Perioperative medicine & outcomes
Design and Staged Implementation of a Multidisciplinary Preoperative Anemia Clinic at a Tertiary Care Medical Center
Authors' conclusion
Treatment is possible for most patients and may be accompanied by improvements in patient-important outcomes.
Study context
- Population
- Surgical patients evaluated in a preoperative anemia clinic (preoperative anemia clinics (PAC)), November 4, 2019 through September 15, 20231,188 PAC consultations
- Participants
- 1,159 patients
- Exposure
- pre-PAC vs post-PAC
- pre-PACn = 15reference
- post-PACn = 38
- Outcome
- PAC patient characteristics and anemia treatments
Methodological detailsmultidisciplinary, staged implementation
- Multidisciplinary
- Staged implementation
Main finding
As reported in the abstract
- Median age, years (57-73)
- 66
- Women
- 58.1%
- Iron deficiency etiology
- 69.1%
- Anemia related to cancer
- 17.3%
- Anemia-directed therapies recommended, encounters
- 1038 (87.4%)
- Received recommended treatment preoperatively
- 730 (70.3%)
- Treatments including IV iron
- 709 (97.1%)
- Treatments including erythropoiesis-stimulating agents
- 146 (20.0%)
Observational data: associations, not effects.
Further findings
Patient-reported outcomes (anemia symptoms, postoperative well-being)
- Post-PAC: earlier resolution of anemia symptoms and less pronounced declines in postoperative well-being scores
- No formal statistical comparison given limited sample sizes
Original publication
Design and Staged Implementation of a Multidisciplinary Preoperative Anemia Clinic at a Tertiary Care Medical Center. Anesth Analg. Published 27 February 2025. doi:10.
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