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The Journal of Bone and Joint Surgery (American) 83:953-954 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Autologous Blood and Allogeneic Transfusion

Steven T. Woolson, MD, David Grosvenor, MPH and Stuart Goodman, MD, PhD

1220 University Drive, Suite 204 Menlo Park, CA 94025
Corresponding author: Stuart Goodman, MD, PhD Department of Functional Restoration Division of Orthopaedic Surgery Stanford University Medical Center 300 Pasteur Drive, Room R-144 Stanford, CA 94305-5341

To The Editor:

As one of the ten surgeons who "participated in the study" entitled "Efficacy of Postoperative Blood Salvage Following Total Hip Arthroplasty in Patients with and without Deposited Autologous Units" (82-A: 951-954, July 2000), by Grosvenor et al., I have several comments regarding this manuscript.

I have serious reservations regarding the validity of the authors’ results. The authors used the end point of the transfusion of allogeneic blood as the determinant of the efficacy of postoperative blood salvage. However, they studied a consecutive series of patients who had been treated by ten different surgeons who ordered allogeneic blood for their individual patients. In the Materials and Methods section of the manuscript, the authors state: "The decision to perform a transfusion was made by each surgeon and patient without a formal protocol." Therefore, the authors’ statement in the Abstract that patients who had postoperative salvage "required" allogeneic blood one-tenth . . . [Full Text of this Article]


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