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Australian general practitioners' perception of modifiable risk factors in reducing infective complications following
Christopher J Wall1, Richard N de Steiger2, Christopher J Vertullo3
1MBBS, BMedSc, FRACS, FAOrthA, Deputy Director, Department of Orthopaedics, Toowoomba Hospital, Darling Downs Health, Toowoomba, Qld; Associate Professor, School of Medicine, Rural Clinical School, University of Queensland, Toowoomba, Qld; Assistant Deputy Registry Clinical Director, Australian Orthopaedic Association National Joint Replacement Registry, Adelaide, SA.
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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