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Annals of Oncology 15:839-840, 2004
© 2004 European Society for Medical Oncology

Use of red blood cell transfusion in palliative care services: is it still up to date or is cancer-related anaemia controlled better with erythropoietic agents?

S. Tanneberger*, G. Melilli, E. Strocchi, C. Frenquelli and Q. F. Pannuti

Fondazione ANT Italia, Via Curiel 7, 40134 Bologna, Italy

*E-mail: stephan.tanneberger@antitalia.org

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Randomised clinical trials of erythropoietin have shown a statistically significant substantial reduction in blood transfusions overall, even though the response rate definitions include an increase in haemoglobin by 2 g, which is only achieved in ~60% of patients. Increases in haemoglobin <2 g are achievable in more patients. The review by Cella et al. [1] strongly recommends ‘the use of erythropoietic agents in anemic cancer patients as a means of raising their haemoglobin levels and consequently improving their quality of life’. Anaemia is defined as a ‘a multi-symptom syndrome with fatigue being the primary symptom’, characterized by ‘a haemoglobin level . . . [Full Text of this Article]

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