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Balancing the Risks and Benefits of Thromboprophylaxis in Patients Undergoing Podiatric Surgery

Wendy Lim, MD, MSc; Cynthia Wu, MD
Author and Funding Information

Correspondence to: Wendy Lim, MD, MSc, St. Joseph's Hospital, 50 Charlton Ave East, Hamilton, ON, Canada L8N 4A6; e-mail: limwp@mcmaster.ca


Dr. Lim is affiliated with St. Joseph's Hospital and McMaster University. Dr. Wu is affiliated with Hamilton Health Sciences and McMaster University.

The authors have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/misc/reprints.shtml).


Chest. 2009;135(4):888-890. doi:10.1378/chest.08-2799
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Surgery and immobility are recognized as important acquired risk factors for the development of venous thromboembolism (VTE).1 Providing thromboprophylaxis to patients at moderate-to-high VTE risk has thus become an important patient safety initiative.2 Equally important has been a growing interest in identifying patients at low risk for VTE who do not need thromboprophylaxis, and who potentially may be unnecessarily subjected to the risks, costs, and inconvenience associated with thromboprophylaxis.

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