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

M. Muñoz, A. G. Acheson, E. Bisbe, A. Butcher, S. Gómez-Ramírez, A. A. Khalafallah, H. Kehlet, S. Kietaibl, G. M. Liumbruno, P. Meybohm, R. Rao Baikady, A. Shander, C. So-Osman, D. R. Spahn, A. A. Klein

Research output: Contribution to journalReview article

15 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1418-1431
Number of pages14
JournalAnaesthesia
Volume73
Issue number11
DOIs
Publication statusPublished - Nov 1 2018

Fingerprint

Iron-Deficiency Anemias
Anemia
Postoperative Period
Practice Guidelines
Research
Patient Care
Randomized Controlled Trials
Research Personnel
Guidelines
Education
Therapeutics

Keywords

  • anaemia
  • erythropoiesis stimulating agents
  • iron deficiency
  • iron supplementation
  • postoperative period
  • transfusion

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Muñoz, M., Acheson, A. G., Bisbe, E., Butcher, A., Gómez-Ramírez, S., Khalafallah, A. A., ... Klein, A. A. (2018). An international consensus statement on the management of postoperative anaemia after major surgical procedures. Anaesthesia, 73(11), 1418-1431. https://doi.org/10.1111/anae.14358

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.

In: Anaesthesia, Vol. 73, No. 11, 01.11.2018, p. 1418-1431.

Research output: Contribution to journalReview article

Muñoz, M, Acheson, AG, Bisbe, E, Butcher, A, Gómez-Ramírez, S, Khalafallah, AA, Kehlet, H, Kietaibl, S, Liumbruno, GM, Meybohm, P, Rao Baikady, R, Shander, A, So-Osman, C, Spahn, DR & Klein, AA 2018, 'An international consensus statement on the management of postoperative anaemia after major surgical procedures', Anaesthesia, vol. 73, no. 11, pp. 1418-1431. https://doi.org/10.1111/anae.14358
Muñoz M, Acheson AG, Bisbe E, Butcher A, Gómez-Ramírez S, Khalafallah AA et al. An international consensus statement on the management of postoperative anaemia after major surgical procedures. Anaesthesia. 2018 Nov 1;73(11):1418-1431. https://doi.org/10.1111/anae.14358
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. / An international consensus statement on the management of postoperative anaemia after major surgical procedures. In: Anaesthesia. 2018 ; Vol. 73, No. 11. pp. 1418-1431.
@article{f3e1ccd9b8f9472a96dd7474f070280f,
title = "An international consensus statement on the management of postoperative anaemia after major surgical procedures",
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.",
keywords = "anaemia, erythropoiesis stimulating agents, iron deficiency, iron supplementation, postoperative period, transfusion",
author = "M. Mu{\~n}oz and Acheson, {A. G.} and E. Bisbe and A. Butcher and S. G{\'o}mez-Ram{\'i}rez and Khalafallah, {A. A.} and H. Kehlet and S. Kietaibl and Liumbruno, {G. M.} and P. Meybohm and {Rao Baikady}, R. and A. Shander and C. So-Osman and Spahn, {D. R.} and Klein, {A. A.}",
year = "2018",
month = "11",
day = "1",
doi = "10.1111/anae.14358",
language = "English",
volume = "73",
pages = "1418--1431",
journal = "Anaesthesia",
issn = "0003-2409",
publisher = "Wiley-Blackwell",
number = "11",

}

TY - JOUR

T1 - An international consensus statement on the management of postoperative anaemia after major surgical procedures

AU - Muñoz, M.

AU - Acheson, A. G.

AU - Bisbe, E.

AU - Butcher, A.

AU - Gómez-Ramírez, S.

AU - Khalafallah, A. A.

AU - Kehlet, H.

AU - Kietaibl, S.

AU - Liumbruno, G. M.

AU - Meybohm, P.

AU - Rao Baikady, R.

AU - Shander, A.

AU - So-Osman, C.

AU - Spahn, D. R.

AU - Klein, A. A.

PY - 2018/11/1

Y1 - 2018/11/1

N2 - 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.

AB - 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.

KW - anaemia

KW - erythropoiesis stimulating agents

KW - iron deficiency

KW - iron supplementation

KW - postoperative period

KW - transfusion

UR - http://www.scopus.com/inward/record.url?scp=85051147059&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85051147059&partnerID=8YFLogxK

U2 - 10.1111/anae.14358

DO - 10.1111/anae.14358

M3 - Review article

VL - 73

SP - 1418

EP - 1431

JO - Anaesthesia

JF - Anaesthesia

SN - 0003-2409

IS - 11

ER -