Prevalence of Iron Deficiency Anemia among Chronic Kidney Disease Patients in Kaveri Delta Region, Tamilnadu, India

Muniyandi, Deepika; Shanmugam, Nathiya; Ramanathan, Kumaresan; Vijayaraghavan, Bhooma; Padmanabhan, Giri

doi:10.9734/bjmmr/2016/25711

Cited by 4 publications

(6 citation statements)

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“…Our study revealed that iron deficiency anemia was present in nearly half (47.65%) of the patients with anemia. This is higher than the results reported in other studies, 39% in India, [ 11 ] 36.3% in Spain, and Catalonia. [ 22 ] Overall, the treatment of patients with anemia in this study was suboptimal.…”

Section: Discussioncontrasting

confidence: 76%

“…[ 17 ] This result is also higher than the 43.18% reported in a study conducted in South Africa [ 13 ] and the 39.36% in India. [ 11 ] The variation with these studies might be due to differences in the study population that is, the inclusion of patients with advanced stages of CKD that is, stage 3 and above in our study, the study setting (single vs multi-center), and the number of patients included in these studies. Moreover, the high prevalence of anemia demonstrated in this study may be due to the high number of patients with advanced stage CKD.…”

Section: Discussionmentioning

confidence: 99%

“…[8,9] Studies have shown a wide variation in the prevalence of anemia in CKD across regions. For instance, the reported prevalence of anemia in CKD is 14% in the USA, [10] 39.36% in India, [11] 51.5% in China, [12] 43.18% in South Africa, [13] and 79% in Cameroon. [14] Moreover, the prevalence increases with the CKD stage, with an overall prevalence of 22.4%, 41.3%, and 53.9% in CKD stages 3, 4, and 5, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of anemia and its predictors among patients with chronic kidney disease admitted to a teaching hospital in Ethiopia: A hospital-based cross-sectional study

et al. 2023

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Anemia is a common complication of chronic kidney disease (CKD) and is associated with adverse patient outcomes. However, data on the prevalence of anemia in CKD patients is sparse, particularly in resource-limited settings. Therefore, this study aimed to assess the prevalence of anemia and its predictors among patients with CKD admitted to the Jimma medical center, southwest Ethiopia. A hospital-based prospective cross-sectional study was conducted from September 1 to November 30, 2020. All adult patients with CKD aged ≥18 years who fulfilled the inclusion criteria were consecutively recruited into the study. Data were entered into the Epi data manager version 4.4.1 and then exported to SPSS version 22 (IBM Corp., Armonk, NY) for analysis. The predictors of anemia were determined using multivariable logistic regression analysis. Statistical significance was set at P < .05. A total of 150 patients were included in this study. Of these, 64.67% were male, 56.67% had stage 5 CKD, 78% had a CKD duration of less than 1 year, and 74% had proteinuria. Hypertension (40.7%) and diabetes (14.7%) were the common causes of CKD. The prevalence of anemia was 85.33%. Of the patients, 28.67%, 40.67%, and 16% had mild, moderate, and severe anemia, respectively. On multivariate logistic regression, stage 4 CKD (adjusted odds ratio [AOR] 3.2, confidence interval [CI]: 1.78–12.91, P = .025), stage 5 CKD (AOR 4.03, CI: 1.17–13.73, P = .016), and CKD duration of less than 1 year (AOR 3, CI: 1.19–9.11, P = .007) were significantly associated with anemia. The prevalence of anemia among stage 3 to 5 CKD patients was very high. Anemia was significantly associated with the severity and duration of CKD. Therefore, serial follow-up of patients with a long duration and advanced stages of CKD may help prevent anemia and its adverse consequences.

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Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of anemia and its predictors among patients with chronic kidney disease admitted to a teaching hospital in Ethiopia: A hospital-based cross-sectional study

et al. 2023

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“…After approval from the institutional ethics review committee, the sample size was calculated using OpenEpi calculator 16 with 95% confidence interval (CI), exposed-tonon-exposed ratio of 1:1, 80% power and relative risks 2.5. It was assumed that 39% patients with CKD-ND have IDA 17 .…”

Section: Methodsmentioning

confidence: 99%

Frequency of iron deficiency anaemia in chronic kidney disease patients not on dialysis

et al. 2022

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Objective: To determine the frequency of iron deficiency anaemia in non-dialysis chronic kidney disease patients. Method: The observational, cross-sectional study was conducted at the Department of Nephrology, The Kidney Centre Post-Graduate Training Institute, Karachi, from April 27 to October 26, 2018, and comprised adult patients of either gender diagnosed with anaemia and estimated glomerular filtration rate <90ml/min. Patient with transferrin saturation <20% were labelled as having iron deficiency anaemia. Data was analysed using SPSS 21. Results: Of the 366 participants, 185(50.5%) were males and 181(49.5%) were females. The overall mean age was 54.47±14.93 years. The most prevalent comorbid was hypertension 263(71.9%), followed by diabetes mellitus 187(51.1%) and cardiovascular disease 54(14.8%). Besides, 192(52.5%) patients had CKD stage 5 followed by 115(31.4%) and 54(14.8%) with CKD stages 4 and 3, respectively. The mean haemoglobin was 9.17±1.57g/dL. Iron deficiency was found in 285(77.9%) patients. Conclusion: Iron deficiency anaemia was found to be highly prevalent and should be screened routinely and managed appropriately. Key Words: Iron deficiency, Anaemia, Chronic kidney disease.

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“…Large differences have been reported on the magnitude of anemia in patients with CKD across studies. For instance, reports showed an anemia prevalence of 47.7% in the USA ( 9 ), 39.36% in India ( 10 ), 97.8% in Brazil ( 11 ), 51.5% in China ( 12 ), 79% in Cameroon ( 13 ), 43.18% in South Africa ( 14 ), and 64.5% in Ethiopia ( 15 ). In addition, African Americans had a 3-fold increased likelihood of anemia compared with whites ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Anemia in Patients with Chronic Renal Failure: A Systematic Review and Meta-Analysis

Shiferaw¹,

Akalu²,

Aynalem³

2020

Ethiop J Health Sci

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BACKGROUND፡ Anemia in patients with chronic kidney disease presents significant impacts on patients, the health-care system and financial resources. There is a significant variation in the primary studies on risk factors of anemia in this patient population across the globe.Therefore, this study aimed to identify the risk factors of anemia among chronic kidney disease patients at the global level.METHODS: PubMed, Scopus, African Journals Online, Web of Science and Google Scholar were searched and complemented by manual searches. A Funnel plot and Egger’s regression test were used to determine publication bias. DerSimonian and Laird random-effects modes were applied to estimate pooled effect sizes, odds ratios, and 95% confidence interval across studies. Analysis was performed using STATA™ Version 14 software.RESULT: A total of 28 studies with 24,008 study participants were included in this study. Female sex (AOR= 1.36; 95% CI 1.11, 1.67), stage 5 CKD (AOR = 13.66; 95% CI: 5.19, 35.92), body mass index ≥ 30 kg/m2 (AOR = 0.51; 95% CI: 0.29, 0.91), comorbidities (AOR = 2.90; 95% CI: 1.68, 5.0), proteinuria 3+(AOR = 3.57; 95% CI: 1.03, 12.93), hypocalcemia (AOR=3.61, 95%CI: 1.56–8.36), and iron therapy (AOR: 0.59; 95% CI:0.31, 0.98) were significantly associated with anemia of chronic kidney disease.CONCLUSION: Female sex, stage 5 CKD, body mass index ≥ 30 kg/m2, comorbidity, and hypocalcemia were found to be significantly associated with anemia of chronic kidney disease. Therefore, situation-based interventions and country contextspecific preventive strategies should be developed to reduce the risk factors of anemia in patients with chronic renal failure.

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Prevalence of Iron Deficiency Anemia among Chronic Kidney Disease Patients in Kaveri Delta Region, Tamilnadu, India

Cited by 4 publications

References 10 publications

Prevalence of anemia and its predictors among patients with chronic kidney disease admitted to a teaching hospital in Ethiopia: A hospital-based cross-sectional study

Prevalence of anemia and its predictors among patients with chronic kidney disease admitted to a teaching hospital in Ethiopia: A hospital-based cross-sectional study

Frequency of iron deficiency anaemia in chronic kidney disease patients not on dialysis

Risk Factors for Anemia in Patients with Chronic Renal Failure: A Systematic Review and Meta-Analysis

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