Indications for and complications of transfusion and the management of gynecologic malignancies. Review uri icon

Overview

abstract

  • Anemia, which is highly prevalent in oncology patients, is one of the most established negative prognostic factors for several gynecologic malignancies. Multiple factors can cause or contribute to the development of anemia in patients with gynecologic cancers; these factors include blood loss (during surgery or directly from the tumor), renal impairment (caused by platinum-based chemotherapy), and marrow dysfunction (from metastases, chemotherapy, and/or radiation therapy). Several peri- and intra-operative strategies can be used to optimize patient management and minimize blood loss related to surgery. Blood transfusions are routinely employed as corrective measures against anemia; however, blood transfusions are one of the most overused healthcare interventions. There are safe and effective evidence-based blood transfusion strategies used in other patient populations that warrant further investigation in the surgical oncology setting. Blood is a valuable healthcare resource, and clinicians can learn to use it more judiciously through knowledge of the potential risks and complications of blood interventions, as well as the ability to properly identify the patients most likely to benefit from such interventions.

publication date

  • May 18, 2017

Research

keywords

  • Anemia
  • Erythrocyte Transfusion
  • Genital Neoplasms, Female
  • Hematinics
  • Hemodilution
  • Operative Blood Salvage
  • Perioperative Care

Identity

PubMed Central ID

  • PMC5527999

Scopus Document Identifier

  • 85019347979

Digital Object Identifier (DOI)

  • 10.1016/j.ygyno.2017.05.010

PubMed ID

  • 28528916

Additional Document Info

volume

  • 146

issue

  • 2