Effect of the number of epoetin alpha injections on the hemoglobin level of anaemic patients eligible for elective orthopedic surgery
- Conditions
- anemia1003815810005944
- Registration Number
- NL-OMON45498
- Lead Sponsor
- Sint Maartenskliniek
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 45
Indication for treatment with epoetin alpha according to current guidelines and the opinion of the anaesthesiologists. Epoetin alpha is prescribed to patients with a preoperative Hb level between 10.0 * 13.0 g/dL, scheduled for elective orthopedic surgery with an expected blood loss of 900-1800 mL.
* Any contra-indication for the use of epoetin alpha (hypersensitivity to epoetin alpha or any component of the formulation, uncontrolled hypertension, pure red cell aplasia due to epoetin alpha)
* Myocardial infarction or cerebral vascular accident within 6 months before inclusion
* Serious coronary disease
* Sickle cell anemia
* Pregnancy or lactation
* Existing use of iron supplementation
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main study parameter is the increase in Hb concentration after each epoetin<br /><br>alpha injection on day -1 versus day -7 before surgery. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Secundary study parameters are the increase in Hb concentration after each<br /><br>epoetin alpha injection on day -14, day -7 and on the day of surgery (day 0).<br /><br>Baseline Hb concentration will be measured on day -21, at the start of the<br /><br>treatment with epoetin alpha.<br /><br><br /><br>Safety will be assessed by registration of adverse events, such as nausea and<br /><br>influence-like symptoms.<br /><br>Adherence to the prescribed treatment (epoetin alpha plus iron) will be<br /><br>assessed by the Medication Adherence Report Scale (MARS) questionnaire. </p><br>