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

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.

http://eprints.bournemouth.ac.uk/34832/

Source: Scopus

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

http://eprints.bournemouth.ac.uk/34832/

Source: Manual