Contributions
Abstract: PB1605
Type: Publication Only
Session title: Iron metabolism, deficiency and overload
Background
Patients with anemia are often referred to hematologists and anemia is one of the most common diagnosis in hematological clinics.
Aims
The aim of of this cross-sectional study is to determine the prevalence of anemia among all first examinations in hematological clinics, prevalence of individual types of anemia and specializations of referring physicians who request anemia testing with hematology consultation.
Methods
A multi-center cross-sectional study was performed at five Croatian outpatient hematology clinics which included all patients reffered to hematologists for the first consultation and anemia testing from different specialists from 1st Mar 2019 to 30th Jun 2019. Study was approved by Ethical Committee of each Hospital. Patients completed an appropriate questionnaire and signed informed consent. Descriptive statistics were performed and results are reported as frequencies (percentage) for categorical and as means (±standard deviation) or medians (minimum-maximum), as appropriate, for continuous values.
Results
Data includes 965 patients referred to the hematologist for the first consultation, and total of 280 patients (29 %) were with a referral diagnosis of anemia, 72 men (25.7%) and 208 women (74.3%) median age at diagnosis 51.5 (18 – 94) years. There were 46.8% of patients younger than 50 years and 53.2% older than 50 years. The male to female anemia ratio is 12: 1 within the younger group. The most common referral diagnosis was iron deficiency anemia in 76 % of patients. After hematological consultation and anemia testing, the actual diagnosis of anemia was consistent with referral diagnosis in 63.4% of patients. Anemia of other causes was most common in younger male group (80%), and iron deficiency was the cause of anemia in 90% of women in younger group due to reproductive age. Among women iron deficiency anemia is the most common (72.5%), while in men all other causes of anemia (megaloblastic are more common (61%). In older group other causes of anemia (megaloblastic anemia, MDS, malignancies, hemolytic anemias etc.) are more common among the causes of anemia (53%). Physicians of fifteen different specializations referred patients to hematologists for the anemia testing, most often general practicioners (82 %).
Conclusion
Iron deficiency anemia is the most prevalent anemia (90 %) among younger women, whereas iron deficiency is the cause of anemia in 63 % of all patients. Among older population other causes of anemias are more frequent than iron deficiency. General practicioners referred most common patients to hematologists for the first examination and anemia testing.
Keyword(s): Anemia, Diagnosis, Iron deficiency anemia
Abstract: PB1605
Type: Publication Only
Session title: Iron metabolism, deficiency and overload
Background
Patients with anemia are often referred to hematologists and anemia is one of the most common diagnosis in hematological clinics.
Aims
The aim of of this cross-sectional study is to determine the prevalence of anemia among all first examinations in hematological clinics, prevalence of individual types of anemia and specializations of referring physicians who request anemia testing with hematology consultation.
Methods
A multi-center cross-sectional study was performed at five Croatian outpatient hematology clinics which included all patients reffered to hematologists for the first consultation and anemia testing from different specialists from 1st Mar 2019 to 30th Jun 2019. Study was approved by Ethical Committee of each Hospital. Patients completed an appropriate questionnaire and signed informed consent. Descriptive statistics were performed and results are reported as frequencies (percentage) for categorical and as means (±standard deviation) or medians (minimum-maximum), as appropriate, for continuous values.
Results
Data includes 965 patients referred to the hematologist for the first consultation, and total of 280 patients (29 %) were with a referral diagnosis of anemia, 72 men (25.7%) and 208 women (74.3%) median age at diagnosis 51.5 (18 – 94) years. There were 46.8% of patients younger than 50 years and 53.2% older than 50 years. The male to female anemia ratio is 12: 1 within the younger group. The most common referral diagnosis was iron deficiency anemia in 76 % of patients. After hematological consultation and anemia testing, the actual diagnosis of anemia was consistent with referral diagnosis in 63.4% of patients. Anemia of other causes was most common in younger male group (80%), and iron deficiency was the cause of anemia in 90% of women in younger group due to reproductive age. Among women iron deficiency anemia is the most common (72.5%), while in men all other causes of anemia (megaloblastic are more common (61%). In older group other causes of anemia (megaloblastic anemia, MDS, malignancies, hemolytic anemias etc.) are more common among the causes of anemia (53%). Physicians of fifteen different specializations referred patients to hematologists for the anemia testing, most often general practicioners (82 %).
Conclusion
Iron deficiency anemia is the most prevalent anemia (90 %) among younger women, whereas iron deficiency is the cause of anemia in 63 % of all patients. Among older population other causes of anemias are more frequent than iron deficiency. General practicioners referred most common patients to hematologists for the first examination and anemia testing.
Keyword(s): Anemia, Diagnosis, Iron deficiency anemia