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Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus
The lack of standardized clinical practice impeding the optimal management of iron deficiency (ID) and iron deficiency anemia (IDA) in women is a global concern, particularly in the Asia-Pacific region. The aim of this study was to determine best practices through a Delphi consensus process. In Roun...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383547/ https://www.ncbi.nlm.nih.gov/pubmed/37513543 http://dx.doi.org/10.3390/nu15143125 |
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author | Pai, Rishma Dhillon Chong, Yap Seng Clemente-Chua, Lyra Ruth Irwinda, Rima Huynh, Trang Nguyen Khanh Wibowo, Noroyono Gamilla, Maria Corazon Zaida Mahdy, Zaleha Abdullah |
author_facet | Pai, Rishma Dhillon Chong, Yap Seng Clemente-Chua, Lyra Ruth Irwinda, Rima Huynh, Trang Nguyen Khanh Wibowo, Noroyono Gamilla, Maria Corazon Zaida Mahdy, Zaleha Abdullah |
author_sort | Pai, Rishma Dhillon |
collection | PubMed |
description | The lack of standardized clinical practice impeding the optimal management of iron deficiency (ID) and iron deficiency anemia (IDA) in women is a global concern, particularly in the Asia-Pacific region. The aim of this study was to determine best practices through a Delphi consensus process. In Round 1, panelists were asked to rate their level of agreement with 99 statements across four domains: identification, diagnosis and assessment, prevention, and treatment of ID/IDA in women. In Round 2, panelists reappraised their ratings in view of the collective feedback and responses to Round 1. After two rounds, consensus (≥85% agreement) was reached for 84% of the Delphi statements. Experts agreed on the role of presenting symptoms and risk factors in prompting assessments of anemia and iron status in women. Experts repeatedly called for prevention, recommending preventive iron supplementation for pregnant women irrespective of anemia prevalence levels, and for non-pregnant adult women, adolescent girls, and perimenopausal women living in areas with a high prevalence of anemia. Experts unanimously agreed to prescribing oral ferrous iron as first-line therapy for uncomplicated ID/IDA. The recommendations and clinical pathway algorithms generated should be used to inform clinical practice and standardize the care of women at risk or presenting with ID/IDA in the Asia-Pacific region. |
format | Online Article Text |
id | pubmed-10383547 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103835472023-07-30 Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus Pai, Rishma Dhillon Chong, Yap Seng Clemente-Chua, Lyra Ruth Irwinda, Rima Huynh, Trang Nguyen Khanh Wibowo, Noroyono Gamilla, Maria Corazon Zaida Mahdy, Zaleha Abdullah Nutrients Article The lack of standardized clinical practice impeding the optimal management of iron deficiency (ID) and iron deficiency anemia (IDA) in women is a global concern, particularly in the Asia-Pacific region. The aim of this study was to determine best practices through a Delphi consensus process. In Round 1, panelists were asked to rate their level of agreement with 99 statements across four domains: identification, diagnosis and assessment, prevention, and treatment of ID/IDA in women. In Round 2, panelists reappraised their ratings in view of the collective feedback and responses to Round 1. After two rounds, consensus (≥85% agreement) was reached for 84% of the Delphi statements. Experts agreed on the role of presenting symptoms and risk factors in prompting assessments of anemia and iron status in women. Experts repeatedly called for prevention, recommending preventive iron supplementation for pregnant women irrespective of anemia prevalence levels, and for non-pregnant adult women, adolescent girls, and perimenopausal women living in areas with a high prevalence of anemia. Experts unanimously agreed to prescribing oral ferrous iron as first-line therapy for uncomplicated ID/IDA. The recommendations and clinical pathway algorithms generated should be used to inform clinical practice and standardize the care of women at risk or presenting with ID/IDA in the Asia-Pacific region. MDPI 2023-07-13 /pmc/articles/PMC10383547/ /pubmed/37513543 http://dx.doi.org/10.3390/nu15143125 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pai, Rishma Dhillon Chong, Yap Seng Clemente-Chua, Lyra Ruth Irwinda, Rima Huynh, Trang Nguyen Khanh Wibowo, Noroyono Gamilla, Maria Corazon Zaida Mahdy, Zaleha Abdullah Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title | Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title_full | Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title_fullStr | Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title_full_unstemmed | Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title_short | Prevention and Management of Iron Deficiency/Iron-Deficiency Anemia in Women: An Asian Expert Consensus |
title_sort | prevention and management of iron deficiency/iron-deficiency anemia in women: an asian expert consensus |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10383547/ https://www.ncbi.nlm.nih.gov/pubmed/37513543 http://dx.doi.org/10.3390/nu15143125 |
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