Clinical and Translational Oncology

, Volume 11, Issue 11, pp 727–736

Spanish Society of Medical Oncology consensus on the use of erythropoietic stimulating agents in anaemic cancer patients

  • Vicente Alberola Candel
  • Alfredo Carrato Mena
  • Eduardo Díaz-Rubio García
  • Pere Gascón Vilaplana
  • Manuel González Barón
  • Miguel Martín Jiménez
  • Emilio Alba Conejo
  • Javier Cassinello Espinosa
  • Ramon Colomer
  • Juan Jesús Cruz Hernández
  • Agustí Barnadas i Molins
  • Carlos Camps Herrero
  • Ana Ma. Casas Fernández de Tejerina
  • Joan Carulla Torrent
  • Manuel Constenla Figueiras
  • Joaquin Gavilá Gregori
  • Ma. Dolores Isla Casado
  • Bartomeu Massuti Sureda
  • Mariano Provencio Pulla
  • César Augusto Rodríguez Sánchez
  • Jaime Sanz Ortiz
  • on behalf of the Spanish Society of Medical Oncology (SEOM)
Educational Series Advances in Clinical Management and Therapy of Cancer

DOI: 10.1007/s12094-009-0435-6

Cite this article as:
Alberola Candel, V., Carrato Mena, A., Díaz-Rubio García, E. et al. Clin Transl Oncol (2009) 11: 727. doi:10.1007/s12094-009-0435-6

Abstract

Treatment of anaemia is a very important aspect in the management of cancer patients. In order to carry out a consensus process about the use of erythropoietic stimulating agents (ESAs) in cancer patients, the Spanish Society of Medical Oncology (SEOM) elaborated a working group which coordinated a panel of medical oncology specialists. This working group has reviewed the main issues about the use of ESAs. In addition a consensus meeting was held in Madrid on 25 April 2007. The following conclusions were made: Since ESA treatment increases the haemoglobin (Hb) level and decreases the red blood cell (RBC) transfusion requirements, ESAs should be used within the approved indications in patients undergoing chemotherapy treatment, beginning at a Hb level below 11 g/dl and maintaining it around 12 g/dl, with iron supplements if necessary. Neither increasing the ESA dose in non-responders nor the use of ESAs in the treatment of chronic cancer-related anaemia is recommended.

Keywords

Cancer-associated anaemia Erythropoietic stimulating agents Chemotherapy Consensus Update 

Copyright information

© Feseo 2009

Authors and Affiliations

  • Vicente Alberola Candel
    • 1
  • Alfredo Carrato Mena
    • 2
  • Eduardo Díaz-Rubio García
    • 3
  • Pere Gascón Vilaplana
    • 4
  • Manuel González Barón
    • 5
  • Miguel Martín Jiménez
    • 3
  • Emilio Alba Conejo
    • 6
  • Javier Cassinello Espinosa
    • 7
  • Ramon Colomer
    • 8
  • Juan Jesús Cruz Hernández
    • 9
  • Agustí Barnadas i Molins
    • 10
  • Carlos Camps Herrero
    • 11
  • Ana Ma. Casas Fernández de Tejerina
    • 12
  • Joan Carulla Torrent
    • 13
  • Manuel Constenla Figueiras
    • 14
  • Joaquin Gavilá Gregori
    • 11
  • Ma. Dolores Isla Casado
    • 15
  • Bartomeu Massuti Sureda
    • 16
  • Mariano Provencio Pulla
    • 17
  • César Augusto Rodríguez Sánchez
    • 9
  • Jaime Sanz Ortiz
    • 18
  • on behalf of the Spanish Society of Medical Oncology (SEOM)
  1. 1.Servicio de Oncología Médica, 6.a plantaHospital Arnau de VilanovaValenciaSpain
  2. 2.Hospital General Universitario de ElcheElcheSpain
  3. 3.Hospital Clínico Universitario San CarlosMadridSpain
  4. 4.Hospital ClínicBarcelonaSpain
  5. 5.Hospital Universitario La PazMadridSpain
  6. 6.Hospital Virgen de la VictoriaMálagaSpain
  7. 7.Hospital General Universitario de GuadalajaraGuadalajaraSpain
  8. 8.Centro Oncológico MD Anderson EspañaMadridSpain
  9. 9.Hospital Clínico Universitario de SalamancaSalamancaSpain
  10. 10.Hospital de la Santa Creu i Sant PauBarcelonaSpain
  11. 11.Hospital General Universitario de ValenciaValenciaSpain
  12. 12.Hospital Virgen del RocíoSevillaSpain
  13. 13.Hospital Mateu OrfilaMenorcaSpain
  14. 14.Complejo Hospitalario de PontevedraPontevedraSpain
  15. 15.Hospital Clínico Universitario Lozano BlesaZaragozaSpain
  16. 16.Hospital Universitario AlicanteAlicanteSpain
  17. 17.Clínica Puerta de HierroMadridSpain
  18. 18.Hospital Marqués de ValdecillaSantanderSpain