{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:53:42Z","timestamp":1792587222251,"version":"4.5.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>The overall risk of venous thromboembolism (VTE) after hip arthroscopy (HA) is reported to range from 0.2% to 9.5%, but a clear set of recommendations for VTE prophylaxis in HA patients remains scarce. The aim is to survey high-volume hip arthroscopists about their current trends regarding VTE prophylaxis use. A combination of two consensus group methods was used in this study: nominal group technique (NGT) and modified Delphi. A preliminary questionnaire was prepared, and rounds of discussion were completed between NGT members. The final version of the survey was administered to 35 high-volume hip surgeons. Delegates\u2019 mean volume of annual hip arthroscopic surgery was 109. Approximately 22% of their patients are revision HA procedures. A total of 91.4% of delegates use chemoprophylaxis, 28.6% use sequential compression devices and 91.4% believed that chemoprophylaxis is necessary for more prolonged and complex procedures (strong consensus). Aspirin was the choice for all participants, and the duration was 2\u20133\u2009weeks (31.4%), 1\u2009month (65.7%) and 2\u20133\u2009months (2.9%). History of VTE, hypercoagulable status, and malignancy were considered risk factors. No consensus was achieved for the discontinuation of oral contraceptive and smoking preoperatively. However, the optimal length of VTE prophylaxis is unclear. A total of 97.1% of the experts responded that they administer aspirin between 2 and 4\u2009weeks. High-volume arthroscopic surgeons do consider VTE prophylaxis to be important and warranted in the postoperative setting. Aspirin is the mainstay of chemoprophylaxis, although the appropriate duration is unknown.<\/jats:p>","DOI":"10.1093\/jhps\/hnae014","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T06:37:38Z","timestamp":1712558258000},"page":"192-197","source":"Crossref","is-referenced-by-count":5,"title":["Current trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study"],"prefix":"10.1093","volume":"11","author":[{"given":"Ali","family":"Parsa","sequence":"first","affiliation":[{"name":"American Hip Institute Research Foundation , 999 E Touhy Ave, Chicago, IL 60018,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asheesh","family":"Bedi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, NorthShore Medical Group , 9650 Gross Pointe Rd Suite 2900, Skokie, IL 60076,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3937-8647","authenticated-orcid":false,"given":"Benjamin G","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Research Foundation , 999 E Touhy Ave, Chicago, IL 60018,","place":["USA"]},{"name":"American Hip Institute , 999 E Touhy Ave, Chicago, IL 60018,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,4,6]]},"reference":[{"key":"2024121102092004000_R1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.2106\/JBJS.21.01442","article-title":"Recommendations from the ICM-VTE: sports","volume":"104","author":"Delegates","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"2024121102092004000_R2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/JSA.0000000000000342","article-title":"Incidence and prevention of thromboembolic complications for sports and arthroscopic-related surgery: evidence-based recommendations","volume":"30","author":"Bradsell","year":"2022","journal-title":"Sports Med Arthrosc Rev"},{"key":"2024121102092004000_R3","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1097\/ACM.0000000000001812","article-title":"The use of the Delphi and other consensus group methods in medical education research: a review","volume":"92","author":"Humphrey-Murto","year":"2017","journal-title":"Acad Med"},{"key":"2024121102092004000_R4","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.2106\/JBJS.M.00503","article-title":"Evaluation of the first-generation AAOS clinical guidelines on the prophylaxis of venous thromboembolic events in patients undergoing total joint arthroplasty: experience with 3289 patients from a single institution","volume":"96","author":"Lewis","year":"2014","journal-title":"JBJS"},{"key":"2024121102092004000_R5","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1097\/MCP.0b013e32833c3d3e","article-title":"Risk assessment as a guide to thrombosisprophylaxis","volume":"16","author":"Caprini","year":"2010","journal-title":"Curr Opin Pulm Med"},{"key":"2024121102092004000_R6","doi-asserted-by":"crossref","first-page":"e278S","DOI":"10.1378\/chest.11-2404","article-title":"Prevention of VTE in orthopedic surgery patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of chest physicians evidence-based clinical practice guidelines","volume":"141","author":"Falck-Ytter","year":"2012","journal-title":"Chest"},{"key":"2024121102092004000_R7","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1177\/0363546517749219","article-title":"Defining the learning curve for hip arthroscopy: a threshold analysis of the volume outcomes relationship","volume":"46","author":"Mehta","year":"2018","journal-title":"Am J Sports Med"},{"key":"2024121102092004000_R8","first-page":"1","article-title":"Thromboprophylaxis after knee arthroscopy does not decrease the risk of deep vein thrombosis: a network meta-analysis","volume":"3","author":"Lameire","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2024121102092004000_R9","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1302\/2058-5241.6.210019","article-title":"Complications of hip preserving surgery","volume":"6","author":"Hanke","year":"2021","journal-title":"EFORT Open Rev"},{"key":"2024121102092004000_R10","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1177\/0363546518765969","article-title":"Midterm outcomes and return to sports among athletes undergoing hip arthroscopy","volume":"46","author":"Perets","year":"2018","journal-title":"Am J Sports Med"},{"key":"2024121102092004000_R11","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1093\/jhps\/hny029","article-title":"A systematic review-meta-analysis of venous thromboembolic events following primary hip arthroscopy for FAI: clinical and epidemiologic considerations","volume":"5","author":"Bolia","year":"2018","journal-title":"J Hip Preserv Surg"},{"key":"2024121102092004000_R12","doi-asserted-by":"crossref","first-page":"e278S","DOI":"10.1378\/chest.11-2404","article-title":"Prevention of VTE in orthopedic surgery patients: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines","volume":"141","author":"Falck-Ytter","year":"2012","journal-title":"Chest"},{"key":"2024121102092004000_R13","first-page":"E240","article-title":"Concomitant venous thrombosis and pulmonary embolism after hip arthroscopy in a patient with heterozygous factor V Leiden Deficiency","volume":"45","author":"Richard","year":"2016","journal-title":"Am J Orthop"},{"key":"2024121102092004000_R14","first-page":"295","article-title":"The incidence of proximal deep vein thrombosis after elective hip arthroscopy: a prospective cohort study in low risk patients","volume":"3","author":"Mohtadi","year":"2016","journal-title":"J Hip Preserv Surg"},{"key":"2024121102092004000_R15","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/bmj.311.7001.376","article-title":"Consensus methods for medical and health services research","volume":"311","author":"Jones","year":"1995","journal-title":"BMJ"},{"key":"2024121102092004000_R16","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1046\/j.1365-2710.2001.00331.x","article-title":"Consensus methods in prescribing research","volume":"26","author":"Campbell","year":"2001","journal-title":"J Clin Pharm Ther"},{"key":"2024121102092004000_R17","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/0748175613513808","article-title":"Critical values for Lawshe\u2019s content validity ratio: revisiting the original methods of calculation","volume":"47","author":"Ayre","year":"2014","journal-title":"Meas Eval Couns Dev"},{"key":"2024121102092004000_R18","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0020-7489(00)00044-4","article-title":"A critical review of the Delphi technique as a research methodology for nursing","volume":"38","author":"Keeney","year":"2001","journal-title":"Int J Nurs Stud"},{"key":"2024121102092004000_R19","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.arthro.2017.07.006","article-title":"Venous thromboembolism events after hip arthroscopy: a systematic review","volume":"34","author":"Haldane","year":"2018","journal-title":"Arthroscopy"},{"key":"2024121102092004000_R20","doi-asserted-by":"crossref","first-page":"487","DOI":"10.2106\/JBJS.22.00036","article-title":"ICM on VTE: a major step forward in patient care","volume":"104","author":"Swiontkowski","year":"2022","journal-title":"JBJS"},{"key":"2024121102092004000_R21","doi-asserted-by":"crossref","first-page":"3445","DOI":"10.1016\/j.arthro.2021.04.017","article-title":"Hip arthroscopy volume and reoperations in a large cross-sectional population: high rate of subsequent revision hip arthroscopy in young patients and total hip arthroplasty in older patients","volume":"37","author":"Cevallos","year":"2021","journal-title":"Arthroscopy"},{"key":"2024121102092004000_R22","doi-asserted-by":"crossref","first-page":"746","DOI":"10.2106\/JBJS.9408.ebo746","article-title":"American Academy of Orthopaedic Surgeons clinical practice guideline on: preventing venous thromboembolic disease in patients undergoing elective hip and knee arthroplasty","volume":"94","author":"Jacobs","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"2024121102092004000_R23","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1177\/0748175612440286","article-title":"Recalculation of the critical values for Lawshe\u2019s content validity ratio","volume":"45","author":"Wilson","year":"2012","journal-title":"Meas Eval Couns Dev"},{"key":"2024121102092004000_R24","doi-asserted-by":"crossref","first-page":"402","DOI":"10.32098\/mltj.03.2016.18","article-title":"Complications in hip arthroscopy","volume":"6","author":"Nakano","year":"2016","journal-title":"Muscles Ligaments Tendons J"},{"key":"2024121102092004000_R25","doi-asserted-by":"crossref","first-page":"309","DOI":"10.2106\/JBJS.21.01518","article-title":"Recommendations from the ICM-VTE: Spine","volume":"104","author":"Delegates","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"2024121102092004000_R26","doi-asserted-by":"crossref","first-page":"603","DOI":"10.2106\/JBJS.21.00168","article-title":"Aspirin is an effective prophylaxis for venous thromboembolism in ambulatory patients with femoral neck fracture undergoing hip arthroplasty","volume":"104","author":"Chisari","year":"2022","journal-title":"JBJS"},{"key":"2024121102092004000_R27","doi-asserted-by":"crossref","first-page":"77","DOI":"10.4314\/wajm.v28i2.48431","article-title":"Deep vein thrombosis: risk factors and prevention in surgical patients","volume":"28","author":"Obalum","year":"2009","journal-title":"West Afr J Med"},{"key":"2024121102092004000_R28","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1055\/s-0040-1715090","article-title":"Incidence of venous thromboembolism following knee arthroscopy: effectiveness of a risk-based stratified chemoprophylaxis protocol","volume":"35","author":"Reynolds","year":"2022","journal-title":"J Knee Surg"},{"key":"2024121102092004000_R29","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1302\/0301-620X.103B6.BJJ-2020-2436.R1","article-title":"2021 John N. Insall Award: aspirin is effective in preventing propagation of infrapopliteal deep venous thrombosis following total knee arthroplasty","volume":"103","author":"Omari","year":"2021","journal-title":"Bone Joint J"},{"key":"2024121102092004000_R30","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.CC.18.00376","article-title":"A successful collaborative approach to the perioperative management after hip arthroscopy of a patient with heterozygous prothrombin G20210A mutation: a case report","volume":"9","author":"Parsa","year":"2019","journal-title":"JBJS Case Connect"},{"key":"2024121102092004000_R31","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.arthro.2019.10.009","article-title":"The evolution of hip arthroscopy: what has changed since 2008\u2014a single surgeon\u2019s experience","volume":"36","author":"Domb","year":"2020","journal-title":"Arthroscopy"},{"key":"2024121102092004000_R32","doi-asserted-by":"crossref","first-page":"i","DOI":"10.3310\/hta2030","article-title":"Consensus development methods, and their use in clinical guideline development","volume":"2","author":"Murphy","year":"1998","journal-title":"Health Technol Assess"},{"key":"2024121102092004000_R33","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1093\/jhps\/hny010","article-title":"Aspirin provides adequate VTE prophylaxis for patients undergoing hip preservation surgery, including periacetabular osteotomy","volume":"5","author":"Azboy","year":"2018","journal-title":"J Hip Preserv Surg"},{"key":"2024121102092004000_R34","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/MBC.0000000000000556","article-title":"Incidence and risk factors of deep vein thrombosis (DVT) after total hip or knee arthroplasty: a retrospective study with routinely applied venography","volume":"28","author":"Zhang","year":"2017","journal-title":"Blood Coagul Fibrinolysis"},{"key":"2024121102092004000_R35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10195-012-0214-y","article-title":"II Italian intersociety consensus statement on antithrombotic prophylaxis in orthopaedics and traumatology","volume":"14","author":"Randelli","year":"2013","journal-title":"J Orthop Traumatol"},{"key":"2024121102092004000_R36","doi-asserted-by":"crossref","first-page":"2380","DOI":"10.1016\/j.arthro.2019.03.054","article-title":"Incidence and risk factors for venous thromboembolism following hip arthroscopy: a population-based study","volume":"35","author":"Khazi","year":"2019","journal-title":"Arthroscopy"},{"key":"2024121102092004000_R37","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1177\/1938640017704944","article-title":"Incidence and risk factors of venous thromboembolism after orthopaedic foot and ankle surgery","volume":"10","author":"Ahmad","year":"2017","journal-title":"Foot Ankle Spec"},{"key":"2024121102092004000_R38","doi-asserted-by":"crossref","first-page":"4","DOI":"10.2106\/JBJS.21.01531","article-title":"Recommendations from the ICM-VTE: general","volume":"104","author":"Parvizi","year":"2022","journal-title":"J Bone Joint Surg Am-Series A"},{"key":"2024121102092004000_R39","doi-asserted-by":"crossref","first-page":"3300","DOI":"10.1016\/j.arth.2021.05.002","article-title":"Thirty days of aspirin for venous thromboembolism prophylaxis is adequate following total knee arthroplasty, regardless of the dose used","volume":"36","author":"Shohat","year":"2021","journal-title":"J Arthroplasty"}],"container-title":["Journal of Hip Preservation Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jhps\/article-pdf\/11\/3\/192\/61022405\/hnae014.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jhps\/article-pdf\/11\/3\/192\/61022405\/hnae014.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T03:47:45Z","timestamp":1733888865000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jhps\/article\/11\/3\/192\/7641967"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,6]]},"references-count":39,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,4,6]]},"published-print":{"date-parts":[[2024,12,10]]}},"URL":"https:\/\/doi.org\/10.1093\/jhps\/hnae014","relation":{},"ISSN":["2054-8397"],"issn-type":[{"value":"2054-8397","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,7]]},"published":{"date-parts":[[2024,4,6]]}}}