{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:27Z","timestamp":1786728627026,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>CONTEXT:<\/jats:title>\n                    <jats:p>Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing transfusion practices. Despite its inclusion in global health agendas, implementation in India remains fragmented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIMS:<\/jats:title>\n                    <jats:p>The aim of the study was to assess the knowledge, attitude, and practice of healthcare professionals regarding PBM in India and to identify barriers to its clinical implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTINGS AND DESIGN:<\/jats:title>\n                    <jats:p>This was a cross-sectional, questionnaire-based online survey conducted nationwide under the aegis of the PBM special interest group of the Indian Society of Transfusion Medicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SUBJECTS AND METHODS:<\/jats:title>\n                    <jats:p>A structured and validated 26-item questionnaire was disseminated among healthcare professionals. Responses were collected on key PBM \u201ccomponents\u201d including clinical thresholds, anemia management, surgical planning, and postoperative strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STATISTICAL ANALYSIS USED:<\/jats:title>\n                    <jats:p>Descriptive statistics were applied. Internal consistency was measured using Cronbach\u2019s alpha. Responses were categorized to highlight major trends and challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Out of 100 respondents, 78% were transfusion medicine specialists. While of respondents 97% acknowledged key predictors for transfusion decisions (e.g. hemoglobin, blood loss), 52% still preferred a liberal transfusion threshold of 10 g\/dL, and 72% were willing to transfuse at \u22658 g\/dL, which deviates from AABB guidelines. Major implementation barriers included stakeholder awareness gaps (55%), surgery delays due to PBM steps (42%), and perceived operation theatre underutilization (35%). Lack of time (73%) and test availability (69%) were less prominent challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>There is a disconnect between PBM awareness and actual clinical practice in India. Advocacy, cross-specialty engagement, and regionally inclusive strategies are needed to enable evidence-based PBM adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ajts.ajts_121_25","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T10:02:28Z","timestamp":1770199348000},"page":"132-140","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitude, and practice survey for patient blood management in India: An initiative by the special interest group of the Indian Society of Transfusion Medicine"],"prefix":"10.4103","volume":"20","author":[{"given":"Daljit","family":"Kaur","sequence":"first","affiliation":[{"name":"Department of Transfusion Medicine, AIIMS, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divjot Singh","family":"Lamba","sequence":"additional","affiliation":[{"name":"Department of Transfusion 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