Examining the Adherence to the Guidelines of the European Urology Association in Thromboembolic Events Prophylaxis, the Latest Edition of 2022, in Patients Undergoing Urological Surgery in Al-Zahra Hospital in 2022

Abstract

Background: Many guidelines, such as the European Society of Urology, recommend preventing thromboembolic events in urological surgery patients. However, many healthcare providers are not fully following these guidelines. For this purpose, the present study investigated the adherence to the approaches of the European Urological Association, the latest edition of 2022, in patients undergoing urological procedures. Methods: To conduct this descriptive cross-sectional study, we used data from patients who had urological surgery at Al-Zahra Teaching Hospital in Isfahan during the first three months of 2022. We used a checklist to gather information on patients' demographic details, risk factors associated with thromboembolism, and data on prophylaxis management. Findings: During the specified time, 334 patients were identified (69.5 male; mean age 54.28 ± 16.93). The results indicated an 89.2 compliance with the guideline among patients with a strong recommendation for prophylaxis. For patients with a weak recommendation, the adherence rate was calculated at 85.2. The compliance rate with the duration of prophylaxis was 60.6. The most prescribed procedures were partial open nephrectomy and open radical nephrectomy, both below the limit (33), while laparoscopic radical nephrectomy (53.8) and sling surgery (37.5) had higher than expected prescription rates. Conclusion: In general, the study's results indicated proper adherence to the mentioned guidelines. However, more research is needed in this field to outline the conditions for prescribing thromboembolism prophylaxis. © 2025 Isfahan University of Medical Sciences(IUMS). All rights reserved.