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A supportive care in cancer unit reduces costs and hospitalizations for transfusions in a comprehensive cancer center.癌症单元的支持性护理可降低综合癌症中心输血的成本和住院率。
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2
The role of inflammation, iron, and nutritional status in cancer-related anemia: results of a large, prospective, observational study.炎症、铁及营养状况在癌症相关性贫血中的作用：一项大型前瞻性观察性研究的结果
Haematologica. 2015 Jan;100(1):124-32. doi: 10.3324/haematol.2014.112813. Epub 2014 Sep 19.
3
Prevalence and management of anaemia in patients with non-myeloid cancer undergoing systemic therapy: a Spanish survey.接受系统治疗的非髓性癌症患者贫血的患病率和管理：西班牙调查。
Clin Transl Oncol. 2013 Jun;15(6):477-83. doi: 10.1007/s12094-012-0953-5. Epub 2012 Dec 19.
4
Supportive care and not only palliative care in the route of cancer patients.癌症患者治疗过程中应提供支持性护理，而不仅仅是姑息治疗。
Support Care Cancer. 2013 Mar;21(3):657-8. doi: 10.1007/s00520-012-1658-6. Epub 2012 Nov 15.
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Cancer- and chemotherapy-induced anemia.癌症和化疗引起的贫血。
J Natl Compr Canc Netw. 2012 May;10(5):628-53. doi: 10.6004/jnccn.2012.0064.
6
Erythropoiesis-stimulating agents in the treatment of anaemia in cancer patients: ESMO Clinical Practice Guidelines for use.促红细胞生成素在癌症患者贫血治疗中的应用：ESMO临床应用指南
Ann Oncol. 2010 May;21 Suppl 5:v244-7. doi: 10.1093/annonc/mdq202.
7
Anemia management in oncology and hematology.肿瘤学与血液学中的贫血管理
Oncologist. 2009;14 Suppl 1:43-56. doi: 10.1634/theoncologist.2009-S1-43.
8
Mechanisms of cancer-related fatigue.癌症相关疲劳的机制。
Oncologist. 2007;12 Suppl 1:22-34. doi: 10.1634/theoncologist.12-S1-22.
9
Anemia in patients with cancer: incidence, causes, impact, management, and use of treatment guidelines and protocols.癌症患者的贫血：发病率、病因、影响、管理以及治疗指南和方案的应用
Am J Health Syst Pharm. 2007 Feb 1;64(3 Suppl 2):S5-13; quiz S28-30. doi: 10.2146/ajhp060601.
10
Anaemia of cancer: impact on patient fatigue and long-term outcome.癌症相关性贫血：对患者疲劳及长期预后的影响
Oncology. 2005;69 Suppl 2:2-7. doi: 10.1159/000088282. Epub 2005 Oct 21.

门诊支持性癌症护理服务中输注红细胞制品的临床及经济效果

Clinical and economic effect of administration of red blood product transfusions in an outpatient supportive care cancer service.

作者信息

Sbrana Andrea, Paolieri Federico, Bloise Francesco, Danova Marco, Galli Luca, Brunetti Isa M, Vasile Enrico, Ricci Sergio, Falcone Alfredo, Antonuzzo Andrea

机构信息

Medical Oncology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, I-56126 Pisa, Italy.

Internal Medicine and Medical Oncology, AZIENDA Socio-Sanitaria Territoriale di Pavia, I-27100 Pavia, Italy.

出版信息

Biomed Rep. 2020 Apr;12(4):199-203. doi: 10.3892/br.2020.1274. Epub 2020 Feb 10.

DOI:10.3892/br.2020.1274
PMID:32190308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7054705/
Abstract

Patients with cancer may develop disease- or treatment-associated anemia, requiring red blood product transfusions. In Italy, transfusions are usually administered in a day hospital service or in inpatient wards. Since 2013, a dedicated supportive care service for outpatients has been implemented in Pisa, where red blood product transfusions are administered. The present study evaluated the patients that received red blood product transfusions at the dedicated supportive care service for outpatients in 2016. The clinical features of patients were analyzed, and the procedural cost was evaluated by comparing its administration with a hypothetical scenario in which transfusions were provided via day hospital services or inpatient wards. The results revealed that the dedicated supportive care service for outpatients avoided the hospitalization of patients, allowing them to receive prompt and timely transfusions, with a rapid resolution of symptoms. Avoiding hospitalization was also estimated to decrease transfusion-associated costs by €48,805-177,805.

摘要

癌症患者可能会出现与疾病或治疗相关的贫血，需要输注红细胞制品。在意大利，输血通常在日间医院服务或住院病房进行。自2013年以来，比萨已为门诊患者实施了专门的支持性护理服务，在那里进行红细胞制品输血。本研究评估了2016年在门诊患者专门支持性护理服务中接受红细胞制品输血的患者。分析了患者的临床特征，并通过将其管理与假设的通过日间医院服务或住院病房进行输血的情景进行比较，评估了程序成本。结果显示，门诊患者专门支持性护理服务避免了患者住院，使他们能够及时接受输血，症状迅速缓解。据估计，避免住院还可使输血相关成本降低48,805 - 177,805欧元。