Evidence map›Paper›PMID 32041774›Full record

ReviewJournal of the American Society of Nephrology : JASN2020

Iron Deficiency in Chronic Kidney Disease: Updates on Pathophysiology, Diagnosis, and Treatment.

Elizabeth Katherine Batchelor, Pinelopi Kapitsinou, Pablo E Pergola, Csaba P Kovesdy, Diana I Jalal

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 179 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 5 pooled it
20.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06830941 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Iron Isomaltoside in the Treatment of Peritoneal Dialysis Patients with Renal Related Anemia: a Randomized Controlled Trial

TypeinterventionalSponsorXie Jingyuan, MDRan2025 to 2027Enrolled124ConditionsRenal Anemia, Peritoneal Dialysis (PD)ArmsIron isomaltoside, Ferrous succinate
NCT07517744 completednot on this mapstarted 2024, after this paper: background citation

Roxadustat Versus Darbepoetin Alfa on Iron Repletion Effects in the Management of Anemia in Hemodialysis Patients

TypeobservationalSponsorAin Shams UniversityRan2024 to 2025Enrolled35ConditionsCKD Anemia, CKD Anemia in Stable Dialysis Patients
3 · Its place in the literature

Who cites it

179 citing papers in PubMed, 5 syntheses or guidelines pooled it, 317 citations in OpenAlex.

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  6. Efficacy and Safety Analysis of Roxarestat in Regulating Renal Anemia in Patients on Maintenance Hemodialysis.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2026
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  7. Canagliflozin and iron metabolism in the CREDENCE trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025 · on this map
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119 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Elizabeth Katherine BatchelorDepartment of Internal Medicine and.
Pinelopi KapitsinouFeinberg Cardiovascular and Renal Research Institute and.
Pablo E PergolaRenal Associates PA, Division of Nephrology, University of Texas Health Science Center at San Antonio, San Antonio, Texas; and.
Csaba P KovesdyDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee.ORCID 0000-0002-8204-911X
Diana I JalalDivision of Nephrology, University of Iowa Hospitals and Clinics, Iowa City, Iowa; diana-jalal@uiowa.edu.
Northwestern University · USThe University of Texas Health Science Center at San Antonio · USUniversity of Iowa Hospitals and Clinics · USUniversity of Tennessee Health Science Center · US

Funding

Endothelial PHD2/HIF Axis in Ischemic Kidney Injury and InflammationR01DK115850 · NIDDK · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Pinelopi P. Kapitsinou · 2018 to 2026
$3.5M
Curcumin Supplementation for Improving Vascular and Cognitive FunctionR01HL134738 · NHLBI · UNIVERSITY OF IOWA · PI JALAL, DIANA I · 2017 to 2020
$2.3M
NHLBI NIH HHS R01 HL134738NIDDK NIH HHS R01 DK115850
6 · The paper itself

Abstract

Anemia is a complication that affects a majority of individuals with advanced CKD. Although relative deficiency of erythropoietin production is the major driver of anemia in CKD, iron deficiency stands out among the mechanisms contributing to the impaired erythropoiesis in the setting of reduced kidney function. Iron deficiency plays a significant role in anemia in CKD. This may be due to a true paucity of iron stores (absolute iron deficiency) or a relative (functional) deficiency which prevents the use of available iron stores. Several risk factors contribute to absolute and functional iron deficiency in CKD, including blood losses, impaired iron absorption, and chronic inflammation. The traditional biomarkers used for the diagnosis of iron-deficiency anemia (IDA) in patients with CKD have limitations, leading to persistent challenges in the detection and monitoring of IDA in these patients. Here, we review the pathophysiology and available diagnostic tests for IDA in CKD, we discuss the literature that has informed the current practice guidelines for the treatment of IDA in CKD, and we summarize the available oral and intravenous (IV) iron formulations for the treatment of IDA in CKD. Two important issues are addressed, including the potential risks of a more liberal approach to iron supplementation as well as the potential risks and benefits of IV versus oral iron supplementation in patients with CKD.

Indexed as

Administration, OralAnemia, Iron-DeficiencyComorbidityEpoetin AlfaFemaleFerritinsHumansInfusions, IntravenousIron CompoundsMalePrevalencePrognosisRenal DialysisRenal Insufficiency, ChronicRisk AssessmentSeverity of Illness IndexEpoetin AlfaFerritinsIron Compoundsanemiachronic kidney diseaseiron

Identifiers

PMID32041774
PMCPMC7062209
OpenAlexW3006132236

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.