{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T04:26:33Z","timestamp":1784262393341,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,8,27]],"date-time":"2020-08-27T00:00:00Z","timestamp":1598486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100002429","name":"Amgen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002429","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006436","name":"Celgene","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006436","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Our study investigated whether pre\u2010operative screening and treatment for anaemia and suboptimal iron stores in a patient blood management clinic is cost effective. We used outcome data from a retrospective cohort study comparing colorectal surgery patients admitted pre\u2010 and post\u2010implementation of a pre\u2010operative screening programme. We applied propensity score weighting techniques with multivariable regression models to adjust for differences in baseline characteristics between groups. Episode\u2010level hospitalisation costs were sourced from the health service clinical costing data system; the economic evaluation was conducted from a Western Australia Health System perspective. The primary outcome measure was the incremental cost per unit of red cell transfusion avoided. We compared 441 patients screened in the pre\u2010operative anaemia programme with 239 patients not screened; of the patients screened, 180 (40.8%) received intravenous iron for anaemia and suboptimal iron stores. The estimated mean cost of screening and treating pre\u2010operative anaemia was AU$332 (\u00a3183; US$231; \u20ac204) per screened patient. In the propensity score weighted analysis, screened patients were transfused 52% less red cell units when compared with those not screened (rate ratio\u00a0=\u00a00.48, 95%CI 0.36\u20130.63, p\u00a0&lt;\u00a00.001). The mean difference in total screening, treatment and hospitalisation cost between groups was AU$3776 lower in the group screened (\u00a32080; US$2629; \u20ac2325) (95%CI AU$1604\u20135947, p\u00a0&lt;\u00a00.001). Screening elective patients pre\u2010operatively for anaemia and suboptimal iron stores reduced the number of red cell units transfused. It also resulted in lower total costs than not screening patients, thus demonstrating cost effectiveness.<\/jats:p>","DOI":"10.1111\/anae.15240","type":"journal-article","created":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T14:34:41Z","timestamp":1599057281000},"page":"357-365","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Screening and treating pre\u2010operative anaemia and suboptimal iron stores in elective colorectal surgery: a cost effectiveness analysis"],"prefix":"10.1111","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8768-9263","authenticated-orcid":false,"given":"K. M.","family":"Trentino","sequence":"first","affiliation":[{"name":"Medical School University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. S.","family":"Mace","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine Fiona Stanley Hospital Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Symons","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Pain Medicine Fiona Stanley Hospital Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. M.","family":"Sanfilippo","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. F.","family":"Leahy","sequence":"additional","affiliation":[{"name":"Department of Haematology PathWest Laboratory Medicine University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. L.","family":"Farmer","sequence":"additional","affiliation":[{"name":"Medical School University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Hofmann","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. D.","family":"Watts","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. H.","family":"Wallace","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Murray","sequence":"additional","affiliation":[{"name":"School of Population and Global Health University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hoc.2015.11.002"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31678-6"},{"key":"e_1_2_6_4_1","unstructured":"World Health Organization.Focusing on anaemia.2004.https:\/\/www.who.int\/nutrition\/publications\/micronutrients\/WHOandUNICEF_statement_anaemia\/en\/(accessed 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