Evidence map›Paper›PMID 30062700›Full record

ReviewAnaesthesia2018

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 and 5 more

Registry-linked trialOpen access · hybridAbstract readConsensus StatementReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Anaesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06948864 (Evaluation of the Role of Preoperative Intravenous Iron in Patients Undergoing Surgery), which is not on this map. Cited by 90 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 6 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06948864 completednot on this mapstarted 2020, after this paper: background citation

Evaluation of the Role of Preoperative Intravenous Iron in Patients Undergoing Surgery

TypeobservationalSponsorHospital Universitario Infanta CristinaRan2020 to 2024Enrolled152ConditionsAnemia, Anemia (Iron-Loading), Perioperative Bleeding, Infection PreventionArmsFerric Carboxymaltose (FCM)
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 6 syntheses or guidelines pooled it, 236 citations in OpenAlex.

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  14. Perioperative considerations for patients with multiple myeloma.European journal of anaesthesiology and intensive care · 2026
    Review
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30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 8 countries.

M MuñozDepartment of Surgical Specialties, Biochemistry and Immunology, School of Medicine, University of Málaga, Málaga, Spain.
A G AchesonDepartment of Colorectal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research Biomedical Research Unit, Nottingham University Hospitals, Nottingham, UK.
E BisbeDepartment of Anaesthesia, University Hospital Mar-Esperanza, Barcelona, Spain.
A ButcherDivision of Surgery, University College London, London, UK.
S Gómez-RamírezDepartment of Internal Medicine, University Hospital Virgen de la Victoria, Málaga, Spain.
A A KhalafallahDepartment of Haematology and Medicine, Launceston General Hospital, Launceston, Australia.
H KehletSection of Surgical Pathophysiology, Rigshospitalet Copenhagen University Hospital, Copenhagen, Denmark.
S KietaiblDepartment of Anaesthesia and Intensive Care, Evangelical Hospital, Vienna, Austria.
G M LiumbrunoItalian National Blood Centre, National Institute of Health, Rome, Italy.
P MeybohmDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Frankfurt, Germany.
R Rao BaikadyDepartment of Anaesthesia, Royal Marsden NHS Foundation Trust, London, UK.
A ShanderAnaesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Centre, Englewood, NJ, USA.
C So-OsmanDepartment of Transfusion Medicine, Sanquin Blood Bank, Amsterdam, The Netherlands.
D R SpahnInstitute of Anaesthesiology, University Hospital of Zurich, Zurich, Switzerland.
A A KleinDepartment of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
Englewood Hospital and Medical Center · USGroene Hart Ziekenhuis · NLHospital Clínico Universitario Virgen de la Victoria · ESHospital de l'Esperança · ESNIHR Nottingham Digestive Diseases Biomedical Research Unit · GBPapworth Hospital · GBRigshospitalet · DKRoyal Marsden NHS Foundation Trust · GBUniversidad de Málaga · ESUniversity College London · GBUniversity Hospital Frankfurt · DEUniversity Hospital of Zurich · CHUniversity of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

InternationalitySurgical Procedures, OperativeAnemiaBlood TransfusionConsensusHumansIronPostoperative ComplicationsIronanaemiaerythropoiesis stimulating agentsiron deficiencyiron supplementationpostoperative periodtransfusion

Identifiers

PMID30062700
PMCPMC6686161
OpenAlexW2886575753

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.