Transfusion therapy evidence-based recommendations for the pediatric cancer patient

  • Carlos Alberto Pardo-González Oncohematologist Pediatrician, Fundación Hospital de la Misericordia, Bogotá, D.C., Colombia
  • Adriana Linares a. Oncohematologist Pediatrician, Fundación Hospital de la Misericordia, Bogotá, D.C., Colombia. b. Associate Professor, Department of Pediatrics, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Marcela Torres Health Technologies and Policies Evaluation Team, School of Medicine, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
Keywords: Blood transfusion, Blood substitutes, Blood platelets, Pediatrics, Review.

Abstract

Introduction: Transfusion therapy is probably one of the most widely used therapies with poor supporting evidence, despite the long years of practical clinical use. 

Objective: To adapt the evidence-based recommendations on the use of blood products to the Colombian setting: red blood cells, platelets, cryoprecipitates and irradiated blood products in cancer patients under 18 years of age.

Methods: Standard methodologies were followed in the development of recommendations. First, the clinical questions were addressed, and the evidence-based clinical practice guidelines were identified, graded and selected to answer the clinical questions. A systematic methodology was used to qualify, obtain and describe the relevant information to generate recommendations based on the SIGN system. The results were then presented and discussed in a group of experts to establish the practical value of the evidence and to adapt the recommendations to the Colombian environment.

Results: Out of 107,441 preliminary titles, 56 studies were analyzed, and from them 3 clinical practice guidelines and 4 Cochrane systematic reviews were selected. This evidence was evaluated using AGREE II and AMSTAR. Red blood cells transfusion support is recommended using the restrictive strategy. Prophylactic platelet transfusion is the recommended indication. Cryoprecipitate is recommended when fibrinogen levels fall below 100mg/dL, and indications on irradiated blood products were established.

Conclusion: This paper is an evidence-base approach on the recommendations for transfusion therapy in children with cancer.

References

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How to Cite
1.
Pardo-González CA, Linares A, Torres M. Transfusion therapy evidence-based recommendations for the pediatric cancer patient. Colomb. J. Anesthesiol. [Internet]. 2016Apr.1 [cited 2021May12];44(2):151–160. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/477

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Published
2016-04-01
How to Cite
1.
Pardo-González CA, Linares A, Torres M. Transfusion therapy evidence-based recommendations for the pediatric cancer patient. Colomb. J. Anesthesiol. [Internet]. 2016Apr.1 [cited 2021May12];44(2):151–160. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/477
Section
Clinical Practice Guides