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Stoleriu MG, Gerckens M, Zimmermann J, Schön J, Damirov F, Samm N, Kovács J, Stacher-Priehse E, Kellerer C, Jörres RA, Kauke T, Ketscher C, Grützner U, Hatz R. Preoperative risk factors predict perioperative allogenic blood transfusion in patients undergoing primary lung cancer resections: a retrospective cohort study from a high-volume thoracic surgery center. BMC Surg 2023; 23:44. [PMID: 36849951 PMCID: PMC9972742 DOI: 10.1186/s12893-023-01924-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 01/27/2023] [Indexed: 03/01/2023] Open
Abstract
BACKGROUND Our study aimed to identify preoperative predictors for perioperative allogenic blood transfusion (ABT) in patients undergoing major lung cancer resections in order to improve the perioperative management of patients at risk for ABT. METHODS Patients admitted between 2014 and 2016 in a high-volume thoracic surgery clinic were retrospectively evaluated in a cohort study based on a control group without ABT and the ABT group requiring packed red blood cell units within 15 days postoperatively until discharge. The association of ABT with clinically established parameters (sex, preoperative anemia, liver and coagulation function, blood groups, multilobar resections) was analyzed by contingency tables, receiver operating characteristics (ROC) and logistic regression analysis, taking into account potential covariates. RESULTS 60 out of 529 patients (11.3%) required ABT. N1 and non-T1 tumors, thoracotomy approach, multilobar resections, thoracic wall resections and Rhesus negativity were more frequent in the ABT group. In multivariable analyses, female sex, preoperative anemia, multilobar resections, as well as serum alanine-aminotransferase levels, thrombocyte counts and Rhesus negativity were identified as independent predictors of ABT, being associated with OR (95% Confidence interval, p-value) of 2.44 (1.23-4.88, p = 0.0112), 18.16 (8.73-37.78, p < 0.0001), 5.79 (2.50-13.38, p < 0.0001), 3.98 (1.73-9.16, p = 0.0012), 2.04 (1.04-4.02, p = 0.0390) and 2.84 (1.23-6.59, p = 0.0150), respectively. CONCLUSIONS In patients undergoing major lung cancer resections, multiple independent risk factors for perioperative ABT apart from preoperative anemia and multilobar resections were identified. Assessment of these predictors might help to identify high risk patients preoperatively and to improve the strategies that reduce perioperative ABT.
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Affiliation(s)
- Mircea Gabriel Stoleriu
- Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377, Munich, Germany. .,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131, Gauting, Germany. .,Comprehensive Pneumology Center (CPC), Member of the German Lung Research Center, Helmholtz Zentrum Muenchen, Institute for Lung Biology and Disease, 81377, Munich, Germany. .,Asklepios Lung Clinic Munich-GautingDivision of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU) and Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131, Gauting, Germany.
| | - Michael Gerckens
- grid.4567.00000 0004 0483 2525Comprehensive Pneumology Center (CPC), Member of the German Lung Research Center, Helmholtz Zentrum Muenchen, Institute for Lung Biology and Disease, 81377 Munich, Germany ,grid.5252.00000 0004 1936 973XDepartment of Internal Medicine V, Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany
| | - Julia Zimmermann
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Johannes Schön
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany
| | - Fuad Damirov
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Nicole Samm
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Julia Kovács
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Elvira Stacher-Priehse
- Department of Pathology, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Christina Kellerer
- grid.411095.80000 0004 0477 2585Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of Ludwig-Maximilians-University Munich (LMU), Ziemssenstraße 1, 80336 Munich, Germany ,grid.6936.a0000000123222966School of Medicine, Institute of General Practice and Health Services Research, Technical University of Munich, Orleansstr. 47, 81667 Munich, Germany
| | - Rudolf A. Jörres
- grid.411095.80000 0004 0477 2585Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Hospital of Ludwig-Maximilians-University Munich (LMU), Ziemssenstraße 1, 80336 Munich, Germany
| | - Teresa Kauke
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany
| | - Christian Ketscher
- Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Uwe Grützner
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
| | - Rudolf Hatz
- grid.411095.80000 0004 0477 2585Division of Thoracic Surgery Munich, Hospital of Ludwig-Maximilians-University Munich (LMU), Marchioninistr. 15, 81377 Munich, Germany ,Department of Thoracic Surgery, Asklepios Pulmonary Hospital, Robert-Koch-Allee 2, 82131 Gauting, Germany
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Seebacher V, Polterauer S, Reinthaller A, Koelbl H, Achleitner R, Berger A, Concin N. AB0 blood groups and rhesus factor expression as prognostic parameters in patients with epithelial ovarian cancer - a retrospective multi-centre study. BMC Cancer 2018; 18:447. [PMID: 29673336 PMCID: PMC5909228 DOI: 10.1186/s12885-018-4289-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Accepted: 03/21/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND AB0 blood groups and Rhesus factor expression have been associated with carcinogenesis, response to treatment and tumor progression in several malignancies. The aim of the present study was to test the hypothesis that AB0 blood groups and Rhesus factor expression are associated with clinical outcome in patients with epithelial ovarian cancer (EOC). METHODS AB0 blood groups and Rhesus factor expression were evaluated in a retrospective multicenter study including 518 patients with EOC. Their association with patients' survival was assessed using univariate and multivariable analyses. RESULTS Neither AB0 blood groups nor Rhesus factor expression were associated with clinico-pathological parameters, recurrence-free, cancer-specific, or overall survival. In a subgroup of patients with high-grade serous adenocarcinoma, however, blood groups B and AB were associated with a better 5-year cancer-specific survival rate compared to blood groups A and 0 (60.3 ± 8.6% vs. 43.8 ± 3.6%, p = 0.04). Yet, this was not significant in multivariable analysis. CONCLUSIONS AB0 blood groups and Rhesus factor expression are both neither associated with features of biologically aggressive disease nor clinical outcome in patients with EOC. Further investigation of the role of the blood group B antigen on cancer-specific survival in the subgroup of high-grade serous should be considered.
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Affiliation(s)
- Veronika Seebacher
- Department of Gynecology and Gynecologic Oncology, Comprehensive Cancer Center Vienna, Gynecologic Cancer Unit, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.
| | - Stephan Polterauer
- Department of Gynecology and Gynecologic Oncology, Comprehensive Cancer Center Vienna, Gynecologic Cancer Unit, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.,Karl Landsteiner Institute for General Gynecology and Experimental Gynecologic Oncology, Franziskanergasse 4a, 3100, St. Pölten, Austria
| | - Alexander Reinthaller
- Department of Gynecology and Gynecologic Oncology, Comprehensive Cancer Center Vienna, Gynecologic Cancer Unit, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria.,Karl Landsteiner Institute for General Gynecology and Experimental Gynecologic Oncology, Franziskanergasse 4a, 3100, St. Pölten, Austria
| | - Heinz Koelbl
- Department of Gynecology and Gynecologic Oncology, Comprehensive Cancer Center Vienna, Gynecologic Cancer Unit, Medical University of Vienna, Spitalgasse 23, 1090, Vienna, Austria
| | - Regina Achleitner
- Department of Gynaecology and Obstetrics, Medical University of Innsbruck, Innrain 52, Christoph-Probst-Platz, 6010, Innsbruck, Austria
| | - Astrid Berger
- Department of Gynaecology and Obstetrics, Medical University of Innsbruck, Innrain 52, Christoph-Probst-Platz, 6010, Innsbruck, Austria
| | - Nicole Concin
- Department of Gynaecology and Obstetrics, Medical University of Innsbruck, Innrain 52, Christoph-Probst-Platz, 6010, Innsbruck, Austria
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Jahanpour O, Pyuza JJ, Ntiyakunze EO, Mremi A, Shao ER. ABO and Rhesus blood group distribution and frequency among blood donors at Kilimanjaro Christian Medical Center, Moshi, Tanzania. BMC Res Notes 2017; 10:738. [PMID: 29246245 PMCID: PMC5732446 DOI: 10.1186/s13104-017-3037-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Accepted: 11/30/2017] [Indexed: 12/20/2022] Open
Abstract
Objective This study aims to determine the distribution of blood groups and the demographic background of blood donors in a referral hospital in Northern Tanzania. Results The most common blood group was O (52.3%) and the least common was AB (3.18%). 97.7% of the blood donors were Rh positive and the rest were Rh negative. Most donors were young adults, representing the age group of 19–29. The majority of donors were male (88.1%) and the majority (90.8%) were replacement while the remainder was voluntary donors.
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Affiliation(s)
- Ola Jahanpour
- School of Public Health, Kilimanjaro Christian Medical University College, P.O. Box, 2240, Moshi, Kilimanjaro, Tanzania.,Department of Clinical Pathology, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Kilimanjaro, Tanzania.,School of Public Health, Catholic University of Health and Allied Sciences, Bugando Area, P.O. Box 1464, Mwanza, Tanzania
| | - Jeremia J Pyuza
- Kilimanjaro Christian Medical University College, P.O.Box 2240, Moshi, Tanzania
| | - Ernest O Ntiyakunze
- School of Public Health, Kilimanjaro Christian Medical University College, P.O. Box, 2240, Moshi, Kilimanjaro, Tanzania.,Department of Clinical Laboratory, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Kilimanjaro, Tanzania
| | - Alex Mremi
- Department of Clinical Pathology, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Kilimanjaro, Tanzania
| | - Elichilia R Shao
- School of Public Health, Kilimanjaro Christian Medical University College, P.O. Box, 2240, Moshi, Kilimanjaro, Tanzania. .,Department of Internal Medicine, Kilimanjaro Christian Medical Centre, Longuo B, Sokoine Road, P.O. Box, 3010, Moshi, Kilimanjaro, Tanzania. .,Better Human Health Foundation, P.O. Box 1348, Moshi, Kilimanjaro, Tanzania.
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Abstract
Introduction Although several studies have investigated the relationship between ABO blood group and medical diseases, few reports have explored the association with oral diseases, including periodontal disease (PD). Aim The aim of this literature review was to assess the association between the ABO blood grouping and PD. Methods We searched PubMed and Google Scholar databases using the following terms in different combinations: “ABO blood group,” “periodontitis,” “aggressive periodontitis (AP),” “risk factor,” and “Rhesus factor.” Databases were searched for articles published from 1977 to August 2016. Titles and abstracts of articles were screened for English-language papers describing clinical studies, case reports, or retrospective studies of oral health status in patients with different ABO blood groups. Letters to the editor, historic reviews, and articles including unpublished data were excluded. Reference lists of included studies were reviewed for additional original and review studies. Results We identified eight articles describing studies of the relationship between ABO blood groups and PD. The findings suggested a possible genetic basis in the association of the blood group AB with AP. Four studies showed that chronic periodontitis was more common among patients with blood group O. Conclusion ABO blood subgroup and Rhesus factor could constitute risk predictors in the development of PD.
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Affiliation(s)
- Mansour Al-Askar
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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