Subcutaneous Low-Dose Epoetin Beta for the Avoidance of Transfusion in Patients Scheduled for Elective Surgery Not Eligible for Autologous Blood Donation
This randomized, multicentre, parallel-group study assessed the efficacy of epoetin beta in reducing the transfusion frequency in patients ineligible for autologous blood donation prior to surgery. The patients (n = 194) received either epoetin beta (125 or 250 IU/kg, once weekly) or no therapy for...
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Veröffentlicht in: | European surgical research 2001-09, Vol.33 (5-6), p.303-310 |
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creator | Wurnig, C. Schatz, K. Noske, H. Hemon, Y. Dahlberg, G. Josefsson, G. Milbrink, J. Hamard, Christiane |
description | This randomized, multicentre, parallel-group study assessed the efficacy of epoetin beta in reducing the transfusion frequency in patients ineligible for autologous blood donation prior to surgery. The patients (n = 194) received either epoetin beta (125 or 250 IU/kg, once weekly) or no therapy for 3–4 weeks before surgery. The pre-operation haemoglobin levels were markedly increased in the epoetin beta groups (125 IU/kg: +1.1 g/dl; 250 IU/kg: +1.6 g/dl), but not in the control group. The transfusion frequency was significantly reduced in both epoetin groups as compared with the control group (p = 0.046). Epoetin beta was well tolerated, and no serious adverse events were observed. Low-dose administration of epoetin beta before elective surgery reduces the transfusion frequencies in patients not eligible for autologous blood donation. |
doi_str_mv | 10.1159/000049723 |
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The patients (n = 194) received either epoetin beta (125 or 250 IU/kg, once weekly) or no therapy for 3–4 weeks before surgery. The pre-operation haemoglobin levels were markedly increased in the epoetin beta groups (125 IU/kg: +1.1 g/dl; 250 IU/kg: +1.6 g/dl), but not in the control group. The transfusion frequency was significantly reduced in both epoetin groups as compared with the control group (p = 0.046). Epoetin beta was well tolerated, and no serious adverse events were observed. Low-dose administration of epoetin beta before elective surgery reduces the transfusion frequencies in patients not eligible for autologous blood donation.</description><identifier>ISSN: 0014-312X</identifier><identifier>EISSN: 1421-9921</identifier><identifier>DOI: 10.1159/000049723</identifier><identifier>PMID: 11805389</identifier><identifier>CODEN: EUSRBM</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Biological and medical sciences ; Blood Transfusion ; Blood Transfusion, Autologous ; Blood. Blood coagulation. Reticuloendothelial system ; Dose-Response Relationship, Drug ; Erythrocyte Transfusion ; Erythropoietin - administration & dosage ; Erythropoietin - therapeutic use ; Female ; Hematocrit ; Hemoglobins - analysis ; Humans ; Injections, Subcutaneous ; Iron - pharmacokinetics ; Male ; Medical sciences ; Original Paper ; Pharmacology. Drug treatments ; Postoperative Complications ; Recombinant Proteins ; Safety ; Surgical Procedures, Operative</subject><ispartof>European surgical research, 2001-09, Vol.33 (5-6), p.303-310</ispartof><rights>2001 S. Karger AG, Basel</rights><rights>2002 INIST-CNRS</rights><rights>Copyright 2001 S. Karger AG, Basel</rights><rights>Copyright (c) 2001 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-d741991d880ba85dfbd97968639bc6e9be98522b073268a26c8461632778e31e3</citedby><cites>FETCH-LOGICAL-c386t-d741991d880ba85dfbd97968639bc6e9be98522b073268a26c8461632778e31e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13473280$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11805389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wurnig, C.</creatorcontrib><creatorcontrib>Schatz, K.</creatorcontrib><creatorcontrib>Noske, H.</creatorcontrib><creatorcontrib>Hemon, Y.</creatorcontrib><creatorcontrib>Dahlberg, G.</creatorcontrib><creatorcontrib>Josefsson, G.</creatorcontrib><creatorcontrib>Milbrink, J.</creatorcontrib><creatorcontrib>Hamard, Christiane</creatorcontrib><creatorcontrib>Collaborative Study Group</creatorcontrib><title>Subcutaneous Low-Dose Epoetin Beta for the Avoidance of Transfusion in Patients Scheduled for Elective Surgery Not Eligible for Autologous Blood Donation</title><title>European surgical research</title><addtitle>Eur Surg Res</addtitle><description>This randomized, multicentre, parallel-group study assessed the efficacy of epoetin beta in reducing the transfusion frequency in patients ineligible for autologous blood donation prior to surgery. The patients (n = 194) received either epoetin beta (125 or 250 IU/kg, once weekly) or no therapy for 3–4 weeks before surgery. The pre-operation haemoglobin levels were markedly increased in the epoetin beta groups (125 IU/kg: +1.1 g/dl; 250 IU/kg: +1.6 g/dl), but not in the control group. The transfusion frequency was significantly reduced in both epoetin groups as compared with the control group (p = 0.046). Epoetin beta was well tolerated, and no serious adverse events were observed. Low-dose administration of epoetin beta before elective surgery reduces the transfusion frequencies in patients not eligible for autologous blood donation.</description><subject>Biological and medical sciences</subject><subject>Blood Transfusion</subject><subject>Blood Transfusion, Autologous</subject><subject>Blood. Blood coagulation. Reticuloendothelial system</subject><subject>Dose-Response Relationship, Drug</subject><subject>Erythrocyte Transfusion</subject><subject>Erythropoietin - administration & dosage</subject><subject>Erythropoietin - therapeutic use</subject><subject>Female</subject><subject>Hematocrit</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Injections, Subcutaneous</subject><subject>Iron - pharmacokinetics</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Original Paper</subject><subject>Pharmacology. 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Blood coagulation. Reticuloendothelial system</topic><topic>Dose-Response Relationship, Drug</topic><topic>Erythrocyte Transfusion</topic><topic>Erythropoietin - administration & dosage</topic><topic>Erythropoietin - therapeutic use</topic><topic>Female</topic><topic>Hematocrit</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Injections, Subcutaneous</topic><topic>Iron - pharmacokinetics</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Original Paper</topic><topic>Pharmacology. Drug treatments</topic><topic>Postoperative Complications</topic><topic>Recombinant Proteins</topic><topic>Safety</topic><topic>Surgical Procedures, Operative</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wurnig, C.</creatorcontrib><creatorcontrib>Schatz, K.</creatorcontrib><creatorcontrib>Noske, H.</creatorcontrib><creatorcontrib>Hemon, Y.</creatorcontrib><creatorcontrib>Dahlberg, G.</creatorcontrib><creatorcontrib>Josefsson, G.</creatorcontrib><creatorcontrib>Milbrink, J.</creatorcontrib><creatorcontrib>Hamard, Christiane</creatorcontrib><creatorcontrib>Collaborative Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wurnig, C.</au><au>Schatz, K.</au><au>Noske, H.</au><au>Hemon, Y.</au><au>Dahlberg, G.</au><au>Josefsson, G.</au><au>Milbrink, J.</au><au>Hamard, Christiane</au><aucorp>Collaborative Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subcutaneous Low-Dose Epoetin Beta for the Avoidance of Transfusion in Patients Scheduled for Elective Surgery Not Eligible for Autologous Blood Donation</atitle><jtitle>European surgical research</jtitle><addtitle>Eur Surg Res</addtitle><date>2001-09-01</date><risdate>2001</risdate><volume>33</volume><issue>5-6</issue><spage>303</spage><epage>310</epage><pages>303-310</pages><issn>0014-312X</issn><eissn>1421-9921</eissn><coden>EUSRBM</coden><abstract>This randomized, multicentre, parallel-group study assessed the efficacy of epoetin beta in reducing the transfusion frequency in patients ineligible for autologous blood donation prior to surgery. The patients (n = 194) received either epoetin beta (125 or 250 IU/kg, once weekly) or no therapy for 3–4 weeks before surgery. The pre-operation haemoglobin levels were markedly increased in the epoetin beta groups (125 IU/kg: +1.1 g/dl; 250 IU/kg: +1.6 g/dl), but not in the control group. The transfusion frequency was significantly reduced in both epoetin groups as compared with the control group (p = 0.046). Epoetin beta was well tolerated, and no serious adverse events were observed. Low-dose administration of epoetin beta before elective surgery reduces the transfusion frequencies in patients not eligible for autologous blood donation.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11805389</pmid><doi>10.1159/000049723</doi><tpages>8</tpages></addata></record> |
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subjects | Biological and medical sciences Blood Transfusion Blood Transfusion, Autologous Blood. Blood coagulation. Reticuloendothelial system Dose-Response Relationship, Drug Erythrocyte Transfusion Erythropoietin - administration & dosage Erythropoietin - therapeutic use Female Hematocrit Hemoglobins - analysis Humans Injections, Subcutaneous Iron - pharmacokinetics Male Medical sciences Original Paper Pharmacology. Drug treatments Postoperative Complications Recombinant Proteins Safety Surgical Procedures, Operative |
title | Subcutaneous Low-Dose Epoetin Beta for the Avoidance of Transfusion in Patients Scheduled for Elective Surgery Not Eligible for Autologous Blood Donation |
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