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- W2415694089 abstract "In the commentary, the author kindly points out the limitations of our study. Chiefly, they recognize the absence of data regarding the use of venous thromboembolism (VTE) prophylaxis during the perioperative period as the most significant limitation to our study. We also recognize that the use of VTE prophylaxis has important implications with respect to the outcome of interest in this study—VTE. Nonetheless, data on prophylaxis was simply not available, and we feel that exploring the timing of VTE conveys important information, particularly given the growing debate over the use of extended-duration pharmacologic prophylaxis after major oncologic surgeries. Furthermore, available evidence suggests that adherence to recommendations for pharmacologic VTE prophylaxis is poor among urologists. 1 Sterious S. Simhan J. Uzzo R.G. et al. Familiarity and self-reported compliance with American Urological Association best practice recommendations for use of thromboembolic prophylaxis among American Urological Association members. J Urol. 2013; 190: 992-998 Abstract Full Text Full Text PDF PubMed Scopus (40) Google Scholar Infrequent utilization of extended-duration pharmacologic VTE prophylaxis may then be assumed based on this data demonstrating poor utilization of even in-hospital VTE prophylaxis. Editorial CommentUrologyVol. 84Issue 4PreviewA postoperative venous thromboembolic event (VTE) is associated with a 10-fold risk of death in patients undergoing urologic oncology surgery. This is sobering information, and all who participate in the care of these patients should review Figure 1 from the present study. Although there are clear limitations to this study (uncertainty as to how many patients received appropriate prophylaxis, probability that some of the patients with VTE had another serious confounding complication that led to both VTE and death, and so forth), the data is still compelling. Full-Text PDF" @default.
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- W2415694089 date "2014-10-01" @default.
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- W2415694089 title "Reply" @default.
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- W2415694089 doi "https://doi.org/10.1016/j.urology.2014.05.058" @default.
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