Abstract
Writing in The Lancet, Khaled Musallam and colleagues address an important topic through their analysis of the American College of Surgeons' National Surgical Quality Improvement Program database;1 namely, what is the prevalence of preoperative anaemia in patients undergoing major non-cardiac surgery and what are the implications? Moreover, by removal of data for allogeneic red-blood-cell transfusions in their analysis (and thus in the absence of treatment for anaemia) the independent and natural course of preoperative anaemia is shown.
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