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- W2090934710 abstract "To the Editor: Kikuchi et al. compare the 5-year survival of 63 anemic nursing home residents according to hemoglobin concentration with the survival of nonanemic controls.1 They found lower survival for those with lower concentrations. Some had a hemoglobin concentration as low as 6.7 g/dL. Presumably, the study population had anemia from a variety of causes, because there was no stratification according to mean cell volume (MCV). We have recently completed a similar study examining 55 people aged 65 and older with normocytic anemia who had been admitted to an assessment and rehabilitation unit for older people. We excluded people with an abnormal MCV or with an erythrocyte sedimentation rate (ESR) greater than 50 mm/hr and matched these 55 people with 110 nonanemic controls. We also excluded people with chronic renal failure, persons who had recent surgery, and those who had clinically apparent bleeding. We found no significant differences in 5-year survival between the two groups after adjusting for age and sex. Development of, or death from, cancer was no more likely in the anemic group (7.3%) than in the nonanemic group (6.4%). This was a small study, and it did not examine changes in hemoglobin over time, but we wonder whether mild normocytic anemia associated with a nonelevated ESR may not carry the same adverse prognosis as shown in people with anemia of a wide variety of type or severity. Kikuchi et al. have reported survival rates based on hemoglobin concentration. Are they able to report the 5-year survival of older people in their cohort who also had a hemoglobin above 10 g/dL, a nonelevated ESR, and a normal MCV?" @default.
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- W2090934710 date "2002-09-01" @default.
- W2090934710 modified "2023-09-26" @default.
- W2090934710 title "FIVE-YEAR SURVIVAL OF OLDER PEOPLE WITH ANEMIA" @default.
- W2090934710 cites W1970642356 @default.
- W2090934710 doi "https://doi.org/10.1046/j.1532-5415.2002.50425.x" @default.
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