Article Type
Changed
Mon, 01/02/2017 - 19:34
Display Headline
In response to “Patient‐Centered Blood Management”

Dr. Horwitz appropriately notes that anemia of chronic disease may be better described as anemia of inflammation.[1, 2] We used the more traditional nomenclature for the sake of clarity to those readers who may not be familiar with the newer terminology. We do agree that there is often a role for hematology evaluation, but believe it should be based on the needs of the individual case and the needs of the organization. To be effective, any algorithm must maintain some flexibility for clinical judgment, and must also meet the needs of local stakeholders. We recommend that prior to implementing a preoperative anemia algorithm it is reviewed by the appropriate parties, which would typically include, but not be limited to, clinical leadership in anesthesia, surgery, medicine, and hematology.

Files
References
  1. Hohmuth B, Ozawa S, Ashton M, Melseth RL. Patient‐centered blood management. J Hosp Med. 2014;9:6065.
  2. Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005:352:10111023.
Article PDF
Issue
Journal of Hospital Medicine - 9(7)
Publications
Page Number
479-479
Sections
Files
Files
Article PDF
Article PDF

Dr. Horwitz appropriately notes that anemia of chronic disease may be better described as anemia of inflammation.[1, 2] We used the more traditional nomenclature for the sake of clarity to those readers who may not be familiar with the newer terminology. We do agree that there is often a role for hematology evaluation, but believe it should be based on the needs of the individual case and the needs of the organization. To be effective, any algorithm must maintain some flexibility for clinical judgment, and must also meet the needs of local stakeholders. We recommend that prior to implementing a preoperative anemia algorithm it is reviewed by the appropriate parties, which would typically include, but not be limited to, clinical leadership in anesthesia, surgery, medicine, and hematology.

Dr. Horwitz appropriately notes that anemia of chronic disease may be better described as anemia of inflammation.[1, 2] We used the more traditional nomenclature for the sake of clarity to those readers who may not be familiar with the newer terminology. We do agree that there is often a role for hematology evaluation, but believe it should be based on the needs of the individual case and the needs of the organization. To be effective, any algorithm must maintain some flexibility for clinical judgment, and must also meet the needs of local stakeholders. We recommend that prior to implementing a preoperative anemia algorithm it is reviewed by the appropriate parties, which would typically include, but not be limited to, clinical leadership in anesthesia, surgery, medicine, and hematology.

References
  1. Hohmuth B, Ozawa S, Ashton M, Melseth RL. Patient‐centered blood management. J Hosp Med. 2014;9:6065.
  2. Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005:352:10111023.
References
  1. Hohmuth B, Ozawa S, Ashton M, Melseth RL. Patient‐centered blood management. J Hosp Med. 2014;9:6065.
  2. Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2005:352:10111023.
Issue
Journal of Hospital Medicine - 9(7)
Issue
Journal of Hospital Medicine - 9(7)
Page Number
479-479
Page Number
479-479
Publications
Publications
Article Type
Display Headline
In response to “Patient‐Centered Blood Management”
Display Headline
In response to “Patient‐Centered Blood Management”
Sections
Article Source
© 2014 Society of Hospital Medicine
Disallow All Ads
Content Gating
Gated (full article locked unless allowed per User)
Gating Strategy
First Peek Free
Article PDF Media
Media Files