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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 1/2021

01-01-2021 | Health Services Research and Global Oncology

Transforming Perioperative Transfusion Rates in Gastrointestinal Cancer Surgery: A Snapshot of Data-Driven Practice Change

Author: Susanne G. Warner, MD

Published in: Annals of Surgical Oncology | Issue 1/2021

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Excerpt

I am pleased to comment on the work of Dr. Zuckerman et al.1 This study reports decreasing perioperative blood transfusion rates for patients with gastrointestinal malignancies in the Ontario Cancer Registry. The study team, led by Dr. Julie Hallet, reports on province-wide adherence to modern restrictive perioperative transfusion guidelines.2 They conclude that red blood cell (RBC) transfusion rates have decreased over time, more markedly in recent years, and they report intentions to further examine the appropriateness of transfusion at a province-wide level. …
Literature
1.
2.
2. Carson JL, Guyatt G, Heddle NM, et al. Clinical practice guidelines from the AABB: red blood cell transfusion thresholds and storage. JAMA. 2016;316(19):2025–2035.CrossRef
3.
Ontario Network of Transfusion Coordinators.
4.
Ontario Regional Blood Coordinating Network.
5.
5. von Elm E, Altman DG, Egger M, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495–1499.CrossRef
6.
6. Benchimol EI, Smeeth L, Guttmann A, et al. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. PLoS Med. 2015;12(10):e1001885.CrossRef
7.
7. Ecker BL, Simmons KD, Zaheer S, et al. Blood transfusion in major abdominal surgery for malignant tumors: a trend analysis using the national surgical quality improvement program. JAMA Surg. 2016;151(6):518–525.CrossRef
8.
Hebert PC, Wells G, Blajchman MA, et al. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. N Engl J Med. 1999;340(6):409–417.
9.
Carson JL, Grossman BJ, Kleinman S, et al. Red blood cell transfusion: a clinical practice guideline from the AABB*. Ann Intern Med. 2012;157(1):49–58.CrossRef
10.
Callum JL, Waters JH, Shaz BH, Sloan SR, Murphy MF. The AABB recommendations for the Choosing Wisely campaign of the American Board of Internal Medicine. Transfusion. 2014;54(9):2344–2352.CrossRef
11.
Qiang JK, Thompson T, Callum J, Pinkerton P, Lin Y. Variations in RBC and frozen plasma utilization rates across 62 Ontario community hospitals. Transfusion. 2019;59(2):545–554.CrossRef
12.
Ejaz A, Spolverato G, Kim Y, Frank SM, Pawlik TM. Identifying variations in blood use based on hemoglobin transfusion trigger and target among hepatopancreaticobiliary surgeons. J Am Coll Surg. 2014;219(2):217–228.CrossRef
13.
14.
LaPar DJ, Crosby IK, Ailawadi G, et al. Blood product conservation is associated with improved outcomes and reduced costs after cardiac surgery. J Thorac Cardiovasc Surg. 2013;145(3):796–803; discussion 803–794.
15.
Hallet J, Tsang M, Cheng ES, et al. The Impact of Perioperative Red Blood Cell Transfusions on Long-Term Outcomes after Hepatectomy for Colorectal Liver Metastases. Ann Surg Oncol. 2015;22(12):4038–4045.CrossRef
16.
Huang Y-M, Lee Y-W, Huang Y-J, Wei P-L. Comparison of clinical outcomes between laparoscopic and open surgery for left-sided colon cancer: a nationwide population-based study. Sci Rep. 2020;10(1):75.CrossRef
17.
Freischlag K, Adam M, Turner M, et al. With widespread adoption of MIS colectomy for colon cancer, does hospital type matter? Surg Endosc. 2019;33(1):159–168.CrossRef
18.
Gough BL, Levi S, Sabesan A, Abdel-Misih R, Bennett JJ. Complex distal pancreatectomy outcomes performed at a single institution. Surg Oncol. 2018;27(3):428–432.CrossRef
Metadata
Title
Transforming Perioperative Transfusion Rates in Gastrointestinal Cancer Surgery: A Snapshot of Data-Driven Practice Change
Author
Susanne G. Warner, MD
Publication date
01-01-2021
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 1/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-020-09296-7

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