Screening for venous thrombosis by ultrasonography before hospital discharge after major joint surgery

Alexander S Gallus
Med J Aust 2005; 183 (4): . || doi: 10.5694/j.1326-5377.2005.tb07012.x
Published online: 15 August 2005

In reply: O’Reilly and colleagues belatedly address the need to consider bleeding risk and costs when choosing between management routines designed to prevent venous thrombosis and pulmonary embolism. Their otherwise valuable article1 failed to record bleeding rates when patients (almost 17%) with subclinical calf-vein thrombosis were exposed to therapeutic (not prophylactic) anticoagulant dosages. Nor did they evaluate the dollar and manpower costs of their complex management routines.

  • Executive and Administration Section, SouthPath, Level 6, Flinders Medical Centre, Flinders Drive, Bedford Park, SA 5042.

Competing interests:

The author has received consulting fees for participating in clinical trial steering committees (from Sanofi, Bristol-Myers Squibb, Bayer and Organon) and expert committees (from AstraZeneca, Bayer and CSL).

  • 1. O’Reilly RF, Burgess IA, Zicat B. The prevalence of venous thromboembolism after hip and knee replacement surgery. Med J Aust 2005; 182: 154-159. <MJA full text>
  • 2. Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 2004; 126 (3 Suppl): 338S-400S.
  • 3. Guyatt G, Schunemann HJ, Cook D, et al. Applying the grades of recommendation for antithrombotic and thrombolytic therapy: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 2004; 126 (3 Suppl): 179S-187S.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.