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Not Just an Innocent Bystander?

Arch Intern Med. 2003;163:1400-1404.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

ANEMIA HAS traditionally been identified through abnormal laboratory values, with a focus on whether or not it should be treated, rather than perceived as a serious clinical condition. For example, the decision to manage anemia with blood transfusions is based on the evaluation of relative risks and benefits, in which the estimated risks of a blood transfusion are quantifiable¹ and can be communicated to patients. But the magnitude of the risks associated with untreated anemia has largely remained unknown, and therefore has not been effectively conveyed to patients. In contrast to treatment strategies for other diseases, guidelines^2-3 for the management of anemia have only occasionally been developed for patients with specific conditions.

For too long, anemia has been viewed as an "innocent bystander," accepted as normal in certain groups (eg, menstruating women), or accepted as an abnormality associated with chronic illnesses. However, the evidence is becoming clearer that the . . . [Full Text of this Article]

ANEMIA OCCURS COMMONLY

ANEMIA IMPACTS MORTALITY

ANEMIA IMPACTS MORBIDITY

ANEMIA IMPACTS QOL

ANEMIA MANAGEMENT NEEDS IMPROVEMENT

CONCLUSIONS



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