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• W2012119020 endingPage "244" @default.
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• W2012119020 abstract "In Brief Objective: To determine the effect of allogeneic blood transfusion (ABT) on clinical outcomes in patients with colorectal cancer undergoing surgery. Background: Perioperative ABTs may be associated with adverse clinical outcomes. Methods: Systematic review of the literature with odds ratio (OR) and incidence rate ratio (IRR) meta-analyses of predefined clinical outcomes based on a MEDLINE search. Results: In total, 20,795 colorectal cancer (CRC) patients observed for more than 59.2 ± 26.1 months (108,838 patient years) were included, of which 58.8% were transfused. ABT was associated with increased all-cause mortality OR = 1.72 (95% confidence interval [CI] 1.55 − 1.91, P < 0.001); I2 = 23.3% (0 − 51.1) and IRR = 1.31 (1.23 − 1.39, P < 0.001), I2 = 0.0% (0 − 37.0). ABT was also associated with increased ORs (95% CI, P) for cancer-related mortality of 1.71 (1.43 − 2.05, P <0.001), combined recurrence—metastasis—death 1.66 (1.41 − 1.97, P < 0.001), postoperative infection 3.27 (2.05 − 5.20, P < 0.001), and surgical reintervention 4.08 (2.18 − 7.62, <0.001). IRR (95% CI, P) was 1.45 (1.26 − 1.66, <0.001) for cancer-related mortality and 1.32 (1.19 − 1.46, <0.001) for recurrence—metastasis—death. Mean length of hospital stay was significantly longer in transfused compared with nontransfused patients (17.8 ± 4.8 vs 13.9 ± 4.7 days, P = 0.005). Conclusions: In patients with colorectal cancer (CRC) undergoing surgery, ABTs are associated with adverse clinical outcomes, including increased mortality. Measures aimed at limiting the use of ABTs should be investigated further. In a systematic literature review, and meta-analysis of predefined patient outcomes aimed at determining the effect of allogeneic blood transfusions (ABT) in patients with colorectal cancer undergoing surgery, ABTs were associated with adverse clinical outcomes, including increased mortality." @default.
• W2012119020 created "2016-06-24" @default.
• W2012119020 creator A5005673379 @default.
• W2012119020 creator A5073805338 @default.
• W2012119020 creator A5089150094 @default.
• W2012119020 date "2012-08-01" @default.
• W2012119020 modified "2023-10-01" @default.
• W2012119020 title "Effects of Allogeneic Red Blood Cell Transfusions on Clinical Outcomes in Patients Undergoing Colorectal Cancer Surgery" @default.
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• W2012119020 doi "https://doi.org/10.1097/sla.0b013e31825b35d5" @default.
• W2012119020 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/22791100" @default.
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