Management of Preoperative Anaemia in Surgical Oncology
NCT05505006 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 500
Last updated 2022-08-19
Summary
Preoperative anemia is detrimental in surgical patients, and its treatment with transfusions can further worsen outcomes, including increased hospital stay and mortality. Transfusions are also highly costly. In 2010, the World Health Organization endorsed the adoption of Patient Blood Management (PBM) programs, i.e., patient-centered multidisciplinary activities, including recognition and treatment of preoperative anemia. While the latter has been proved effective in reducing transfusions in setting like elective orthopedic surgery, widespread adoption is still lacking. Moreover, little is known about surgical oncology, a particular setting posing unique challenging. This change-promoting project attempts to fill this knowledge gap by establishing a multidisciplinary team aimed at optimal management of preoperative anemia in hepatobiliary/pancreas/gastrointestinal/renal surgical oncology. The primary endpoint is the reduction of transfusions, along with safer patient outcomes as compared to the historical series.
Conditions
- Anemia
- Tumor
Interventions
- DRUG
-
Ferric Carboxymaltose Injection
Anemic patients with ID will receive i.v. iron. Dosage will be based on Hb level and patient body weight.
- DRUG
-
Folic acid
Anemic patients with folate deficiency will receive folic acid 5 mg per day for 1 month
- DRUG
-
B12
Anemic patients with B12 deficiency will receive B vitamin complex 1 tablet per day for 1 month
Sponsors & Collaborators
-
Azienda Ospedaliera Universitaria Integrata Verona
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-02
- Primary Completion
- 2024-08-13
- Completion
- 2024-08-13
Countries
- Italy
Study Locations
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