Volume 2, Number 4 September 2004

Welcome To ANEMIA ALERT!

Thank you for signing up for AnemiaAlert, the monthly e-newsletter of the National Anemia Action Council, Inc. AnemiaAlert is a timely, easy-to-read anemia source that disseminates anemia information to health care professionals, managed care directors, and organizational leaders.

Each issue contains facts from recent research that may impact your practice or organization. For more information, see www.anemia.org, the National Anemia Action Council, Inc. (NAAC) web site. Health care professionals, patients, and members of the media will find the latest in research, commentaries, and articles...all focusing on anemia.

WWW.ANEMIA.ORG: Web Site Redesign

You are invited to visit the newly redesigned NAAC web site. Browse the Health Professional, Patient, or Media sections, and discover new valuable resources. Go to www.anemia.org and click on your desired resource: Health Professional, Patient, or Media.

Sample resources
On the Health Professional site, there is a new downloadable slide library providing Power Point and PDF versions of health professional slides for educational purposes. These slides thoroughly address anemia in multiple clinical areas.

On the patient site, there are patient education sheets addressing anemia in various clinical areas from chronic diseases to vitamin deficiency.

The media site presents important anemia facts, links, and other valuable resources.

Anemia: Fast Facts (Peer reviewed publications)

Researchers report on study evaluating the prognostic impact of hemoglobin levels on treatment outcomes in patients with nasopharyngeal carcinoma

SOURCE: Chua DT, Sham JS, Choy DT. Prognostic impact of hemoglobin levels on treatment outcome in patients with nasopharyngeal carcinoma treated with sequential chemoradiotherapy or radiotherapy alone. Cancer. 2004 Jul 15;101(2):307-16

In a retrospective analysis evaluating data from the Asia-Oceania Clinical Oncology Association randomized phase III trial, researchers found anemia (hemoglobin level <11 g/dL) appears to be a "clinically relevant risk factor in patients with nasopharyngeal carcinoma." They further stated, "hemoglobin level is a significant prognostic indicator of local control and survival in patients with nasopharyngeal carcinoma. For additional information, please read the Summer 2004 Publication of Anemia Watch at www.anemia.org [health professional section].

Study reports the impact of perioperative anemia on clinical and functional outcomes in hip-fracture patients

SOURCE: Halm EA, Wang JJ, Boockvar K, et al. The effect of perioperative anemia on clinical and functional outcomes in patients with hip fracture. Eur Heart J. 2004 Jun;25(12):1021-8

Researchers reported the findings of a multisite prospective observational cohort study in June 2004. The research team concluded, "Surgeons, geriatricians, and medical consultants should be aware that the average patient with hip fracture experiences a large drop in their hemoglobin following surgery, and hemoglobin on admission is a potent independent risk factor for poor outcomes." In addition, the researchers stated, "Higher preoperative hemoglobin was associated with shorter length of stay, lower odds of death, and readmission within 60 days of discharge, with postoperative Hb related to length of stay and readmission rates." For additional information, please read the Summer 2004 Publication of Anemia Watch at www.anemia.org [health professional section].

Retrospective study investigates the relationship between hemoglobin concentration and survival in congestive heart failure

SOURCE: Sharma R, Francis DP, Pitt B, Poole-Wilson PA, Coats AJ, Anker SD. Haemoglobin predicts survival in patients with chronic heart failure: a substudy of the ELITE II trial. Eur Heart J. 2004 Jun;25(12):1021-8

The findings of a retrospective study evaluating data from the Evaluation of Losartan In The Elderly trial were published in June 2004. The researchers found "hemoglobin is an independent predictor of mortality in congestive heart failure CHF patients." Data analyses and other emerging data indicated a "U-shaped relationship between hemoglobin and survival is limited to patients not taking beta blockers." For additional information, please read the Summer 2004 Publication of Anemia Watch at www.anemia.org [health professional section].

Systematic literature review studies use of exogenous erythropoietin in patients who are critically ill

SOURCE: MacLaren R, Gasper J, Jung R, Vandivier RW. Use of exogenous erythropoietin in critically ill patients. J Clin Pharm Ther. 2004 Jun;29(3):195-208

The results of a systematic literature review were detailed by researchers in June of 2004. The research team concluded, "Anemia is a common complication of critical illness and is associated with morbidity and mortality. The pro-inflammatory response associated with many disease states frequently encountered in the intensive care unit contributes to the development of anemia by suppressing erythropoietin production and response. Exogenous administration of erythropoietin rapidly produces erythropoiesis to reduce the need for RBC transfusions. Reduced ICU length of stay was shown in only one study and other clinical benefits have not been realized." For additional information, please read the Summer 2004 Publication of Anemia Watch at www.anemia.org [health professional section].

Anemia in the Press (Non-peer reviewed publications):

Article from the Courier Journal (www.courierjournal.com) discusses various conditions fingernails can relate

Found at: http://www.courier-journal.com/features/health/2004/08/H1-nails0812-10001.html

A recent article published August 12, 2004 entitled What Your Nails Say About You discussed the various conditions fingernails can signal health problems. One of the mentioned conditions was koilonychia. People with iron-deficiency anemia can develop koilonychia, a concave formation of the nails. Please click on the above link in order to read the article.

Answers to Your Clinical Questions

NAAC welcomes clinical questions from health care professionals related to anemia management. Answers will be provided by physicians who are medical experts in the field of anemia. All relevant clinical questions will be posted on the Ask the Expert section of the web site if appropriate, at times via e-mail, and selected questions will be published in AnemiaWatch.
Please e-mail anemia-related clinical questions to Asktheexpert@anemia.org.



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