Asian Pacific Journal of Cancer Prevention

  • 제15권10호
  • /
  • Pages.4251-4254
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  • 2014
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Use of Blood Transfusion at the End of Life: Does it Have Any Effects on Survival of Cancer Patients?

  • Goksu, Sema Sezgin (Department of Medical Oncology, Kayseri State Hospital of Research and Education) ;
  • Gunduz, Seyda (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Unal, Dilek (Department of Radiation Oncology, Kayseri State Hospital of Research and Education) ;
  • Uysal, Mukremin (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Arslan, Deniz (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Tatli, Ali Murat (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Bozcuk, Hakan (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Ozdogan, Mustafa (Department of Medical Oncology, Akdeniz University, Faculty of Medicine) ;
  • Coskun, Hasan Senol (Department of Medical Oncology, Akdeniz University, Faculty of Medicine)
  • 발행 : 2014.05.30
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초록

Background: Treatment of anemia is an important issue in the palliative care setting. Blood transfusion is generally used for this purpose in supportive care. However the place of blood transfusion in terminally ill cancer cases is less far established. Objective: We aimed to outline the use of transfusions and to find the impact of blood transfusion on survival in patients with advanced cancer and very near to death. Design: Patients dying in 2010-2011 with advanced cancer were included in the study. We retrospectively collected the data including age, type of cancer, the duration of last hospitalisation, ECOG performance status, Hb levels, transfusion history of erythrocytes and platelets, cause and the amount of transfusion. The anaemic patients who had transfusion at admission were compared with the group who were not transfused. Survival was defined as the time between the admission of last hospitalisation period and death. Results: Three hundred and ninety eight people with solid tumours died in 2010-2011 in our clinic. Ninety percent of the patients had anemia at the time of last hospitalisation. One hundred fifty three patients had erythrocyte transfusion at admission during the last hospitalisation period (38.4%). In the anaemic population the duration of last hospitalisation was longer in patients who had erythrocyte transfusion (15 days vs 8 days, p<0.001). Conclusions: Patients who had blood transfusion at the end of life lived significantly longer than the anaemic patients who were not transfused. This study remarks that blood transfusions should not be withheld from terminal cancer patients in palliative care.

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참고문헌

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피인용 문헌

  1. SCAI Expert consensus statement: Evaluation, management, and special considerations of cardio-oncology patients in the cardiac catheterization laboratory (endorsed by the cardiological society of india, and sociedad Latino Americana de Cardiologıa interve vol.87, pp.5, 2016, https://doi.org/10.1002/ccd.26379
  2. The Prospective Evaluation of the Net Effect of Red Blood Cell Transfusions in Routine Provision of Palliative Care vol.20, pp.10, 2017, https://doi.org/10.1089/jpm.2017.0072
  3. A Retrospective Chart Review of Transfusion Practices in the Palliative Care Unit Setting pp.1938-2715, 2018, https://doi.org/10.1177/1049909118806456
  4. Palliative Care Issues for Transfusion-Dependent Patients #359 vol.21, pp.9, 2018, https://doi.org/10.1089/jpm.2018.0347