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Table 3 Core area “death”, “physiological/clinical outcomes,” and “adverse events” (taxonomy based on Dodd et al. [18])

From: Reported outcomes in patients with iron deficiency or iron deficiency anemia undergoing major surgery: a systematic review of outcomes

Core area

Outcome domain

Further definition of outcome (if applicable)

No. of studies, n (%)

No. of studies reporting as primary outcome

Variation in reported outcome

Death

Mortality/survival

Mortality

5 (38) [21, 25,26,27, 30]

0/5

- Reported as number or percentage of patients deceased

- Time points: from up to 30 days to 6 months after intervention

Physiological/clinical outcomes

Blood and lymphatic system outcomes

Hemoglobin (Hb) levels

12 (92) [21,22,23,24,25,26,27, 29,30,31,32,33]

6/12

- Continuous variable: reported as mean ± SD concentrations or differences in concentrations

- Categorical variable: success versus failure in reaching target Hb (10g/dL); number/percentage of patients reaching Hb >10g/dL

- Time points: at baseline, 28-35 days prior to surgery, at day of surgery, 1 day to 6 months postoperatively, at discharge

- 2 studies reported number of patients reaching a Hb level of 10 g/dL before surgery and time needed for it

Change in iron metabolism parameters

6 (46) [21, 22, 24, 25, 30]

1/6

- Reported as mean ± SD concentrations or differences in concentrations of iron parameters: ferritin, transferrin, transferrin saturation, iron, iron-binding capacity

- Time points: up to 4 preoperatively and up to 4 postoperatively or not specified

Blood loss

2 (15) [24, 33]

0/2

- Reported as estimated mean blood loss ± SD and blood loss in drainage

- Time points: 5 and 7 days postoperatively

Other outcomes regarding hematopoiesis

2 (15) [22, 29]

0/2

- Reported as mean ± SD or differences in number of white and red blood cells, and mean cell volume

- Time points: preoperatively up to 4 weeks and up to 4 weeks postoperatively

Adverse events

Adverse events (AE)

See variation in reported outcome

10 (77) [21,22,23, 25,26,27, 29,30,31, 33]

0/10

- Reported as incidence/number of AEs with various definitions: ‘Clavien-Dindo-Classification’, ‘Common Terminology Criteria for Adverse Events’, overall complications, mild AEs, AEs with need for further intervention, serious AEs, AEs related to study drug, specific AEs (blood and lymphatic system, gastrointestinal system, immune system, infection and infestation, nervous system, respirator system, renal and urinary system, vascular system; general symptoms such as pain, nausea), or not further specified

- Reported as odds ratio with 95% CI (association of factors with outcome of interest), median with IQR

- Categorical analysis of subtypes of adverse events (e.g., surgical wound as subtype of infection etc.) or subdivision of Clavien Dindo Score (1/2 vs. 3a-5 vs. 3 vs. 4 vs. 5)

Time points: 4 weeks preoperatively and 4 days postoperatively, preoperatively, during treatment, and up to 30 days postoperatively

  1. AE adverse event, Hb hemoglobin, No. number, SD standard deviation.