ArticleFrontline gastroenterology2022
The dedicated iron deficiency anaemia clinic: a 15-year experience.
Article in Frontline gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Guideline
- Article
- The hidden link between iron deficiency and celiac disease: a clinical perspective.Frontiers in immunology · 2026Article
- Clinical and etiological profile of anemia in a clinical hematology department of North Africa : A cross-sectional study.Leukemia research reports · 2026Article
- Prevalence and patterns of testing for anaemia in primary care in England: a cohort study using an electronic health records database.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Gastrointestinal pathology in patients presenting with iron deficiency anaemia: A single-centre cross-sectional study.Journal of family medicine and primary care · 2024Article
- Challenges in the management of iron-deficiency anemia in Senegal, West Africa.Annals of hematology · 2024Article
- Role of prescribed medication in the development of iron deficiency anaemia in adults-a case-control study.BMJ open gastroenterology · 2024Article
- Nurse-led approach to standardising the management of iron-deficiency anaemia, achieving the 2-week cancer pathway targets and reducing hospital admissions: practicalities and learnings from a success story.Frontline gastroenterology · 2024Article
- Evaluation of 13,466 Fecal Immunochemical Tests in Patients Attending Primary Care for High- and Low-Risk Gastrointestinal Symptoms of Colorectal Cancer.Digestive diseases and sciences · 2023Article
- Absolute and Functional Iron Deficiency in Colon Cancer: A Cohort Study.Medicina (Kaunas, Lithuania) · 2022Article
- Colorectal cancer and the blood loss paradox.Frontline gastroenterology · 2022Article
- Broad external validation of a multivariable risk prediction model for gastrointestinal malignancy in iron deficiency anaemia.Diagnostic and prognostic research · 2021Article
- Evidence for improved prognosis of colorectal cancer diagnosed following the detection of iron deficiency anaemia.Scientific reports · 2021Article
- Refinement and validation of the IDIOM score for predicting the risk of gastrointestinal cancer in iron deficiency anaemia.BMJ open gastroenterology · 2020Article
- Modelling the episodes of care for iron deficiency anemia patients in a secondary-care center using continuous-time multistate Markov chain.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
- Does FIT have a role in the detection of small bowel pathology: a prospective study.Therapeutic advances in gastrointestinal endoscopyArticle
Corrections and comments
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Authors and funding
8 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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.
methodA series of analyses of a register of 2808 referrals to the Poole IDA clinic between 2004 and 2018.
resultsThe 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.
conclusionUnexplained 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.
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