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In an ER setting, an "encounter" is considered admission until discharge. 1993;87(6):1954-1959. These researchers identified 39 patients on TRT who presented for blood donation over a 2-year period. Waltham, MA: UpToDate; reviewed May 2020. Through the years phlebotomy has fallen out of favor for most medical conditions as it has been replaced with more focused treatments. The included trials were all published in Chinese and all used comprehensive outcomes, such as response rate, as primary outcomes, lacking for universal, and PROs. Treatment with higher doses should be avoided. (Accessed December 8, 2022) Covered Clinical Diagnostic Laboratory Tests and Services Clinical diagnostic laboratory tests and services are covered when criteria are met. Patients with polycythemia vera (PV) and essential thrombocythemia (ET) should be defined as high-risk if age is greater than 60 years or there is a history of previous thrombosis. Seventy-six percent of respondents reported full or partial insurance coverage of therapeutic phlebotomy charges. Of the 4 placed on dual hydroxyurea and phlebotomy therapy, all showed at least partial clinical improvement. The trial closed early due to a significant difference in risk of stroke between participants who stopped transfusion and those who continued as measured by re-occurrence of abnormal velocities on Doppler examination or the occurrence of overt stroke in the group that stopped transfusion. 7. color: red Complement Ther Clin Pract. After transplantation of a hemosiderotic liver, it is important to monitor the recipient in terms of iron overload and toxicity. Typically, therapeutic phlebotomy consists of removal of 1 unit (450 to 500 ml) of blood weekly until the serum ferritin level is 10 to 20 ug/L, and maintenance of the serum ferritin level at 50 ug/L or less thereafter by periodic removal of blood. Zhongguo Zhen Jiu. The risk of allogeneic stem-cell transplantation-related complications is justified in transplantation-eligible patients whose median survival time is expected to be less than 5 years. list-style-type: upper-alpha; Therapeutic phlebotomy may be indicated for hemochromatosis, polycythemia vera, porphyria cutanea tarda, and polycythemia secondary toarterio-venous fistulae, cyanotic congenital heart disease or cor pulmonale. The authors stated that phlebotomy is a convenient method for porphyria cutanea tarda combined with beta-thalassemia. Gout involves 7 aspects. position: fixed; display: none; 1986;114(5):621-629. - (must be completed for Medicare patients where the reason for phlebotomy is not covered by insurance . In a meta-analysis of randomized controlled trials (RCTs), Desai and colleagues (2008) compared phlebotomy and IFN to IFN alone for the treatment of chronic hepatitis C (CHC). These investigators also stated that maintenance of NID by depleting the levels via phlebotomy in patients with gout induces either complete or marked reduction in incidence and severity of gout flares in humans. Patients with hemochromatosis and iron overload should undergo therapeutic phlebotomy weekly (as tolerated). Hematological values and painful crises of all degrees of severity were recorded and compared to those of the last 12 months before venesection for each case separately (historical controls).