PITASOR epidemiological study: prevalence, incidence and treatment of anaemia in radiation therapy oncology departments in Spain View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-05-31

AUTHORS

Pilar M. Samper Ots, Julia Muñoz, Albert Biete, María José Ortiz, María Acuña, Joaquín Cabrera, Concepción López Carrizosa, Eloisa Bayo, Ismael Herruzo, María Mar Pérez, Miguel A. Domínguez, Virginia Morillo Macías, Moisés Mira, Ana María Pérez Casas, María Mar Sevillano, Isabel García Ríos, Francisco Andreu, Amalia Sotoca, Ana Álvarez, Escarlata López, María Ángeles Pérez Escutia, Armando Loayza Villaroel

ABSTRACT

IntroductionAnemia is the most common haematological complication in cancer patients.ObjectiveAnalysis of the incidence, prevalence and treatment of anemia in oncologic patients treated in Radiation Oncology Departments in Spain (ROD) and monitoring of the existing recommendations for the treatment of anemia.Material and methodsObservational, prospective, multicenter study which involved 19 Spanish ROD. The study was approved by the CEIC Central Defense Hospital. 477 patients with solid tumors, subsidiary of RT with radical intent referred to such centers within a period of one month (5/5/09 to 5/6/09) and gave their consent to participate in the study. We gathered the main characteristics of patients and their oncologic disease. All patients underwent a determination of Hb levels before RT, upon reaching 25–35 Gy and at the end treatment. In patients with anemia we assessed the existence of related symptoms and its treatment.ResultsBasal situation: The prevalence of anemia was 34.8% (166 patients). Mean Hb in patients with anemia was 11.17±1.07 g/dl. Anemia-related symptoms were present in 34% of the patients. Anemia predisposing factors were: stage of the disease, previously received chemotherapy, and hormonal therapy. 39% (66 patients) received anemia treatment, with a mean Hb of 10.43±1.04 g/dl. During RT: The prevalence of anemia was 38.9% (182 patients) with a mean Hb of 11.24±1.21 g/dl. Predisposing factors for anemia during RT treatment were: age, male sex, chemotherapy prior to RT, basal anemia and chemotherapy during RT. 36.3% (66 patients) had anemia-related symptoms. 34.6% (63 patients) with a mean Hb of 10.5±1.37 g/dl received treatment for anemia. The prevalence of anemia at the end of the RT was 38.1% (177 patients) with a mean Hb of 11.19±1.18 g/dl. The predisposing factors for the appearance of anemia at the end of RT were: male sex, anemia at basal situation and during treatment and chemotherapy during RT. 34% (61 patients) had anemia-related symptoms and 73 patients (41.2%) with a mean Hb of 10.5±1.22 g/dl received treatment for anemia. The presence of anemia-related symptoms was significantly correlated with the beginning of treatment for anemia. The incidence of anemia (new cases) during radiotherapy was 17.5%.ConclusionThe prevalence of anemia in basal situation, during RT and at the end of RT is 34.8%, 38.9% and 38.1%. During RT the incidence of anemia is 17.5%. 39.8%–41.2% of patients with anemia and 64.2%–68% of patients with anemia-related symptoms received treatment. Treatment of anemia starts with Hb<11 g/dl and the goal is to achieve Hb 12 g/dl. In our Radiotherapy Oncology Departments, the treatment of anemia complies with the current recommendations and guidelines in use. More... »

PAGES

322-327

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12094-011-0661-6

DOI

http://dx.doi.org/10.1007/s12094-011-0661-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1038254231

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21596660


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    "description": "IntroductionAnemia is the most common haematological complication in cancer patients.ObjectiveAnalysis of the incidence, prevalence and treatment of anemia in oncologic patients treated in Radiation Oncology Departments in Spain (ROD) and monitoring of the existing recommendations for the treatment of anemia.Material and methodsObservational, prospective, multicenter study which involved 19 Spanish ROD. The study was approved by the CEIC Central Defense Hospital. 477 patients with solid tumors, subsidiary of RT with radical intent referred to such centers within a period of one month (5/5/09 to 5/6/09) and gave their consent to participate in the study. We gathered the main characteristics of patients and their oncologic disease. All patients underwent a determination of Hb levels before RT, upon reaching 25\u201335 Gy and at the end treatment. In patients with anemia we assessed the existence of related symptoms and its treatment.ResultsBasal situation: The prevalence of anemia was 34.8% (166 patients). Mean Hb in patients with anemia was 11.17\u00b11.07 g/dl. Anemia-related symptoms were present in 34% of the patients. Anemia predisposing factors were: stage of the disease, previously received chemotherapy, and hormonal therapy. 39% (66 patients) received anemia treatment, with a mean Hb of 10.43\u00b11.04 g/dl. During RT: The prevalence of anemia was 38.9% (182 patients) with a mean Hb of 11.24\u00b11.21 g/dl. Predisposing factors for anemia during RT treatment were: age, male sex, chemotherapy prior to RT, basal anemia and chemotherapy during RT. 36.3% (66 patients) had anemia-related symptoms. 34.6% (63 patients) with a mean Hb of 10.5\u00b11.37 g/dl received treatment for anemia. The prevalence of anemia at the end of the RT was 38.1% (177 patients) with a mean Hb of 11.19\u00b11.18 g/dl. The predisposing factors for the appearance of anemia at the end of RT were: male sex, anemia at basal situation and during treatment and chemotherapy during RT. 34% (61 patients) had anemia-related symptoms and 73 patients (41.2%) with a mean Hb of 10.5\u00b11.22 g/dl received treatment for anemia. The presence of anemia-related symptoms was significantly correlated with the beginning of treatment for anemia. The incidence of anemia (new cases) during radiotherapy was 17.5%.ConclusionThe prevalence of anemia in basal situation, during RT and at the end of RT is 34.8%, 38.9% and 38.1%. During RT the incidence of anemia is 17.5%. 39.8%\u201341.2% of patients with anemia and 64.2%\u201368% of patients with anemia-related symptoms received treatment. Treatment of anemia starts with Hb<11 g/dl and the goal is to achieve Hb 12 g/dl. In our Radiotherapy Oncology Departments, the treatment of anemia complies with the current recommendations and guidelines in use.", 
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20 schema:description IntroductionAnemia is the most common haematological complication in cancer patients.ObjectiveAnalysis of the incidence, prevalence and treatment of anemia in oncologic patients treated in Radiation Oncology Departments in Spain (ROD) and monitoring of the existing recommendations for the treatment of anemia.Material and methodsObservational, prospective, multicenter study which involved 19 Spanish ROD. The study was approved by the CEIC Central Defense Hospital. 477 patients with solid tumors, subsidiary of RT with radical intent referred to such centers within a period of one month (5/5/09 to 5/6/09) and gave their consent to participate in the study. We gathered the main characteristics of patients and their oncologic disease. All patients underwent a determination of Hb levels before RT, upon reaching 25–35 Gy and at the end treatment. In patients with anemia we assessed the existence of related symptoms and its treatment.ResultsBasal situation: The prevalence of anemia was 34.8% (166 patients). Mean Hb in patients with anemia was 11.17±1.07 g/dl. Anemia-related symptoms were present in 34% of the patients. Anemia predisposing factors were: stage of the disease, previously received chemotherapy, and hormonal therapy. 39% (66 patients) received anemia treatment, with a mean Hb of 10.43±1.04 g/dl. During RT: The prevalence of anemia was 38.9% (182 patients) with a mean Hb of 11.24±1.21 g/dl. Predisposing factors for anemia during RT treatment were: age, male sex, chemotherapy prior to RT, basal anemia and chemotherapy during RT. 36.3% (66 patients) had anemia-related symptoms. 34.6% (63 patients) with a mean Hb of 10.5±1.37 g/dl received treatment for anemia. The prevalence of anemia at the end of the RT was 38.1% (177 patients) with a mean Hb of 11.19±1.18 g/dl. The predisposing factors for the appearance of anemia at the end of RT were: male sex, anemia at basal situation and during treatment and chemotherapy during RT. 34% (61 patients) had anemia-related symptoms and 73 patients (41.2%) with a mean Hb of 10.5±1.22 g/dl received treatment for anemia. The presence of anemia-related symptoms was significantly correlated with the beginning of treatment for anemia. The incidence of anemia (new cases) during radiotherapy was 17.5%.ConclusionThe prevalence of anemia in basal situation, during RT and at the end of RT is 34.8%, 38.9% and 38.1%. During RT the incidence of anemia is 17.5%. 39.8%–41.2% of patients with anemia and 64.2%–68% of patients with anemia-related symptoms received treatment. Treatment of anemia starts with Hb<11 g/dl and the goal is to achieve Hb 12 g/dl. In our Radiotherapy Oncology Departments, the treatment of anemia complies with the current recommendations and guidelines in use.
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372 schema:name Hospital Cruces de Bilbao, Bilbao, Spain
373 rdf:type schema:Organization
374 grid-institutes:grid.411263.3 schema:alternateName Hospital de San Juan, Alicante, Spain
375 schema:name Hospital de San Juan, Alicante, Spain
376 rdf:type schema:Organization
377 grid-institutes:grid.411319.f schema:alternateName Hospital Infanta Cristina, Badajoz, Spain
378 schema:name Hospital Infanta Cristina, Badajoz, Spain
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380 grid-institutes:grid.411349.a schema:alternateName Hospital Reina Sofía, Córdoba, Spain
381 schema:name Hospital Reina Sofía, Córdoba, Spain
382 rdf:type schema:Organization
383 grid-institutes:grid.411380.f schema:alternateName Hospital Virgen de las Nieves, Granada, Spain
384 schema:name Hospital Virgen de las Nieves, Granada, Spain
385 rdf:type schema:Organization
386 grid-institutes:grid.411457.2 schema:alternateName Hospital Carlos Haya, Málaga, Spain
387 schema:name Hospital Carlos Haya, Málaga, Spain
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389 grid-institutes:grid.411730.0 schema:alternateName Hospital de Navarra, Pamplona, Navarra, Spain
390 schema:name Hospital de Navarra, Pamplona, Navarra, Spain
391 rdf:type schema:Organization
392 grid-institutes:grid.414398.3 schema:alternateName Servicio de Oncología Radioterápica, Hospital Central de la Defensa Gómez Ulla, Glorieta del Ejercito, s/n, ES-28505, Madrid, Spain
393 schema:name Servicio de Oncología Radioterápica, Hospital Central de la Defensa Gómez Ulla, Glorieta del Ejercito, s/n, ES-28505, Madrid, Spain
394 rdf:type schema:Organization
395 grid-institutes:grid.414974.b schema:alternateName Hospital Juan Ramón Jiménez, Huelva, Spain
396 schema:name Hospital Juan Ramón Jiménez, Huelva, Spain
397 rdf:type schema:Organization
398 grid-institutes:grid.419651.e schema:alternateName Fundación Jiménez Díaz, Madrid, Spain
399 schema:name Fundación Jiménez Díaz, Madrid, Spain
400 rdf:type schema:Organization
401 grid-institutes:grid.81821.32 schema:alternateName Hospital La Paz, Madrid, Spain
402 schema:name Hospital La Paz, Madrid, Spain
403 rdf:type schema:Organization
 




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