ArticleThe American journal of managed care2026
Endoscopy underuse for new-onset iron deficiency anemia in younger veterans.
Article in The American journal of managed care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesBidirectional endoscopy is recommended for new-onset iron deficiency anemia (IDA), given the risk of gastrointestinal (GI) cancer. The rate of endoscopic assessment in younger patients is unknown. STUDY
designRetrospective cohort study.
methodsWe assessed US veterans younger than 45 years with new-onset IDA and their outcomes of endoscopy within 1 year.
resultsThere was a low rate of bidirectional endoscopy in this population (9.58% within 1 year). Predictors of undergoing any endoscopic evaluation included male sex (OR, 5.13; 95% CI, 4.55-5.78) and hemoglobin level (OR, 0.76 per 1-unit increase; 95% CI, 0.72-0.80).
conclusionsGiven low current rates of bidirectional endoscopic evaluation in this population, implementation of bidirectional endoscopy in all individuals with IDA would require significantly increased resources. Further study of this population is needed to determine the impact of the 2020 American Gastroenterological Association guidelines on endoscopic use and GI cancer diagnoses.
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