Australian general practitioners' perception of modifiable risk factors in reducing infective complications following hip and knee joint replacement.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Australian Journal of General Practice Pub Date : 2024-11-01 DOI:10.31128/AJGP-06-23-6880

Christopher J Wall, Richard N de Steiger, Christopher J Vertullo, Theresa A Johnson, Srinivas Kondalsamy-Chennakesavan

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Abstract

Background and objectives: Smoking, poor diabetic control and excessive body mass index (BMI) increase the risk of infection following joint replacement. This study investigated Australian general practitioners' (GPs) perception of these modifiable risk factors in patients with end-stage osteoarthritis.

Method: A structured online survey tool was developed and widely distributed to Australian GPs.

Results: Responses were received from 131 GPs. Most attempted to address current smoking (90%), poor diabetic control (94%) and excessive BMI (89%) prior to referral. The majority felt that joint replacement should be delayed until these risk factors had been modified (57%, 84% and 74%, respectively). However, many respondents did not believe that these risk factors were contraindications to joint replacement (76%, 46% and 43%, respectively).

Discussion: This study suggests that Australian GPs are mindful of modifiable risk factors in patients with hip and knee osteoarthritis; however, many do not support restricting access to joint replacement.

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澳大利亚全科医生对减少髋关节和膝关节置换术后感染并发症的可改变风险因素的看法。

背景和目的：吸烟、糖尿病控制不佳和体重指数（BMI）过高会增加关节置换术后感染的风险。本研究调查了澳大利亚全科医生（GPs）对终末期骨关节炎患者这些可改变风险因素的看法：方法：开发了一个结构化在线调查工具，并广泛分发给澳大利亚全科医生：结果：共收到 131 名全科医生的回复。大多数人试图在转诊前解决目前吸烟（90%）、糖尿病控制不佳（94%）和体重指数过高（89%）的问题。大多数人认为，应推迟关节置换手术，直到这些风险因素得到改善（分别为 57%、84% 和 74%）。然而，许多受访者并不认为这些风险因素是关节置换的禁忌症（分别为76%、46%和43%）：本研究表明，澳大利亚全科医生注意到髋关节和膝关节骨关节炎患者的可改变风险因素；然而，许多全科医生并不支持限制关节置换术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.

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