Title |
De-implementation of expensive blood saving measures in hip and knee arthroplasties: study protocol for the LISBOA-II cluster randomized trial
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Published in |
Implementation Science, April 2014
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DOI | 10.1186/1748-5908-9-48 |
Pubmed ID | |
Authors |
Veronique MA Voorn, Perla J Marang-van de Mheen, Cynthia So-Osman, Ad A Kaptein, Anja van der Hout, M Elske van den Akker-van Marle, Ankie WMM Koopman-van Gemert, Albert Dahan, Rob GHH Nelissen, Thea PMM Vliet Vlieland, Leti van Bodegom-Vos |
Abstract |
Despite evidence that erythropoietin and intra- and postoperative blood salvage are expensive techniques considered to be non-cost-effective in primary elective total hip and knee arthroplasties in the Netherlands, Dutch medical professionals use them frequently to prevent the need for allogeneic transfusion. To actually change physicians' practice, a tailored strategy aimed at barriers that hinder physicians in abandoning the use of erythropoietin and perioperative blood salvage was systematically developed. The study aims to examine the effectiveness, feasibility and costs of this tailored de-implementation strategy compared to a control strategy. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 20% |
Unknown | 4 | 80% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 40% |
Scientists | 2 | 40% |
Science communicators (journalists, bloggers, editors) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 3% |
Netherlands | 1 | <1% |
Australia | 1 | <1% |
Unknown | 101 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 14% |
Student > Ph. D. Student | 13 | 12% |
Researcher | 11 | 10% |
Student > Doctoral Student | 8 | 8% |
Student > Bachelor | 7 | 7% |
Other | 27 | 25% |
Unknown | 25 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 40 | 38% |
Nursing and Health Professions | 12 | 11% |
Psychology | 5 | 5% |
Biochemistry, Genetics and Molecular Biology | 3 | 3% |
Social Sciences | 3 | 3% |
Other | 12 | 11% |
Unknown | 31 | 29% |