Correspondence
Letter to the editor about the article “Executive summary of the consensus document on the management of perioperative anemia in Spain”
Carta al editor «Resumen ejecutivo del documento de consenso sobre el manejo de la anemia perioperatoria en España»
F.J. Teigell Muñoz
, M. Mateos-González
Corresponding author
Medicina Interna, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain
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Teigell Muñoz, M. Mateos-González" "autores" => array:2 [ 0 => array:4 [ "nombre" => "F.J." "apellidos" => "Teigell Muñoz" "email" => array:1 [ 0 => "javier.teigell@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Mateos-González" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Medicina Interna, Hospital Universitario Infanta Cristina, Parla, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Carta al editor «Resumen ejecutivo del documento de consenso sobre el manejo de la anemia perioperatoria en España»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have carefully read the consensus document on the management of perioperative anemia in Spain<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> that was recently published in <span class="elsevierStyleItalic">Revista Clínica Española</span>. It is great news that the growing role that internists play in caring for surgical patients both preoperatively (prehabilitation) and postoperatively (shared care, consultations, etc.) is reflected in a document of these characteristics published in our Society’s internal medicine journal. However, we found it noteworthy that point 24 refers to a specific iron product for the first and only time in the document and that point 25 states that this could be the treatment of choice <span class="elsevierStyleItalic">if its efficacy is confirmed</span>. It is unusual to make a recommendation of this nature, subject to the future emergence of evidence. At the same time, in the Conflicts of Interest section, we noted that most of the panel of experts which prepared the document has received remuneration from the laboratory responsible for this specific iron product, in many cases with the specific objective of financially supporting the creation of this document. There is no doubt that the authors have worked with absolute impartiality and transparency. However, we believe that the financial support of a pharmaceutical company (with potential interests) could undermine the credibility of the consensus, even if the support is unconditioned. It is important to recognize the fundamental role that the pharmaceutical industry plays in medical research, teaching, and dissemination. However, as healthcare professionals, we should maintain financial independence in specific contexts, such as in the creation of clinical practice guidelines and consensus documents. One option to achieve this independence could be for our scientific societies to be directly responsible for financially supporting these projects.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Executive summary of the consensus document on the management of perioperative anemia in Spain" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Muñoz" 1 => "S. Aragón" 2 => "M. 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