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Need for preoperative anemia management clinics in Japan: initiatives at a university hospital in the USA

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Abstract

Untreated preoperative anemia increases the risk of morbidity and mortality and there is increasing evidence that early intervention for preoperative anemia improves outcomes after major surgery. Accordingly, anemia management clinics have been established in various institutions in the USA. As an example, the University of Iowa Hospitals and Clinics outpatient clinic treats pre-surgical anemic patients, who undergo major surgery with anticipated blood loss of more than 500 mL, by providing effective standardized care in a timely manner. This standardized care is an integral part of patient blood management to reduce perioperative blood transfusion and improve patient outcomes. The importance of preoperative anemia management has not yet been sufficiently recognized in Japan. Timely intervention for preoperative anemia should be incorporated into routine pre-surgical patient care in Japan.

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Acknowledgements

This study was funded by the Department of Anesthesia at the University of Iowa Carver College of Medicine.

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Author notes

  1. Patrick Hussey and Yoshiko Onodera are Co-first authors.

Authors and Affiliations

  1. Department of Anesthesia, School of Medicine, University of Alabama at Birmingham, 619 19th Street S, Birmingham, AL, 35226, USA

    Patrick Hussey

  2. Department of Anesthesia, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA

    Yoshiko Onodera, Sundara Reddy, Blain Samuelson, Sudhakar Subramani, Yatish Siddapura Ranganath, Tariq Jaradat & Satoshi Hanada

  3. Surgical Operation Department, Asahikawa Medical University Hospital, Midorigaoka-higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan

    Yoshiko Onodera

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  1. Patrick Hussey
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Contributions

All authors contributed to the study conception and design. Sundara Reddy and Satoshi Hanada conceived the idea for the article, Yoshiko Onodera, Blain Samuelson and Satoshi Hanada performed the literature search, and all authors drafted and/or critically revised the work. All authors read and approved the final manuscript.

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Correspondence to Satoshi Hanada.

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Hussey, P., Onodera, Y., Reddy, S. et al. Need for preoperative anemia management clinics in Japan: initiatives at a university hospital in the USA. J Anesth 35, 710–722 (2021). https://doi.org/10.1007/s00540-021-02979-9

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  • DOI: https://doi.org/10.1007/s00540-021-02979-9

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