Executive summary of the consensus document on the management of perioperative anemia in Spain

Abstract

Perioperative anemia is an independent risk factor for postoperative morbidity and mortality. However, conceptual, logistical and administrative barriers persist that hinder the widespread implementation of protocols for their management. The project coordinator convened a multidisciplinary group of 8 experienced professionals to develop perioperative anemia management algorithms, based on a series of key points (KPs) related to its prevalence, consequences, diagnosis and treatment. These KPs were assessed using a 5-point Likert scale, from "strongly disagree [1]" to "strongly agree [5]". For each KP, consensus was reached when receiving a score of 4 or 5 from at least 7 participants (>75%). Based on the 36 KPs agreed upon, diagnostic-therapeutic algorithms were developed that we believe can facilitate the implementation of programs for early identification and adequate management of perioperative anemia, adapted to the characteristics of the different institutions in our country.

Keywords: Anemia perioperatoria; Deficiencia de hierro; Ferroterapia; Iron deficiency; Iron therapy; Optimización preoperatoria; Patient blood management; Perioperative anemia; Postoperative follow-up; Preoperative optimization; Seguimiento postoperatorio..