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. 2023 Sep 8;2023(9):CD001888. doi: 10.1002/14651858.CD001888.pub5

16. Overview of results: Cancer.

Outcome Total
[95% CI]
Subgroup: blood salvage (collection time) Subgroup: transfusion threshold
Intraoperative Postoperative Both No transfusion threshold Liberal threshold (Hb > 80 g/L) Restrictive threshold (Hb < / = 80 g/L)
Risk of transfusion              
Volume transfused (PPR)              
Volume transfused (PPT)              
All‐cause mortality RR 0.56 (0.11, 2.80)
2 RCTs, N = 79
⨁◯◯◯
RR 0.56 (0.11, 2.80)
2 RCTs, N = 79
⨁◯◯◯
    RR 0.56 (0.11, 2.80)
2 RCTs, N = 79
⨁◯◯◯
   
Blood loss MD 155.0 (‐253.39, 563.39)
1 RCT, N = 24
⨁◯◯◯
MD 155.0 (‐253.39, 563.39)
1 RCT, N = 24
⨁◯◯◯
    MD 155.0 (‐253.39, 563.39)
1 RCT, N = 24
⨁◯◯◯
   
Re‐operation              
Infection RR 0.77 (0.40, 1.50)
1 RCT, N = 55
⨁◯◯◯
RR 0.77 (0.40, 1.50)
1 RCT, N = 55
⨁◯◯◯
    RR 0.77 (0.40, 1.50)
1 RCT, N = 55
⨁◯◯◯
   
Wound complication              
VTE/thrombosis              
DVT RR 0.50 (0.05, 4.81)
1 RCT, N = 24
⨁◯◯◯
RR 0.50 (0.05, 4.81)
1 RCT, N = 24
⨁◯◯◯
    RR 0.50 (0.05, 4.81)
1 RCT, N = 24
⨁◯◯◯
   
PE              
MACE              
MI              
CVA/stroke              
Hospital LOS              

Bolded data highlights where there was a clear intervention effect.

"Volume" refers to mean transfusion volume; "transfusions" refers to number of people receiving an allogeneic transfusion

CI: confidence interval; CVA: cerebrovascular accident; DVT: deep vein thrombosis; Hb: haemoglobin; LOS: hospital length of stay; MACE: major adverse cardiovascular events; MD: mean difference; MI: myocardial infarction; N: number of people analysed; PE: pulmonary embolism; PJI: prosthetic joint infection; POR: Peto odds ratio; PPR: per person randomised; PPT: per person transfused; RCT: randomised controlled trial; RD: risk difference; RR: risk ratio; VTE: venous thromboembolism

⨁◯◯◯ = Very low certainty; ⨁⨁◯◯ = Low certainty; ⨁⨁⨁◯ = Moderate certainty; ⨁⨁⨁⨁ = High certainty