Research Article
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Evaluation Of Diagnosis And Treatment Approaches Related To Iron Deficiency Of Family Physicians

Year 2025, Volume: 7 Issue: 1, 22 - 27, 29.01.2025
https://doi.org/10.46310/tjim.1566675

Abstract

Background Anaemia is defined by the World Health Organization (WHO) as a hemoglobin value below 13 g/dL in men and 12 g/dL in women. It is a serious public health problem that can significantly affect the quality of life.
Methods Our study, whose universe consists of family physicians who actively work in family health centers in Rize province, was conducted in 2021. After being informed about our study, 81 family physicians who agreed to participate voluntarily were included.
Results Our research is a cross-sectional descriptive type of research. A 20-question survey prepared by scanning the literature was presented as a data collection tool. While 73 (90.1%) participants are general practitioners, 8 (8.9%) are family medicine specialists. The rate of physicians correctly knowing the ferritin value to diagnose iron deficiency anemia in a patient without acute infection was 70.4% (n: 57). After the diagnosis of iron deficiency anemia, physicians recommended gastrointestinal system screening in 39.5% (n: 32) of all men and 87.7% (n: 71) of postmenopausal women. The rate of recommending treatment for 3-6 months after the hemoglobin level returned to normal was 93.8% (n: 76).
Conclusion Based on the data we obtained, it was seen that family physicians’ knowledge level about iron deficiency anemia management was insufficient, and there were deficiencies in the diagnosis and treatment processes. For this reason, interactive, applied training programs should be organized.

Ethical Statement

The study was planned by the Declaration of Helsinki and ethical rules. Written informed consent was obtained from the participants. The study was approved by Recep Tayyip Erdoğan University Faculty of Medicine Ethics Committee on 18 February 2021 with protocol number 32.

References

  • de Benoist B, McLean E, Egli I, Cogswell M, eds. Worldwide prevalence of anaemia 1993–2005. WHO Global Database on Anaemia. World Health Organization 2008. Available at: https://www.who.int/publications/i/item/9789241596657. Accessed September 9, 2024.
  • Desai A, Guerrero T. Anemia in the elderly: Knowledge, Attitudes, and Perception of Primary Care Physicians. MGM J Med Sci. 2019;6(1):1-5. doi: 10.5005/JP-JOURNALS-10036-1220.
  • Yıldız A, Albayrak M. Treatment of iron deficiency anemia in adults. Turkiye Klinikleri J Hematol-Special Topics. 2017;10(3):182-7 (in Turkish).
  • von Babo M, Chmiel C, Müggler SA, Rakusa J, Schuppli C, Meier P, Fischler M, Urner M.Transfusion practice in anemic, non-bleeding patients: Cross-sectional survey of physicians working in general internal medicine teaching hospitals in Switzerland. PLoS One. 2018 Jan 30;13(1):e0191752. doi: 10.1371/journal.pone.0191752.
  • Al Sulayyim HJ, Al Omari A, Badri M.An assessment for diagnostic and therapeutic modalities for management of pediatric Iron defficiency Anemia in Saudi Arabia: a crossectional study. BMC Pediatr. 2019 Sep 5;19(1):314. doi: 10.1186/s12887-019-1704-3.
  • Iolascon A, Andolfo I, Russo R, Sanchez M, Busti F, Swinkels D, Aguilar Martinez P, Bou-Fakhredin R, Muckenthaler MU, Unal S, Porto G, Ganz T, Kattamis A, De Franceschi L, Cappellini MD, Munro MG, Taher A; from EHA‐SWG Red Cell and Iron. Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia. Hemasphere. 2024 Jul 15;8(7):e108. doi: 10.1002/hem3.108.
  • Skorupski CP, Cheung MC, Hallet J, Kaliwal Y, Nguyen L, Pavenski K, Zuckerman JS, Lin Y. Preoperative anemia and iron deficiency in elective gastrointestinal cancer surgery patients. J Surg Oncol. 2024 Nov 12. doi: 10.1002/jso.27970. Epub ahead of print. PMID: 39530211.
  • Oymak Y, Ilhan G, Erı̇trosı̇t hastalıkları ve hemoglobı̇n bozuklukları. Tanı ve tedavi kılavuzu. Türk Hematol Derneği. Sürüm 1.1 - Eylül 2019. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://thd.org.tr/thdData/userfiles/file/Ertitrosit-Tani-ve-tedavi-Kilavuzu-2019.pdf.
  • American Gastroenterological Association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000 Jan;118(1):197-201. doi: 10.1016/s0016-5085(00)70429-x.
  • Goddard AF, James MW, McIntyre AS, Scott BB; British Society of Gastroenterology.Guidelines for the management of iron deficiency anaemia. Gut. 2011 Oct;60(10):1309-16. doi: 10.1136/gut.2010.228874.
  • Almanaseer A, Chin-Yee B, Ho J, Lazo-Langner A, Schenkel L, Bhai P, Sadikovic B, Chin-Yee IH, Hsia CC. An approach to the investigation of thrombocytosis: Differentiating between essential thrombocythemia and secondary thrombocytosis. Adv Hematol. 2024 Feb 12:2024:3056216. doi: 10.1155/2024/3056216.
  • Tefferi A. Approach to the patient with thrombocytosis. Feb 2021. Wolters Kluwer, UpToDate. Sep 26, 2024. Available at: https://www.uptodate.com/contents/approach-to-the-patient-with-thrombocytosis?search=Approach+to+the+patient+with+thrombocytosis&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1.
  • DeLoughery TG, Jackson CS, Ko CW, Rockey DC. AGA Clinical Practice Update on Management of Iron Deficiency Anemia: Expert Review. Clin Gastroenterol Hepatol. 2024 Aug;22(8):1575-1583. doi: 10.1016/j.cgh.2024.03.046.
  • Rampton D, Folkersen J, Fishbane S, Hedenus M, Howaldt S, Locatelli F, Patni S, Szebeni J, Weiss G. Hypersensitivity reactions to intravenous iron: guidance for risk minimization and management. Haematologica. 2014 Nov;99(11):1671-6. doi: 10.3324/haematol.2014.111492.
  • Barton JC, Barton EH, Bertoli LF, Gothard CH, Sherrer JS. Intravenous iron dextran therapy in patients with iron deficiency and normal renal function who failed to respond to or did not tolerate oral iron supplementation. Am J Med. 2000 Jul;109(1):27-32. doi: 10.1016/s0002-9343(00)00396-x.
  • Welch HG, Meehan KR, Goodnough LT. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992 Mar 1;116(5):393-402. doi: 10.7326/0003-4819-116-5-393.
Year 2025, Volume: 7 Issue: 1, 22 - 27, 29.01.2025
https://doi.org/10.46310/tjim.1566675

Abstract

References

  • de Benoist B, McLean E, Egli I, Cogswell M, eds. Worldwide prevalence of anaemia 1993–2005. WHO Global Database on Anaemia. World Health Organization 2008. Available at: https://www.who.int/publications/i/item/9789241596657. Accessed September 9, 2024.
  • Desai A, Guerrero T. Anemia in the elderly: Knowledge, Attitudes, and Perception of Primary Care Physicians. MGM J Med Sci. 2019;6(1):1-5. doi: 10.5005/JP-JOURNALS-10036-1220.
  • Yıldız A, Albayrak M. Treatment of iron deficiency anemia in adults. Turkiye Klinikleri J Hematol-Special Topics. 2017;10(3):182-7 (in Turkish).
  • von Babo M, Chmiel C, Müggler SA, Rakusa J, Schuppli C, Meier P, Fischler M, Urner M.Transfusion practice in anemic, non-bleeding patients: Cross-sectional survey of physicians working in general internal medicine teaching hospitals in Switzerland. PLoS One. 2018 Jan 30;13(1):e0191752. doi: 10.1371/journal.pone.0191752.
  • Al Sulayyim HJ, Al Omari A, Badri M.An assessment for diagnostic and therapeutic modalities for management of pediatric Iron defficiency Anemia in Saudi Arabia: a crossectional study. BMC Pediatr. 2019 Sep 5;19(1):314. doi: 10.1186/s12887-019-1704-3.
  • Iolascon A, Andolfo I, Russo R, Sanchez M, Busti F, Swinkels D, Aguilar Martinez P, Bou-Fakhredin R, Muckenthaler MU, Unal S, Porto G, Ganz T, Kattamis A, De Franceschi L, Cappellini MD, Munro MG, Taher A; from EHA‐SWG Red Cell and Iron. Recommendations for diagnosis, treatment, and prevention of iron deficiency and iron deficiency anemia. Hemasphere. 2024 Jul 15;8(7):e108. doi: 10.1002/hem3.108.
  • Skorupski CP, Cheung MC, Hallet J, Kaliwal Y, Nguyen L, Pavenski K, Zuckerman JS, Lin Y. Preoperative anemia and iron deficiency in elective gastrointestinal cancer surgery patients. J Surg Oncol. 2024 Nov 12. doi: 10.1002/jso.27970. Epub ahead of print. PMID: 39530211.
  • Oymak Y, Ilhan G, Erı̇trosı̇t hastalıkları ve hemoglobı̇n bozuklukları. Tanı ve tedavi kılavuzu. Türk Hematol Derneği. Sürüm 1.1 - Eylül 2019. Available at: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://thd.org.tr/thdData/userfiles/file/Ertitrosit-Tani-ve-tedavi-Kilavuzu-2019.pdf.
  • American Gastroenterological Association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000 Jan;118(1):197-201. doi: 10.1016/s0016-5085(00)70429-x.
  • Goddard AF, James MW, McIntyre AS, Scott BB; British Society of Gastroenterology.Guidelines for the management of iron deficiency anaemia. Gut. 2011 Oct;60(10):1309-16. doi: 10.1136/gut.2010.228874.
  • Almanaseer A, Chin-Yee B, Ho J, Lazo-Langner A, Schenkel L, Bhai P, Sadikovic B, Chin-Yee IH, Hsia CC. An approach to the investigation of thrombocytosis: Differentiating between essential thrombocythemia and secondary thrombocytosis. Adv Hematol. 2024 Feb 12:2024:3056216. doi: 10.1155/2024/3056216.
  • Tefferi A. Approach to the patient with thrombocytosis. Feb 2021. Wolters Kluwer, UpToDate. Sep 26, 2024. Available at: https://www.uptodate.com/contents/approach-to-the-patient-with-thrombocytosis?search=Approach+to+the+patient+with+thrombocytosis&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1.
  • DeLoughery TG, Jackson CS, Ko CW, Rockey DC. AGA Clinical Practice Update on Management of Iron Deficiency Anemia: Expert Review. Clin Gastroenterol Hepatol. 2024 Aug;22(8):1575-1583. doi: 10.1016/j.cgh.2024.03.046.
  • Rampton D, Folkersen J, Fishbane S, Hedenus M, Howaldt S, Locatelli F, Patni S, Szebeni J, Weiss G. Hypersensitivity reactions to intravenous iron: guidance for risk minimization and management. Haematologica. 2014 Nov;99(11):1671-6. doi: 10.3324/haematol.2014.111492.
  • Barton JC, Barton EH, Bertoli LF, Gothard CH, Sherrer JS. Intravenous iron dextran therapy in patients with iron deficiency and normal renal function who failed to respond to or did not tolerate oral iron supplementation. Am J Med. 2000 Jul;109(1):27-32. doi: 10.1016/s0002-9343(00)00396-x.
  • Welch HG, Meehan KR, Goodnough LT. Prudent strategies for elective red blood cell transfusion. Ann Intern Med. 1992 Mar 1;116(5):393-402. doi: 10.7326/0003-4819-116-5-393.
There are 16 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Original Articles
Authors

Kamil Konur 0000-0002-9666-8085

Elif Akdoğan 0000-0002-2584-5523

Publication Date January 29, 2025
Submission Date October 14, 2024
Acceptance Date January 2, 2025
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

EndNote Konur K, Akdoğan E (January 1, 2025) Evaluation Of Diagnosis And Treatment Approaches Related To Iron Deficiency Of Family Physicians. Turkish Journal of Internal Medicine 7 1 22–27.

e-ISSN: 2687-4245 

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