Patient Blood Management for primary hip and knee replacement. A survey among POWER.2 study researchers

The Attitudes of Doctors Working in the Surgical Clinic of a University Hospital for Patient Blood Management: A Survey-Based Study

“…In the study, approximately 22% of the physicians stated that the probability of POA treatment positively affecting morbidity and mortality in surgeries with expected blood loss of > 500 mL was either low or they had no idea about this issue (11). Abad-Motos et al reported that although 99.7% of their participants thought that the detection and treatment of POA in patients who underwent total knee/hip surgery may affect the postoperative results, 10% of them did not routinely measure Hb (14). In a study comparing the results of 69,229 patients who were anemic after surgery and 158,196 patients who were not, it was reported that anemia increased postoperative morbidity and mortality, length of hospital stays, and the risk of admission to postoperative intensive care (23).…”

“…Manzini et al conducted the largest multi-centered survey study regarding PBM knowledge and practices among doctors working in the fields of internal and surgical medicine and anesthesiology (11). Other studies include one involving only anesthesiologists and intensive care specialists; one focusing on the PBM practices of physicians just before 2013 and after 2014 regarding the implementation of a PBM program and PBM applications for 3 specific surgeries (knee, hip replacement, and coronary artery bypass grafting) at 11 hospitals; and various survey studies on PBM practices, including participation from 130 centers (12)(13)(14)18). Manzini et al reported low (16%) and variable (6-21%) response rates from 7 hospitals, which were interpreted as a lack of interest among physicians in transfusion medicine, especially in PBM.…”

“…They also reported that blood supply was easy and that transfusion was safe, potentially leading to the perception that there was no need to change the practice or learn PBM (11). In similar studies conducted in Europe, there are differences in survey participation rates (7.6% and 37.8%) (12,14). One of the strengths of the current survey is the high participation (62.3%) and awareness (61.5%) rates relating to PBM compared to recently published surveys.…”

“…It has been reported that 90% of physicians routinely evaluate the Hb value before elective surgery (11,14). Furthermore, 10% of those who did not routinely evaluate Hb values reportedly did so because only minor surgical interventions were performed on patients (7%), emergency surgery (2%), and there were high costs or lack of human resources (1%) (14). In this study, all the participants controlled their patients' Hb levels before elective surgery, regardless of the size of the surgery.…”

“…Survey questions compiled from studies in this subject were read to 10 people (who did not participate in the study) to ascertain the intelligibility of the survey (10)(11)(12)(13)(14). The survey consisted of 2 parts: The first part contained demographic questions relating to the participants' gender, their duties, term of office (including medical education), and the surgical clinic where they worked.…”