Ferric carboxymaltose reduces transfusions and hospital stay in patients with colon cancer and anemia
Purpose The purpose of the study was to evaluate the efficacy of preoperative intravenous (IV) ferric carboxymaltose (FCM) administration vs. no-IV iron in colon cancer (CC) anemic patients undergoing elective surgery with curative intention. Methods This was a multicenter, observational study inclu...
| Autores: | , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2016 |
| País: | España |
| Institución: | Universidad de Sevilla (US) |
| Repositorio: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:idus.us.es:11441/172861 |
| Acceso en línea: | https://hdl.handle.net/11441/172861 https://doi.org/10.1007/s00384-015-2461-x |
| Access Level: | acceso abierto |
| Palabra clave: | Iron deficiency anemia Colon cancer surgery Iron intravenous administration Ferric carboxymalto |
| Sumario: | Purpose The purpose of the study was to evaluate the efficacy of preoperative intravenous (IV) ferric carboxymaltose (FCM) administration vs. no-IV iron in colon cancer (CC) anemic patients undergoing elective surgery with curative intention. Methods This was a multicenter, observational study includ- ing two cohorts of consecutive CC anemic patients: the no-IV iron treatment group was obtained retrospectively while FCM-treated patients were recorded prospectively. Results A total of 266 patients were included: 111 received FCM (median dose 1000 mg) and 155 were no-IV iron sub- jects. Both groups were similar in terms of demographic char- acteristics, tumor location, surgical approach, and intra- operative bleeding severity. The FCM group showed a signif- icant lower need for red blood cell (RBC) transfusion during the study (9.9 vs. 38.7 %; OR: 5.9, p<0.001). In spite of lower hemoglobin levels at baseline diagnosis and lower transfusion rates in the FCM group, the proportion of responders was significantly higher with respect to the no-IV group both at hospital admission (48.1 vs. 20.0 %, p<0.0001) and at 30 days post-surgery (80.0 vs. 48.9 %, p<0.0001). The percentage of patients with normalized hemoglobin levels was also higher in the FCM group (40.0 vs. 26.7 % at 30 days, p<0.05). A lower number of reinterventions and post-surgery complications were seen in the FCM group (20.7 vs. 26.5 %; p=0.311). The FCM group presented a significant shorter hospital stay (8.4±6.8 vs. 10.9±12.4 days to discharge; p<0.001). Conclusions Preoperative ferric carboxymaltose treatment in patients with CC and iron deficiency anemia significantly re- duced RBC transfusion requirements and hospital length of stay, reaching higher response rates and percentages of nor- malized hemoglobin levels both at hospital admission and 30 days post-surgery. |
|---|