Priority 28 from the Blood Transfusion and Blood Donation PSP

UNCERTAINTY: How should patients who refuse blood transfusion be managed? (JLA PSP Priority 28)
Overall ranking 28
JLA question ID 0063/28
Explanatory note Not available for this PSP

Evidence

 Han SB, Kim HJ, Kim TK, In Y, Oh KJ, Koh IJ, et al. Computer navigation is effective in reducing blood loss but has no effect on transfusion requirement following primary total knee arthroplasty: a meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the Esska. 2016.
Health Research Classification System category Generic Health Relevance
Extra information provided by this PSP
Original uncertainty examples What alternatives can be used to replace blood transfusion in Jehovah's witness patients who have sudden blood loss due to cardiac cath lab complications? ~ How useful are coagulation factors without blood transfusion for Jehovah's witnesses? ~ Is it now time for retrospective controlled trials to be undertaken in the UK comparing patients who have refused blood transfusion in comparison with those in matching capacities who were transfused? 
Submitted by 2 blood donors ~ 6 health professionals ~ 1 unknown ~ 1 Jehovah's Witness
PSP information
PSP unique ID 0063
PSP name Blood Transfusion and Blood Donation
Total number of uncertainties identified by this PSP 51  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 February 2018