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Table 2 Evaluation of the effectiveness of iron supplementation by comparing with control group

From: Effectiveness of iron supplementation in the perioperative management of total knee arthroplasty: a systematic review

Author

Year

Journal

Study design

Inclusion criteria

N

(iron)

N

(control)

OP

Treatment timing

Additional treatment

PBM protocol

Iron

IV or Oral

Dose

Park et al. [26]

2019

J Clin Med

Randomized controlled trial

Hb ≥ 10 g/dLSerum-ferritin < 300 mg/dL (male) or 200 mg/dL (female)

29

29

TKA or

THA

Intra-OP

  

FCM

IV

1000 mg

Heschl et al. [30]

2018

Eur J Anaesthesiol

Retrospective cohort study

Hb < 13 g/dL (men), <  12 g/dL (women)

331

331

TKA or

THA

Pre-OP

+EPO

 

FCM

IV

2*1 g

Biboulet et al. [22]

2018

Anesthesiology

Randomized controlled trial

Hb: 10 ~ 13 g/dL

Oral 50

IV 50

 

TKA or

THA

Pre-OP

+EPO

 

IV: FCM

Oral: Ferrous sulfate

Oral or IV

IV (1000 mg)

Oral (160 mg*2/day for 3 weeks)

Bisbe et al. [23]

2014

Br J Anaesth

Randomized controlled trial

Hb: 8.5 ~ 12.0 g/dL

Oral 62

IV 59

 

TKA

Post-OP

 

Oral tranexamic acid, tourniquet

IV: FCM

Oral: Ferrous sulfate

Oral or IV

IV: single IV injection by Ganzoni formula

Oral: 100 mg/day for POD 7 ~ POD 30

Muñoz et al. [31]

2014

Blood transfusion

Retrospective cohort study

Hb ≥ 10 g/dL

182

182

TKA or

THA

Post-OP

 

Tourniquet

Iron sucroseFCM

IV

200 mg (3 consecutive post-operative days) or600 mg FCM on POD 1

Muñoz et al. [32]

2012

Br J Anaesth

Retrospective cohort study

Hb < 10 g/dL on POD 1

Low dose 32High- dose 63

19

TKA or

THA

Post-OP

  

Iron sucroseFCM

IV

100 mg* 3 days 200 mg* 3 days or 600 mg FCM

Na et al. [25]

2011

Transfusion

Randomized controlled trial

Hb ≥ 10 g/dL andserum ferritin < 100 ng/L, orserum ferritin 100 ~ 300 ng/L and transferrin saturation < 20%

54

54

TKA (bilateral)

Intra-OP + Post-OP

+EPO

 

Iron sucrose

IV

200 mg (Post-OP Hb 7 ~ 8 g/dL, injection 2 times more)

Gonzalez-Porras et al. [29]

2009

Transfus Med

Prospective cohort study

Oral: Hb ≥ 13 g/dL and ferritin < 250 μg/LIV: Hb ≥ 13 g/dL and ferritin < 50 μg/L

80

49

TKA or

THA

Pre-OP

  

Oral: ferrous sulfateIV: iron sucrose

Oral or IV

Oral: 315 mg/day IV: 200 mg/week (minimum 2 weeks)

Mundy et al. [24]

2005

JBJS

Randomized controlled trial

Hb ≥ 13 g/dL (men), ≥ 11.5 g/dL (women)Serum-ferritin < 300 mg/dL (male) or 200 mg/dL (female)

50

49

TKA or

THA

Post-OP

  

Ferrous sulfate

Oral

200 mg three times daily (POD 2 ~ POD 3 weeks)

Sutton et al. [27]

2004

JBJS

Randomized controlled trial

Hb ≥ 12 g/dL (men), ≥ 11 g/dL (women)

35

37

TKA or

THA

Post-OP

  

Ferrous sulfate

Oral

200 mg three times daily (~ 6 weeks after discharge)

Weatherall et al. [28]

2004

ANZ J Surg

Randomized controlled trial

Hb ≥ 12 g/dL

33

34

TKA or

THA

Post-OP

  

Ferrous gluconate

Oral

325 mg (~ 10 weeks after surgery)

  1. TKA total knee arthroplasty, THA total hip arthroplasty, Hb hemoglobin, EPO erythropoietin, OP operation, FCM ferric carboxymaltose, PBM perioperative blood management, IV intravenous