Affordable Access

deepdyve-link
Publisher Website

[Use of iron in nephrology: Results of a French practical survey].

Authors
  • Brunet, Philippe1
  • Choukroun, Gabriel2
  • Moulin, Bruno3
  • Zaoui, Philippe4
  • Thervet, Éric5
  • Frimat, Luc6
  • Chazot, Charles7
  • 1 Centre de néphrologie et de transplantation rénale, hôpital de la Conception, APHM, 147 boulevard Baille, 13005 Marseille, France. Electronic address: [email protected] , (France)
  • 2 Service de néphrologie, médecine interne, dialyse, transplantation, CHU Amiens-Picardie, 80054 Amiens, France. , (France)
  • 3 Service de néphrologie et transplantation, CHU de Strasbourg, hôpital Civil, 67091 Strasbourg, France. , (France)
  • 4 Service de néphrologie, dialyse, transplantation rénale, CHU de Grenoble, 38700 La Tronche, France. , (France)
  • 5 Service de néphrologie, hôpital européen Georges-Pompidou, 75015 Paris, France. , (France)
  • 6 Service de néphrologie, CHU de Nancy, hôpitaux de Brabois, Vandœuvre-lès-Nancy, France. , (France)
  • 7 Centre NephroCare Tassin Charcot, 69110 Sainte-Foy-lès-Lyon, France. , (France)
Type
Published Article
Journal
Nephrologie & therapeutique
Publication Date
May 01, 2020
Volume
16
Issue
3
Pages
153–157
Identifiers
DOI: 10.1016/j.nephro.2019.10.002
PMID: 32409289
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

The French-speaking Society of Nephrology, Dialysis and Transplantation conducted, in 2018, a survey among French nephrologists into their iron prescribing habits for patients with chronic kidney disease stages 3 to 5 before dialysis. The results show that 73% of nephrologists use intravenous iron before dialysis stage. When a patient has gastrointestinal symptoms under oral iron therapy, only 48% of nephrologists use intravenous route. The starting thresholds for iron are for 78% of nephrologists a transferrin saturation <20% and for 80% a serum ferritin <100 μg/L. Only 14% start iron when a transferrin saturation <25% or higher and 29% start iron when serum ferritin <200 μg/L or higher. High dosages of iron (500 and 1000 mg) are used by 58% of nephrologists. Finally, about 30% of nephrologists refer to various barriers to intravenous iron prescription, such as cost, unavailability of intravenous iron in their facility or lack of day hospital unit. The correction of iron deficiency without anemia remains controversial. It is performed by only 43% of nephrologists. These results show an improvement of the practices compared to a 2006 survey. However, they indicate a sub-prescription of iron compared to the European recommendations which recommend a starting threshold of iron of transferrin saturation <25% and ferritinemia <200 μg/L in anemic patients not treated with erythropoietin-stimulating agents. Copyright © 2020 Société francophone de néphrologie, dialyse et transplantation. Published by Elsevier Masson SAS. All rights reserved.

Report this publication

Statistics

Seen <100 times