• Matthew A Warner, Renata Ferreira, Jacob Raphael, Linda Shore-Lesserson, Michael C Grant, Shanna Sykes Hill, Gordon Morewood, Wanda M Popescu, Nanette Schwann, and Nicole R Guinn.
• From the Department of Anesthesiology & Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
• Anesth. Analg. 2024 Nov 7.

AbstractDespite multiple recent guidelines recommending the diagnosis and treatment of anemia before elective cardiac surgery, few institutions have formal programs or methods in place to accomplish this. A major limitation is the perceived financial shortfall and the leadership buy-in required to undertake such an initiative. The purpose of this advisory from the Society of Cardiovascular Anesthesiologists (SCA) Clinical Practice Improvement Committee with endorsement by the Society for the Advancement of Patient Blood Management (SABM) is to provide an overview of preoperative anemia management programs with an emphasis on the associated financial implications. This advisory reviews the evidence for preoperative anemia management programs in both cardiac and noncardiac surgery, discusses options for managing preoperative anemia, provides novel financial modeling regarding the implementation of preoperative anemia management programs, and describes implementation challenges, potential solutions, and opportunities for improvement.Copyright © 2024 International Anesthesia Research Society.

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