Steven M. Frank
YOU?
Author Swipe
View article: Bladder-preserving radiation therapy for patients with locally advanced and node-positive bladder cancer
Bladder-preserving radiation therapy for patients with locally advanced and node-positive bladder cancer Open
In this cohort with LA-MIBC treated with RT, distant failures predominate, local failures are less common, and toxicity was minimal. Survival outcomes remain encouraging for RT in this challenging patient population. Further investigation …
View article: The impact of a bloodless medicine program on pancreatic resections: A single-institution experience incorporating patients with borderline-resectable and locally advanced pancreatic cancer
The impact of a bloodless medicine program on pancreatic resections: A single-institution experience incorporating patients with borderline-resectable and locally advanced pancreatic cancer Open
BackgroundPatients undergoing pancreatic resection patients who decline blood transfusion represent a clinical challenge. While bloodless medicine programs are valuable, their impact remains unclear, especially for those with borderline-re…
View article: Intraoperative Blood Management Strategies for Patients Undergoing Noncardiac Surgery
Intraoperative Blood Management Strategies for Patients Undergoing Noncardiac Surgery Open
Importance There is marked variability in red blood cell (RBC) transfusion during the intraoperative period. The development and implementation of existing clinical practice guidelines have been ineffective in reducing this variability. Ob…
View article: Management and clinical outcomes for patients with gastrointestinal bleeding who decline transfusion
Management and clinical outcomes for patients with gastrointestinal bleeding who decline transfusion Open
Background The national blood shortage and growing patient population who decline blood transfusions have created the need for bloodless medicine initiatives. This case series describes the management of gastrointestinal bleed patients who…
View article: Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS)
Recommendations From the International Consensus Conference on Anemia Management in Surgical Patients (ICCAMS) Open
Background: Perioperative anemia has been associated with increased risk of red blood cell transfusion and increased morbidity and mortality after surgery. The optimal approach to the diagnosis and management of perioperative anemia is not…
View article: Blood transfusion is associated with worse outcomes following pancreatic resection for pancreatic adenocarcinoma
Blood transfusion is associated with worse outcomes following pancreatic resection for pancreatic adenocarcinoma Open
Background: Pancreatectomy remains the only potentially curative therapy for patients with pancreatic ductal adenocarcinoma (PDAC). Existing literature reports that 27–68% of patients require perioperative allogeneic blood transfusion (PBT…
View article: Showing up for cardiac surgery with enough red blood cells
Showing up for cardiac surgery with enough red blood cells Open
See article on page 2629–2636, in this issue
View article: Blood transfusions in gunshot‐wound‐related emergency department visits and hospitalizations in the United States
Blood transfusions in gunshot‐wound‐related emergency department visits and hospitalizations in the United States Open
Background The United States (US) leads all high‐income countries in gunshot wound (GSW) deaths. However, previous US studies have not evaluated the national blood transfusion utilization patterns in hospitalized GSW patients. Methods Data…
View article: Reducing unnecessary crossmatching for hip fracture patients by accounting for preoperative hemoglobin concentration
Reducing unnecessary crossmatching for hip fracture patients by accounting for preoperative hemoglobin concentration Open
The hip fracture maximum surgical blood order schedule should consider preoperative hemoglobin in determining the number of units to type and cross prior to surgery.
View article: Assessing predictors of futility in patients receiving massive transfusions
Assessing predictors of futility in patients receiving massive transfusions Open
Background Massive transfusions are associated with a high mortality rate, but there is little evidence indicating when such efforts are futile. The purpose of this study was to identify clinical variables that could be used as futility in…
View article: Comparative changes of <scp>pre‐operative</scp> autologous transfusions and <scp>peri‐operative</scp> cell salvage in the United States
Comparative changes of <span>pre‐operative</span> autologous transfusions and <span>peri‐operative</span> cell salvage in the United States Open
Background With improved safety of allogeneic blood supply, the use of preoperative autologous donations (PADs) and perioperative autologous cell salvage (PACS) has evolved. This study evaluated temporal trends in PAD and PACS use in the U…
View article: Blood Utilization and Clinical Outcomes in Extracorporeal Membrane Oxygenation Patients
Blood Utilization and Clinical Outcomes in Extracorporeal Membrane Oxygenation Patients Open
BACKGROUND: Patients requiring extracorporeal membrane oxygenation (ECMO) support are critically ill and have substantial transfusion requirements, which convey both risks and benefits. A retrospective analysis was conducted to assess the …
View article: Balancing Supply and Demand for Blood during the COVID-19 Pandemic
Balancing Supply and Demand for Blood during the COVID-19 Pandemic Open
On March 11, 2020, the World Health Organization declared a pandemic status for the coronavirus disease 2019 (COVID-19), and the consequences of this situation include a serious disruption of both supply and demand for allogeneic blood. Th…
View article: Essential Role of Patient Blood Management in a Pandemic: A Call for Action
Essential Role of Patient Blood Management in a Pandemic: A Call for Action Open
The World Health Organization (WHO) has declared coronavirus disease 2019 (COVID-19), the disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a pandemic. Global health care now faces unprecedented challenges…
View article: Cost-benefit analysis of tranexamic acid and blood transfusion in elective lumbar spine surgery for degenerative pathologies
Cost-benefit analysis of tranexamic acid and blood transfusion in elective lumbar spine surgery for degenerative pathologies Open
OBJECTIVE Blood transfusions are given to approximately one-fifth of patients undergoing elective lumbar spine surgery, and previous studies have shown that transfusions are accompanied by increased complications and additional costs. One …
View article: Perioperative Transfusions and Venous Thromboembolism
Perioperative Transfusions and Venous Thromboembolism Open
BACKGROUND AND OBJECTIVES: Annual incidence of venous thromboembolism (VTE) including postoperative VTE in hospitalized children is rising significantly. A growing body of evidence supports the role of red blood cells (RBCs) in pathologic …
View article: Intraoperative Transfusion Targets: Avoiding the Extremes
Intraoperative Transfusion Targets: Avoiding the Extremes Open
See Article, p Blood transfusion can save lives when patients need it, but only increases risks and costs when they do not. In the operating room, our job is not only to decide who needs a transfusion, but also to give the optimal amount o…
View article: Factors associated with red blood cell, platelet, and plasma transfusions among inpatient hospitalizations: a nationally representative study in the United States
Factors associated with red blood cell, platelet, and plasma transfusions among inpatient hospitalizations: a nationally representative study in the United States Open
BACKGROUND Demographic and hospital‐level factors associated with red blood cell (RBC), plasma, and platelet transfusions in hospitalized patients across the U.S. are not well characterized. METHODS We conducted a retrospective analysis of…
View article: Preoperative treatment of anemia and outcomes in surgical Jehovah's Witness patients
Preoperative treatment of anemia and outcomes in surgical Jehovah's Witness patients Open
Blood transfusion is among the most common procedures performed in hospitalized patients; however, advances in our knowledge of the risks associated with transfusions and a growing population of patients who wish to avoid transfusions have…
View article: Anesthesiology
Anesthesiology Open
Quality of anesthesia care can be improved through measurement.We must take shared accountability for all surgical outcomes including cognitive recovery.We must move to listening to patient-oriented outcomes and satisfaction with our care.
View article: Blood utilization and mortality in victims of gun violence
Blood utilization and mortality in victims of gun violence Open
BACKGROUND Blood transfusion can be lifesaving for patients with hemorrhage; however, transfusion requirements for victims of gun violence are poorly understood. STUDY DESIGN AND METHODS In an urban, Level 1 trauma center, 23,422 trauma pa…
View article: Patient Blood Management Program Improves Blood Use and Clinical Outcomes in Orthopedic Surgery
Patient Blood Management Program Improves Blood Use and Clinical Outcomes in Orthopedic Surgery Open
Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New Background Although randomized trials show that patients do well when given less blood, there remains a persistent impression that orthopedic…
View article: Discharge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery
Discharge Hemoglobin Level and 30-Day Readmission Rates After Coronary Artery Bypass Surgery Open
BACKGROUND: Restrictive transfusion strategies supported by large randomized trials are resulting in decreased blood utilization in cardiac surgery. What remains to be determined, however, is the impact of lower discharge hemoglobin (Hb) l…