title: [Preoperative management of anemia in oncologic surgery].
abstract: Preoperative anemia in patients with cancer is highly prevalent, is associated with increased perioperative morbidity and is a risk factor for transfusion. There is evidence that patients who undergo transfusions have higher morbidity, increased cancer recurrence and poorer survival. The pathophysiology of anemia is multifactorial, with an inflammatory component to which chronic blood loss and nutritional deficiencies can be associated. Therefore, preoperative anemia in patients with cancer should be treated appropriately, given that there is sufficient time in the preoperative period. Of the currently available options, parenteral iron is an effective alternative, especially for those types of cancer that have an associated hemorrhagic component.
authors: Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España. Electronic address: oscardiazcambronero@gmail.com.
authors: O
authors: O
authors: Díaz-Cambronero
authors: Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors: S
authors: S
authors: Matoses-Jaén
authors: Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors: N
authors: N
authors: García-Claudio
authors: Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors: N
authors: N
authors: García-Gregorio
authors: Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España.
authors: J
authors: J
authors: Molins-Espinosa
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D015415:Biomarkers; D016063:Blood Loss, Surgical; D002097:C-Reactive Protein / Q000032:analysis; D004921:Erythropoietin / Q000627:therapeutic use; D005293:Ferritins / Q000097:blood; D005544:Forecasting; D006397:Hematinics / Q000627:therapeutic use; D006454:Hemoglobins / Q000032:analysis*; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000627:therapeutic use; D019300:Medical Errors / Q000517:prevention & control; D009369:Neoplasms / Q000097:blood / Q000150:complications / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods*; D011994:Recombinant Proteins / Q000627:therapeutic use; D065227:Transfusion Reaction
chemical_list: D015415:Biomarkers; D006397:Hematinics; D006454:Hemoglobins; D011994:Recombinant Proteins; D004921:Erythropoietin; D002097:C-Reactive Protein; D005293:Ferritins; D007501:Iron
keywords: Anemia preoperatoria; Cirugía oncológica; Hierro parenteral; Oncologic surgery; Parenteral iron; Preoperative anemia; Transfusion; Transfusión