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When do you transfuse cervical cancer patients undergoing chemoradiation?

Do you try to keep Hb> 10 or 12? Or somewhere in between?
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What hemoglobin threshold do you use for PRBC transfusion for cervical cancer patients actively on chemoradiation?

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2 Answers
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Although we try to keep hemoglobin 10 gm and above for patients on chemo Rt, it is not clear whether it makes any difference to outcome. Anemia is associated with inferior treatment outcome in cervix cancer, but hemoglobin levels prior to and during treatment are strongly correlated with tumor size,...

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Mednet Member
Mednet Member
Radiation Oncology · Washington VAMC
Answered on

There is a recent international Delphi consensus that reached 89% consensus to keep Hgb between 9 and 12 for patients receiving EBRT and brachytherapy for cervical cancer.

Open journal access is located here!

Zayed et al., PMID 33818620

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