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Area of Science:

  • Hematology
  • Endocrinology
  • Transfusion Medicine

Background:

  • Therapeutic phlebotomy (TP) is a medical procedure involving blood removal.
  • Testosterone replacement therapy (TRT) is a common endocrine treatment.
  • Blood centers (BCs) may offer TP services.

Purpose of the Study:

  • To assess the trend of TP requests for patients undergoing TRT.
  • To determine the impact of TRT-related TP on blood center operations.
  • To understand patient motivations for seeking TP services.

Main Methods:

  • A retrospective review of TP requests was conducted at a single blood center.
  • Data were collected over a three-year period (2014-2016).
  • Total TP collections and TP collections for TRT patients were analyzed.

Main Results:

  • Total TP collections increased annually from 475 to 569 between 2014 and 2016.
  • TP collections for TRT patients rose by 71.4% during the study period.
  • Following the discontinuation of TP services for TRT, 32% of these patients continued as volunteer donors.

Conclusions:

  • Blood centers experienced a notable rise in TP requests from TRT patients.
  • Individuals on TRT may utilize volunteer blood donation pathways to circumvent TP charges.
  • This trend has implications for blood supply management and patient care protocols.