How do recent data associating preoperative transfusion with increased postoperative infection risk after hip or knee arthroplasty affect your transfusion strategy for patients with thalassemia trait or other stable lifelong anemia?

Do recent data associating preoperative transfusion to increased postoperative infection risk after hip or knee arthroplasty affect your transfusion strategy for patients with thalassemia trait or other stable lifelong anemia?

• No, my perioperative transfusion strategy is unchanged
• Yes, I avoid transfusion or preferentially use non-transfusion strategies (e.g., iron or ESA when appropriate)
• Other