{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T21:17:09Z","timestamp":1775855829470,"version":"3.50.1"},"reference-count":15,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p> The correction of anaemia prior to total hip arthroplasty reduces surgical risk, hospital stay and cost. This study considers the benefits of implementing a protocol of identifying and treating pre-operative anaemia whilst the patient is on the waiting list for surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p> From a prospective series of 322 patients undergoing elective total hip arthroplasty (THA), patients identified as anaemic (haemoglobin (Hb) &lt; 12 g\/dl) when initially placed upon the waiting list were appropriately investigated and treated. Pre- and postoperative Hb levels, need for transfusion, and length of hospital stay were collated for the entire patient cohort. <\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p> Of the cohort, 8.8% of patients were anaemic when initially placed upon the waiting list for THA and had a higher transfusion rate (23% versus 3%; P &lt; 0.05) and longer hospital stay (7.5 days versus 6.6 days; P &lt; 0.05). Over 40% of these patients responded to investigation and treatment whilst on the waiting list, showing a significant improvement in Hb level (10.1 g\/dl to 12.7 g\/dl) and improved transfusion rate. <\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p> Quantifying the haemoglobin level of patients when initially placed on the waiting list helps highlight those at risk of requiring a postoperative blood transfusion. Further, the early identification of anaemia allows for the utilisation of the waiting-list time to investigate and treat these patients. For patients who respond to treatment, there is a significant reduction in the need for blood transfusion with its inherent hazards. <\/jats:p><\/jats:sec>","DOI":"10.1308\/003588408x301163","type":"journal-article","created":{"date-parts":[[2008,8,30]],"date-time":"2008-08-30T21:53:54Z","timestamp":1220133234000},"page":"504-507","source":"Crossref","is-referenced-by-count":33,"title":["Identification and Treatment of Anaemia in Patients Awaiting Hip Replacement"],"prefix":"10.1308","volume":"90","author":[{"given":"BA","family":"Rogers","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Royal Surrey County Hospital Guildford, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Cowie","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Royal Surrey County Hospital Guildford, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Alcock","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Royal Surrey County Hospital Guildford, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JW","family":"Rosson","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, The Royal Surrey County Hospital Guildford, Surrey, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"171","reference":[{"key":"b1","doi-asserted-by":"publisher","DOI":"10.1080\/096382800416823"},{"key":"b2","doi-asserted-by":"publisher","DOI":"10.1006\/jsre.2001.6330"},{"key":"b3","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-004-0754-6"},{"key":"b4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39269.511007.DB"},{"key":"b5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3148.1997.d01-42.x"},{"key":"b6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B2.15122"},{"key":"b7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03480040108041"},{"key":"b8","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200012000-00018"},{"key":"b9","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1990.30790385515.x"},{"key":"b10","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-3274(02)00064-3"},{"key":"b11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7201.16"},{"key":"b12","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199901000-00002"},{"key":"b13","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1992.32692367194.x"},{"key":"b14","first-page":"36","volume":"20","author":"Callaghan JJ","year":"2000","journal-title":"Iowa Orthop J"},{"key":"b15","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80061-0"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/003588408X301163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:59:24Z","timestamp":1684144764000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/003588408X301163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,9]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.1308\/003588408X301163"],"URL":"https:\/\/doi.org\/10.1308\/003588408x301163","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,9]]}}}