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Lifetime Transfusion Burden and Transfusion-Related Iron Overload in Adult Survivors of Solid Malignancies

Limited data exist on transfusion burden and transfusion-related iron overload in adult survivors of solid malignancies. Hospital-specific cancer registry data of patients with solid tumor receiving systemic anticancer treatment between January 2008 and September 2009 at the Oncology Department of t...

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Bibliographic Details
Published in:The oncologist (Dayton, Ohio) Ohio), 2019-08
Main Authors: Woei-A-Jin, F J Sherida H, Zheng, Shu Zhen, Kiliçsoy, Inci, Hudig, Francisca, Luelmo, Saskia A C, Kroep, Judith R, Lamb, Hildo J, Osanto, Susanne
Format: Article
Language:English
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Summary:Limited data exist on transfusion burden and transfusion-related iron overload in adult survivors of solid malignancies. Hospital-specific cancer registry data of patients with solid tumor receiving systemic anticancer treatment between January 2008 and September 2009 at the Oncology Department of the Leiden University Medical Center (The Netherlands) were retrieved and cross-referenced with red blood cell (RBC) transfusion records. Individual lifetime transfusion burden was captured in April 2015. Multitransfused long-term survivors with serum ferritin >500 μg/L were subsequently screened for hepatic and cardiac iron overload using 1.5 Tesla magnetic resonance imaging. The study population consisted of 775 adult patients with solid cancer (45.2% male; median age, 58 years; >75% chemotherapy-treated), 423 (54.6%) of whom were transfused with a median of 6.0 RBC units (range 1-67). Transfusion triggers were symptomatic anemia or hemoglobin
ISSN:1549-490X