The dedicated iron deficiency anaemia clinic: A 15-year experience
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S.L., Ayres, L., Williams, E.J. and Snook, J.
Journal: Frontline Gastroenterology
Volume: 13
Issue: 1
Pages: 20-24
eISSN: 2041-4145
ISSN: 2041-4137
DOI: 10.1136/flgastro-2020-101470
Abstract:Objective To report our cumulative experience from a dedicated iron deficiency anaemia (IDA) clinic over the last 15 years - with particular emphasis on referral rate, uptake of investigation, impact on endoscopy services, diagnostic yield of gastrointestinal (GI) investigation and the issue of recurrent IDA. Method A series of analyses of a register of 2808 referrals to the Poole IDA clinic between 2004 and 2018. Results The study population of 2808 had a sex ratio of 1.9 (female/male ratio) and a median age of 72 years (IQR: 60-79). A rising referral rate over the study period appears to be plateauing at around 2 cases per 1000 population per annum. On the basis of a snapshot audit, investigation of IDA may now account for over 20% of all diagnostic endoscopies. Overall, 86% of cases underwent examination of the upper and lower GI tract. Significant GI pathology was identified in 27% of the investigated cohort. Adenocarcinoma of the upper or lower GI tract was found in 8.3%, the majority in the right colon. The prevalence of recurrent IDA was estimated at 12.4%, and the results of investigation of this subgroup are reported. Conclusion Unexplained IDA is common, particularly in those over 60 years, and may be the first indication of underlying GI malignancy in over 8% of cases. Unresolved challenges include accommodating the resulting endoscopy workload, establishing a risk/benefit ratio for investigating those with major comorbidities and the management of recurrent IDA.
https://eprints.bournemouth.ac.uk/34832/
Source: Scopus
The dedicated iron deficiency anaemia clinic: a 15-year experience.
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S.L., Ayres, L., Williams, E.J. and Snook, J.
Journal: Frontline Gastroenterol
Volume: 13
Issue: 1
Pages: 20-24
ISSN: 2041-4137
DOI: 10.1136/flgastro-2020-101470
Abstract:OBJECTIVE: To report our cumulative experience from a dedicated iron deficiency anaemia (IDA) clinic over the last 15 years-with particular emphasis on referral rate, uptake of investigation, impact on endoscopy services, diagnostic yield of gastrointestinal (GI) investigation and the issue of recurrent IDA. METHOD: A series of analyses of a register of 2808 referrals to the Poole IDA clinic between 2004 and 2018. RESULTS: The study population of 2808 had a sex ratio of 1.9 (female/male ratio) and a median age of 72 years (IQR: 60-79). A rising referral rate over the study period appears to be plateauing at around 2 cases per 1000 population per annum. On the basis of a snapshot audit, investigation of IDA may now account for over 20% of all diagnostic endoscopies.Overall, 86% of cases underwent examination of the upper and lower GI tract. Significant GI pathology was identified in 27% of the investigated cohort. Adenocarcinoma of the upper or lower GI tract was found in 8.3%, the majority in the right colon. The prevalence of recurrent IDA was estimated at 12.4%, and the results of investigation of this subgroup are reported. CONCLUSION: Unexplained IDA is common, particularly in those over 60 years, and may be the first indication of underlying GI malignancy in over 8% of cases. Unresolved challenges include accommodating the resulting endoscopy workload, establishing a risk/benefit ratio for investigating those with major comorbidities and the management of recurrent IDA.
https://eprints.bournemouth.ac.uk/34832/
Source: PubMed
The dedicated iron deficiency anaemia clinic: a 15-year experience
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S.L., Ayres, L., Williams, E.J. and Snook, J.
Journal: FRONTLINE GASTROENTEROLOGY
Volume: 13
Issue: 1
Pages: 20-24
eISSN: 2041-4145
ISSN: 2041-4137
DOI: 10.1136/flgastro-2020-101470
https://eprints.bournemouth.ac.uk/34832/
Source: Web of Science (Lite)
The dedicated iron deficiency anaemia clinic – a fifteen-year experience
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S., Ayres, L., Williams, E. and Snook, J.
Journal: Frontline Gastroenterology
Publisher: BMJ
ISSN: 2041-4137
https://eprints.bournemouth.ac.uk/34832/
Source: Manual
The dedicated iron deficiency anaemia clinic: a 15-year experience.
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S.L., Ayres, L., Williams, E.J. and Snook, J.
Journal: Frontline gastroenterology
Volume: 13
Issue: 1
Pages: 20-24
eISSN: 2041-4145
ISSN: 2041-4137
DOI: 10.1136/flgastro-2020-101470
Abstract:Objective
To report our cumulative experience from a dedicated iron deficiency anaemia (IDA) clinic over the last 15 years-with particular emphasis on referral rate, uptake of investigation, impact on endoscopy services, diagnostic yield of gastrointestinal (GI) investigation and the issue of recurrent IDA.Method
A series of analyses of a register of 2808 referrals to the Poole IDA clinic between 2004 and 2018.Results
The study population of 2808 had a sex ratio of 1.9 (female/male ratio) and a median age of 72 years (IQR: 60-79). A rising referral rate over the study period appears to be plateauing at around 2 cases per 1000 population per annum. On the basis of a snapshot audit, investigation of IDA may now account for over 20% of all diagnostic endoscopies.Overall, 86% of cases underwent examination of the upper and lower GI tract. Significant GI pathology was identified in 27% of the investigated cohort. Adenocarcinoma of the upper or lower GI tract was found in 8.3%, the majority in the right colon. The prevalence of recurrent IDA was estimated at 12.4%, and the results of investigation of this subgroup are reported.Conclusion
Unexplained IDA is common, particularly in those over 60 years, and may be the first indication of underlying GI malignancy in over 8% of cases. Unresolved challenges include accommodating the resulting endoscopy workload, establishing a risk/benefit ratio for investigating those with major comorbidities and the management of recurrent IDA.https://eprints.bournemouth.ac.uk/34832/
Source: Europe PubMed Central
The dedicated iron deficiency anaemia clinic – a fifteen-year experience
Authors: Stone, H., Almilaji, O., John, C., Smith, C., Surgenor, S., Ayres, L., Williams, E. and Snook, J.
Journal: Frontline Gastroenterology
Volume: 13
Pages: 20-24
ISSN: 2041-4137
Abstract:Objective : To report our cumulative experience from a dedicated IDA clinic over the last 15 years – with particular emphasis on referral rate, uptake of investigation, impact on endoscopy services, diagnostic yield of GI investigation, and the issue of recurrent IDA.
Method : A series of analyses of a register of 2808 referrals to the Poole IDA clinic between 2004 and 2018.
Results : The study population of 2808 had a sex ratio of 1.9 (F/M) and a median age of 72 years (IQR : 60 - 79). A rising referral rate over the study period appears to be plateauing at around 2 cases per 1000 population per annum. On the basis of a snapshot audit, investigation of IDA may now account for over 20% of all diagnostic endoscopies.
Overall, 86% of cases underwent examination of the upper and lower GI tract. Significant GI pathology was identified in 27% of the investigated cohort. Adenocarcinoma of the upper or lower GI tract was found in 8.3%, the majority in the right colon. The prevalence of recurrent IDA was estimated at 12.4%, and the results of investigation of this sub-group are reported.
Conclusion : Unexplained IDA is common, particularly in those over 60 years, and may be the first indication of underlying GI malignancy in over 8% of cases. Unresolved challenges include accommodating the resulting endoscopy workload, establishing a risk / benefit ratio for investigating those with major co-morbidities, and the management of recurrent IDA.
https://eprints.bournemouth.ac.uk/34832/
Source: BURO EPrints