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Home transfusions are implemented using diverse approaches in Japan
Asashi Tanaka1, Hiroshi Fujita2, Kota Ohashi3
1Department of Clinical Laboratory Medicine and Department of Transfusion Medicine, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.
Vox Sanguinis
|September 6, 2023
Summary
Home transfusions in Japan are used restrictively for symptom improvement or life support, varying by medical specialty and patient condition. Optimizing their effectiveness remains a key challenge.
Area of Science:
- Gerontology
- Hematology
- Oncology
Background:
- Japan's aging population necessitates expanded home healthcare services.
- Home transfusions are increasingly important but under-researched in Japan.
Purpose of the Study:
- To clarify the purpose and utilization of home transfusions in Japan.
- To understand the factors influencing home transfusion practices.
Main Methods:
- A survey of Japanese clinics providing home care and transfusions.
- Data collected from February to December 2019 on patient background, lab data, and transfusion purpose.
Main Results:
- Hematological malignancies and solid tumors were the primary indications (70%).
- Physician specialty influenced transfusion goals: symptom improvement (hematologists) vs. life support (gastroenterologists).
- Age ≥90 years and gastroenterologist involvement were linked to lower pre-transfusion hemoglobin.
Conclusions:
- Home transfusions in Japan are administered restrictively and diversely.
- Life support is a significant, though secondary, purpose for home transfusions.
- Enhancing the effectiveness of home transfusion protocols requires further optimization.
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