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Implementation of the graduated compression as an adjunct to pharmaco-thromboprophylaxis in surgery trial results across the UK.

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OBJECTIVES This study aims to examine uptake and dissemination of a National Institute for Health Research (NIHR) Health Technology Assessment (HTA)-funded trial - Graduated compression as an Adjunct to Pharmaco-thromboprophylaxis… Click to show full abstract

OBJECTIVES This study aims to examine uptake and dissemination of a National Institute for Health Research (NIHR) Health Technology Assessment (HTA)-funded trial - Graduated compression as an Adjunct to Pharmaco-thromboprophylaxis in Surgery (GAPS) (project number: 14/140/61) amongst health professionals in the UK. This study aims to evaluate the impact of the trial on venous thromboembolism (VTE) prevention policies 7 months after publication. METHOD A 12-question online survey emailed to 2750 individuals via several vascular societies, 34 VTE Exemplar Centre leads and 1 charity over a 3-month period. RESULTS In total, 250 responses were received; a 9.1% response rate. Over half of all respondents (52.4%) had read the GAPS trial results prior to completing the survey. Precisely, 77.1% said their hospital had not yet made changes or did not intend to make changes to local hospital VTE policy based on the GAPS trial. CONCLUSIONS Findings must be interpreted in the context of the low response rate. Further in-depth interviews would aid understanding of barriers to implementing change.

Keywords: thromboprophylaxis surgery; adjunct pharmaco; compression adjunct; graduated compression; trial; pharmaco thromboprophylaxis

Journal Title: Phlebology
Year Published: 2022

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