British Committee for Standards in Haematology Guidelines on the Identification and Management of Pre‐Operative Anaemia

  title={British Committee for Standards in Haematology Guidelines on the Identification and Management of Pre‐Operative Anaemia},
  author={Alwyn Kotze and Andrea Harris and Charles Baker and Tariq H. Iqbal and Nick Lavies and T. N. Richards and Kate Ryan and Craig Taylor and Dafydd Thomas},
  journal={British Journal of Haematology},
1 Leeds Teaching Hospitals NHS Trust 2 NHS Blood and Transplant, 3 University Hospital of North Midlands NHS Trust 4 University Hospital Birmingham NHS Foundation Trust 5 Western Sussex Hospitals NHS Trust, Pre-Operative Association Representative 6 University College London Hospitals NHS Foundation Trust 7 Central Manchester University Hospitals NHS Foundation Trust 8 Dudley Group of Hospitals NHS Foundation Trust 9 Abertawe Bro Morgannwg University Health Board, Swansea 

International consensus statement on the peri‐operative management of anaemia and iron deficiency

A diagnostic approach for anaemia and iron deficiency in surgical patients; identification of patients appropriate for treatment; and advice on practical management and follow‐up are developed.

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

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 are developed and national and international research funding bodies are urged to take note.

Management of the patient presenting with anaemia in the preoperative setting.

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Peri-operative treatment of anaemia in major orthopaedic surgery: a practical approach from Spain.

An algorithm is developed for the detection, classification and treatment of pre-operative anaemia, with a patient-tailored approach that facilitates decision-making in thePre-operative assessment, that considers that such an institutional pathway for anaemia management could be a viable, cost-effective strategy that is beneficial to both patients and healthcare systems.

Diagnostic criteria for pre‐operative anaemia–time to end sex discrimination

The basis for specific haemoglobin concentration thresholds to define anaemia is reviewed, and the use of lower female-specific thresholds in comparison to men is appropriate, and whether it increases the risk of under-treating women with anaemia before surgery.

Screening and treating pre‐operative anaemia and suboptimal iron stores in elective colorectal surgery: a cost effectiveness analysis

Screening elective patients pre‐operatively for anaemia and suboptimal iron stores reduced the number of red cell units transfused and resulted in lower total costs than not screening patients, thus demonstrating cost effectiveness.

Aetiology of Preoperative Anaemia in Patients Undergoing Elective Cardiac Surgery—the Challenge of Pillar One of Patient Blood Management

It is indicated that about one-third of patients with preoperative anaemia had evidence of iron deficiency, a potentially reversible cause of anaemia, and a significant number had either limited iron stores that may render them iron deficient by surgery, or a functional iron deficiency.

South African Society of Anaesthesiologists Perioperative Patient Blood Management Guidelines 2020

In the last decade, there have been considerable changes in approaches to optimal use of blood components, together with the use of alternative products, with a need to update previous guidelines and adapt them for anaesthesiologists working throughout the hospital system.

A retrospective file audit of preoperative anaemia in patients referred to an anaesthesiology clinic before elective orthopaedic surgery

The prevalence of preoperative anaemia before elective orthopaedic surgery (25%) was the same as that reported before patient blood management was introduced internationally.



Effect of a patient blood management programme on preoperative anaemia, transfusion rate, and outcome after primary hip or knee arthroplasty: a quality improvement cycle.

A systematic approach to optimize Hb mass before arthroplasty and limit Hb loss perioperatively was associated with improved outcome up to 90 days after discharge, and it is concluded that preoperative Hb predicts markers of arthro Plasty outcome in UK practice.

Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines

It is suggested that erythropoiesis-stimulating agents be used for anaemic patients in whom nutritional deficiencies have been ruled out, corrected, or both and that nutritional deficiencies be treated.

Preoperative anaemia.

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The significance of anaemia in preoperative patients is described, the pathophysiological consequences are explained, and a structured approach to detection, evaluation, and management is provided.

Perioperative anaemia management: consensus statement on the role of intravenous iron.

For patients undergoing orthopaedic surgery and expected to develop severe postoperative anaemia, the panel suggests i.v. iron administration during the perioperative period (weak recommendation based on moderate/low-quality evidence), while for all other types of surgery, no evidence-based recommendation can be made.

Significant haemoglobinopathies: guidelines for screening and diagnosis

Antenatal screening/testing of pregnant women and newborn screening and, when necessary, follow up testing and referral, should be carried out according to the guidelines of the NHS Sickle Cell and Thalassaemia Screening programme.

Cost of outpatient care in patients with inflammatory bowel disease in a German University Hospital

The aim of the present study was to measure the costs of outpatient care in patients with IBD in a German University Hospital and to identify potentially relevant determinants of costs.

Patient blood management is a win-win: a wake-up call.

Preoperative anaemia is frequent in surgical patients and increases postoperative mortality, major morbidity, and length of hospital stay. Poorly controlled bleeding and surgical blood loss can also

Clinical practice guidelines.

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Society for Vascular Surgery clinical practice guidelines evaluate the evidence in the scientific literature, assess the likely benefits and harms of a particular treatment, and enable healthcare

Guidelines for the management of iron deficiency anaemia

All premenopausal women with IDA should be screened for coeliac disease, but other upper and lower GI investigation should be reserved for those aged 50 years or older, those with symptoms suggesting gastrointestinal disease, and those with a strong family history of colorectal cancer.