Correspondence
Reply to editor’s letter “Executive summary of the consensus document on the management of perioperative anemia in Spain”
Réplica a carta al editor «Resumen ejecutivo del documento de consenso sobre el manejo de la anemia perioperatoria en España»
M. Muñoz
, on behalf of the panel of the consensus document on the management of perioperative anemia in Spain
Corresponding author
Departamento de Especialidades Quirúrgicas, Bioquímica e Inmunología, Facultad de Medicina, Universidad de Málaga, Málaga, Spain
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Muñoz" "autores" => array:2 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Muñoz" "email" => array:1 [ 0 => "mmunoz@uma.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:1 [ "colaborador" => "on behalf of the panel of the consensus document on the management of perioperative anemia in Spain" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Especialidades Quirúrgicas, Bioquímica e Inmunología, Facultad de Medicina, Universidad de Málaga, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Réplica a 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 sincerely appreciate your interest and your comments on the consensus document published in Revista Clínica Española.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> We value your notes and would like to clarify some important points.</p><p id="par0010" class="elsevierStylePara elsevierViewall">First, we’d like to explain that the multidisciplinary panel of professionals does not formulate graduated recommendations in this document, but rather presents a series of key points related to perioperative anemia and its comprehensive management, based on their experience and the available evidence (see Annex A, additional material).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Regarding the sucrosomial iron (SI), the most recent evidence demonstrates its effectiveness, with lower costs and fewer side effects, in various conditions that are generally treated with IV iron, including anemia associated with inflammatory pathologies and perioperative anemia.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Having effective oral iron treatment in the perioperative environment could avoid/reduce inpatient treatment with IV iron. However, the available evidence of the use of SI in this scenario is limited (tables 1 and 2) and, therefore, the writing of key point number 25 is presented in conditional tense.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Second, we agree that, to maintain financial independence in the development of clinical practice guidelines and consensus documents, it should be the scientific societies who assume the funding aspects. However, this rarely happens and external funding has to be resorted to.</p><p id="par0025" class="elsevierStylePara elsevierViewall">In this case, although the majority of the panel has received funding from Zambon S.A.U., this laboratory has not participated in any of the document preparation phases. 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