• Philip Smart, Kate Burbury, Senthil Lingaratnam, A Craig Lynch, John Mackay, and Alexander Heriot.
• Department of Cancer Surgery, Peter MacCallum Cancer Centre and Epworth Healthcare, Melbourne, Victoria, Australia. phil.smart@petermac.org
• ANZ J Surg. 2013 Sep 1;83(9):646-50.

BackgroundThromboembolism is a common cause of morbidity and mortality in patients with colorectal cancer, but thromboprophylaxis (TP) is underutilized. Current guidelines do not make specific recommendations for colorectal cancer patients and provide minimal guidance for the ambulatory setting, although emerging evidence suggests TP may be warranted during chemoradiotherapy or in the extended post-operative phase. A survey of Australasian colorectal surgeons was therefore performed to assess current TP practice and attitudes.MethodsAn online survey was sent to 204 surgeons who were members of the Colorectal Surgical Society of Australia and New Zealand.ResultsOne hundred twenty-eight surgeons (63%) completed the survey. Most surgeons consult available guidelines, and where recommendations are made, current practice is in line with them. Lack of data, lack of ownership, logistical issues and an absence of guideline recommendations currently prevent surgeons from instituting TP in the neoadjuvant treatment period. Fifty-four per cent of surgeons currently prescribe TP after hospital discharge; those that do not, cite logistical issues as the main constraint.ConclusionMore data on thromboembolism risk during various treatment phases are required and should be promulgated in tumour-specific guidelines. Logistical barriers to adopting TP in the ambulatory setting should be addressed.© 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.

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