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...

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Detalles Bibliográficos
Autores: Calleja, José Luis, Delgado, Salvadora, Val, Adolfo del, Hervás, Antonio, Larraona, José Luis, Terán, Álvaro, Colon Cancer Study Group, Argüelles Arias, Federico
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
Descripción
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.