Evidence map›Paper›PMID 31044255›Full record

ReviewSingapore medical journal2020

Getting patient blood management Pillar 1 right in the Asia-Pacific: a call for action.

Hairil Rizal Abdullah, Ai Leen Ang, Bernd Froessler, Axel Hofmann, Jun Ho Jang, Young Woo Kim, Sigismond Lasocki, Jeong Jae Lee, Shir Ying Lee, Kar Koong Carol Lim and 4 more

Abstract readReview
In one paragraph

Review in Singapore medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hairil Rizal AbdullahDepartment of Anaesthesiology, Singapore General Hospital, Singapore.
Ai Leen AngDepartment of Haematology, Singapore General Hospital, Singapore.
Bernd FroesslerDepartment of Anaesthesia, Lyell McEwin Hospital, Discipline of Acute Care Medicine, University of Adelaide, Australia.
Axel HofmannInstitute of Anaesthesiology, University Hospital Zurich, Switzerland.
Jun Ho JangDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Young Woo KimDepartment of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, South Korea.
Sigismond LasockiDepartment of Anesthesiology, Critical Care and Emergency, Angers University Hospital, France.
Jeong Jae LeeDepartment of Obstetrics and Gynecology, Soonchunhyang University, South Korea.
Shir Ying LeeDepartment of Laboratory Medicine, Haematology Division, National University Hospital, Singapore.
Kar Koong Carol LimDepartment of Obstetrics and Gynaecology, Hospital Sultan Haji Ahmad Shah, Pahang, Malaysia.
Gurpal SinghDivision of Hip and Knee Surgery, National University Hospital, Singapore.
Donat R SpahnInstitute of Anaesthesiology, University Hospital Zurich, Switzerland.
Tae Hyun UmDepartment of Laboratory Medicine, Inje University Ilsan Paik Hospital, South Korea.
Asia-Pacific PBM Expert Consensus Meeting Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative anaemia is common in the Asia-Pacific. Iron deficiency anaemia (IDA) is a risk factor that can be addressed under patient blood management (PBM) Pillar 1, leading to reduced morbidity and mortality. We examined PBM implementation under four different healthcare systems, identified challenges and proposed several measures: (a) Test for anaemia once patients are scheduled for surgery. (b) Inform patients about risks of preoperative anaemia and benefits of treatment. (c) Treat IDA and replenish iron stores before surgery, using intravenous iron when oral treatment is ineffective, not tolerated or when rapid iron replenishment is needed; transfusion should not be the default management. (d) Harness support from multiple medical disciplines and relevant bodies to promote PBM implementation. (e) Demonstrate better outcomes and cost savings from reduced mortality and morbidity. Although PBM implementation may seem complex and daunting, it is feasible to start small. Implementing PBM Pillar 1, particularly in preoperative patients, is a sensible first step regardless of the healthcare setting.

Indexed as

AlgorithmsAnemiaAnemia, Iron-DeficiencyAsiaCost-Benefit AnalysisHumansIronPacific IslandsPostoperative ComplicationsPreoperative CareTreatment OutcomeIronanaemiaAsia Pacificiron deficiencypatient blood managementpreoperative

Identifiers

PMID31044255
PMCPMC7905123

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.