治疗性放血疗法治疗睾酮诱导的红细胞增多症。

Therapeutic Phlebotomy for Testosterone-Induced Polycythemia.

机构信息

Physician Services, Division of New York Blood Center, St Paul, MN.

Collections Quality, Memorial Blood Centers, Innovative Blood Resources, Division of New York Blood Center, St Paul, MN.

出版信息

Am J Clin Pathol. 2020 Jun 8;154(1):33-37. doi: 10.1093/ajcp/aqaa019.

DOI:10.1093/ajcp/aqaa019

PMID:32134468

Abstract

OBJECTIVES

To evaluate therapeutic phlebotomy (TP) requests for testosterone replacement therapy (TRT) and to highlight the impact to a blood center (BC) or service that provides TP for individuals on TRT.

METHODS

Review of TP requests for individuals on TRT at our BC over a 3-year period from 2014 through 2016, as well as the total number of TP collections.

RESULTS

Total TPs during 2014, 2015, and 2016 were 475, 500, and 569, respectively. Annual TP collections for patients on TRT were 193, 212, and 239, respectively. TRT patients with TP orders increased 71.4% during this period. After discontinuation of TP services for TRT at our BC, 32% continued to donate as volunteer blood donors at our BC.

CONCLUSIONS

Our BC observed increased TP requests for patients on TRT from 2014 through 2016. Our findings suggest that individuals on TRT may be presenting to BCs as volunteer blood donors to avoid charges for TP.

摘要

目的

评估接受睾丸素替代疗法（TRT）患者的治疗性放血（TP）请求，并强调为接受 TRT 的个体提供 TP 的血库（BC）或服务所受到的影响。

方法

对 2014 年至 2016 年期间我们 BC 内接受 TRT 治疗的个体的 TP 请求进行回顾性分析，同时还对 TP 采集的总数进行了分析。

结果

2014 年、2015 年和 2016 年的总 TP 分别为 475、500 和 569。接受 TRT 治疗的患者每年的 TP 采集量分别为 193、212 和 239。在此期间，接受 TRT 治疗且有 TP 医嘱的患者增加了 71.4%。在我们的 BC 停止为 TRT 提供 TP 服务后，有 32%的患者继续作为我们 BC 的志愿献血者进行献血。