The effectiveness of a de-implementation strategy to reduce low-value blood management techniques in primary hip and knee arthroplasty: a pragmatic cluster-randomized controlled trial

• Published in: Implementation science : IS Vol. 12; no. 1; p. 72
• Main Authors: Voorn, Veronique M A, Marang-van de Mheen, Perla J, van der Hout, Anja, Hofstede, Stefanie N, So-Osman, Cynthia, van den Akker-van Marle, M Elske, Kaptein, Ad A, Stijnen, Theo, Koopman-van Gemert, Ankie W M M, Dahan, Albert, Vliet Vlieland, Thea P M M, Nelissen, Rob G H H, van Bodegom-Vos, Leti
• Format: Journal Article
• Language: English
• Published: England BioMed Central 30.05.2017; BMC
• Subjects: Adult; Aged; Aged, 80 and over; Anemia; Anesthesiology; Arthroplasty, Replacement, Hip - economics; Arthroplasty, Replacement, Hip - methods; Arthroplasty, Replacement, Hip - statistics & numerical data; Arthroplasty, Replacement, Knee - economics; Arthroplasty, Replacement, Knee - methods; Arthroplasty, Replacement, Knee - statistics & numerical data; Behavior; Blood; Blood Transfusion - economics; Blood Transfusion - methods; Blood Transfusion - statistics & numerical data; Blood transfusions; Clinical trials; De-implementation; Female; Hip and knee arthroplasty; Hospitals; Humans; Intervention; Joint surgery; Low-value care; Male; Medical personnel; Middle Aged; Multifaceted strategy; Netherlands; Operative Blood Salvage - economics; Operative Blood Salvage - methods; Operative Blood Salvage - statistics & numerical data; Performance evaluation; Perioperative autologous blood salvage; Preoperative erythropoietin; Surgeons; Surgery; Theory; United States > US; Hip and knee arthroplasty; Multifaceted strategy; Low-value care; De-implementation; Perioperative autologous blood salvage; Preoperative erythropoietin

Perioperative autologous blood salvage and preoperative erythropoietin are not (cost) effective to reduce allogeneic transfusion in primary hip and knee arthroplasty, but are still used. This study aimed to evaluate the effectiveness of a theoretically informed multifaceted strategy to de-implement...