{"id":18208,"date":"2021-05-25T14:53:48","date_gmt":"2021-05-25T14:53:48","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=18208"},"modified":"2025-04-22T15:29:26","modified_gmt":"2025-04-22T15:29:26","slug":"anemia-and-iron-deficiency-diagnosis-management-and-treatment-in-chronic-kidney-disease","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/anemia-and-iron-deficiency-diagnosis-management-and-treatment-in-chronic-kidney-disease\/","title":{"rendered":"Anemia and iron deficiency diagnosis, management and treatment in chronic kidney disease"},"content":{"rendered":"<style type=\"text\/css\"><\/style>\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"18208\" class=\"elementor elementor-18208\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43877190 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43877190\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-19ceb564\" data-id=\"19ceb564\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-feaab77 elementor-widget elementor-widget-heading\" data-id=\"feaab77\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Anemia and iron deficiency diagnosis, management and treatment in chronic kidney disease \u2013 Consensus and agreement through a Delphi Panel<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5bd484 elementor-widget elementor-widget-text-editor\" data-id=\"f5bd484\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>An\u00edbal Ferreira<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">1 <\/span><\/sup>on behalf of the group: Ana Farinha<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">2<\/span><\/sup>, Ana Macedo<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">3,4<\/span><\/sup>, Ant\u00f3nio Robalo Nunes<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">5<\/span><\/sup>, Jos\u00e9 Lopes<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">6<\/span><\/sup>, Patr\u00edcia Branco<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">7<\/span><\/sup>, Pedro Ponce<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">8<\/span><\/sup>, Ricardo Neto<sup><span class=\"s1\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">9<\/span><\/sup><\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">1 <\/span><\/sup>Hospital Curry Cabral, Centro Hospitalar Universit\u00e1rio Lisboa Central, Lisboa, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">2 <\/span><\/sup>Hospital da Luz Set\u00fabal, Set\u00fabal, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">3 <\/span><\/sup>Keypoint, Consultoria Cient\u00edfica Lda., Alg\u00e9s, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">4 <\/span><\/sup>Departamento de Ci\u00eancias Biom\u00e9dicas e Medicina, Universidade do Algarve, Faro, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">5 <\/span><\/sup>Hospital das For\u00e7as Armadas, Lisboa, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">6 <\/span><\/sup>Hospital de Santa Maria, Centro Hospitalar Universit\u00e1rio Lisboa Norte, Lisboa, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">7 <\/span><\/sup>Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">8 <\/span><\/sup>NephroCare Portugal, Portugal<\/p>\n<p><sup><span class=\"s2\" style=\"font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal;\">9 <\/span><\/sup>Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o EPE, Porto, Portugal<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e041dbe elementor-widget elementor-widget-text-editor\" data-id=\"4e041dbe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><\/p>\n<p class=\"p1 wp-block-paragraph\"><strong>ABSTRACT<\/strong><\/p>\n<p class=\"p2\">Background: Anemia is a common complication of Chronic Kidney Disease (CKD), in which iron deficiency\u2019s (ID) role is frequently underrated. In CKD, anemia has been associated with higher morbidity and lower quality of life. Nonetheless, reported treatment rates of anemia in CKD are low and guidelines\u2019 variability and\/or absence for its management and treatment may be preventing patients from receiving optimal treatment. Within this context, we aimed to assess the agreement level on anemia and iron deficiency diagnosis, management, and treatment in CKD patients, by Portuguese physicians in Nephrology, through a Delphi Panel. Methods: A group of seven medical experts in Nephrology and Transfusion Medicine was assembled, and a focus group was conducted, in which 28 statements were agreed upon. Then, a two-round Delphi Panel using a Likert scale was conducted online, inviting Portuguese Society of Nephrology associates to participate. Results: Answers were collected from 76 participants in Round 1 and consensus level was obtained for 1 statement, 57 (75%) respondents fully disagreeing on transfusing all patients with hemoglobin below 9 g\/dl, regardless of the clinical situation. The remaining 27 statements were used in Round 2, none obtaining consensus level and 14 statements being categorized as qualified majority: 4 on diagnosis, 3 on disease management, and 7 on treatment. Discussion: Our study showed a lack of consensus on diagnosis, management, and treatment of anemia in CKD patients among the nephrology community in Portugal. Overall, our results illustrated the heterogeneity of national clinical practices in: laboratory parameters\u2019 choice; cutoff values defining anemia and\/or ID; parameter-based therapeutic decisions. Nonetheless, it was shown clear that patient\u2019s individual characteristics, clinical settings, and the physician\u2019s \u201cclinical sense\u201d seem to be considered to a further extent than the available guidelines. Future studies should be considered to develop recommendations that can be widely accepted.<\/p>\n<p class=\"p2\"><b><span class=\"s2\">Keywords: <\/span>Anemia, Chronic Kidney Diseases, Consensus, Delphi Technique, Iron-Deficiency<\/b><\/p>\n<p><\/p>\n<p class=\"wp-block-paragraph\"><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f089f7 elementor-widget elementor-widget-text-editor\" data-id=\"0f089f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>[pdf-embedder url=&#8221;https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2021\/05\/Ferreira-et-al.-PJNH-2020_Anemiaandirondeficiency.pdf&#8221; title=&#8221;Ferreira et al., PJNH 2020_Anemiaandirondeficiency&#8221;]<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Anemia and iron deficiency diagnosis, management and treatment in chronic kidney disease \u2013 Consensus and agreement through a Delphi Panel An\u00edbal Ferreira1 on behalf of the group: Ana Farinha2, Ana Macedo3,4, Ant\u00f3nio Robalo Nunes5, Jos\u00e9 Lopes6, Patr\u00edcia Branco7, Pedro Ponce8, Ricardo Neto9 1 Hospital Curry Cabral, Centro Hospitalar Universit\u00e1rio Lisboa Central, Lisboa, Portugal 2 Hospital&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[197,97,196,276,277],"tags":[273,274,100,272,271,275],"class_list":["post-18208","post","type-post","status-publish","format-standard","hentry","category-anemia","category-artigo-cientifico","category-deficiencia-de-ferro","category-doenca-renal-cronica","category-drc","tag-chronic-kidney-diseases","tag-consensus","tag-deficiencia-de-ferro","tag-delphi-technique","tag-doenca-renal-cronica","tag-iron-deficiency-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - 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