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An international consensus statement on the management of postoperative anaemia after major surgical procedures


Muñoz, M; Acheson, A G; Bisbe, E; Butcher, A; Gómez-Ramírez, S; Khalafallah, A A; Kehlet, H; Kietaibl, S; Liumbruno, G M; Meybohm, P; Rao Baikady, R; Shander, A; So-Osman, C; Spahn, D R; Klein, A A (2018). An international consensus statement on the management of postoperative anaemia after major surgical procedures. Anaesthesia, 73(11):1418-1431.

Abstract

Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day expert workshop and developed the following consensus statement. After presentation of our own research data and local policies and procedures, appropriate relevant literature was reviewed and discussed. We developed a series of best-practice and evidence-based statements to advise on patient care with respect to anaemia and iron deficiency in the postoperative period. These statements include: a diagnostic approach to iron deficiency and anaemia in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up that is easy to implement. Available data allow the fulfilment of the requirements of Pillar 1 of Patient Blood Management. We urge national and international research funding bodies to take note of these recommendations, particularly in terms of funding large-scale prospective, randomised clinical trials that can most effectively address the important clinical questions and this clearly unmet medical need.

Abstract

Despite numerous guidelines on the management of anaemia in surgical patients, there is no pragmatic guidance for the diagnosis and management of anaemia and iron deficiency in the postoperative period. A number of experienced researchers and clinicians took part in a two-day expert workshop and developed the following consensus statement. After presentation of our own research data and local policies and procedures, appropriate relevant literature was reviewed and discussed. We developed a series of best-practice and evidence-based statements to advise on patient care with respect to anaemia and iron deficiency in the postoperative period. These statements include: a diagnostic approach to iron deficiency and anaemia in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow-up that is easy to implement. Available data allow the fulfilment of the requirements of Pillar 1 of Patient Blood Management. We urge national and international research funding bodies to take note of these recommendations, particularly in terms of funding large-scale prospective, randomised clinical trials that can most effectively address the important clinical questions and this clearly unmet medical need.

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Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Institute of Anesthesiology
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Anesthesiology and Pain Medicine
Uncontrolled Keywords:Anaemia, erythropoiesis stimulating agents, iron deficiency, iron supplementation, postoperative period, transfusion
Language:English
Date:1 November 2018
Deposited On:07 Dec 2018 15:30
Last Modified:15 Apr 2020 21:59
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0003-2409
Additional Information:This is the peer reviewed version of the following article: Muñoz, M. et al (2018), An international consensus statement on the management of postoperative anaemia after major surgical procedures. Anaesthesia, 73: 1418-1431 which has been published in final form at https://doi.org/10.1111/anae.14358. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. (http://www.wileyauthors.com/self-archiving)
OA Status:Green
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1111/anae.14358
PubMed ID:30062700

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