriptive statistics with measures like mode, median and box plots. Feedback was provided to all panelists based on responses from the previous rounds to help generate the consensus.

resultsSix consensus statements were generated after the three rounds of Delphi. Patient factors, prolonged surgery duration and family history of thrombogenic events emerged as the main points to be taken into consideration for prophylaxis.

conclusionIt was established through this study, that there exists a select group of patients undergoing arthroscopic surgery that justify the usage of VTE prophylaxis. The expert responses to most of the questions in different scenarios favoured usage of VTE prophylaxis based on patient factors like advanced age, past history of VTE, smoking, oral contraceptive use etc. LEVEL OF EVIDENCE: Level V.

Indexed as

Venous ThromboembolismArthroscopyContraceptives, OralFemaleHumansKnee JointContraceptives, OralDeep venous thrombosisKnee arthroscopyKnee soft tissue reconstructionModified DelphiVenous thromboembolismVTE prophylaxis

Identifiers

PMID35435469
PMCPMC9013735
OpenAlexW4224130794

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.