Iron-deficiency anemia in gynecological practice: Algorithms for diagnosis, prevention, and treatment


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Abstract

Objective. To carry out a systematic analysis of the data available in modern literature and to present the author’s own experience in treating gynecological patients with iron-deficiency anemia (IDA) in order to create an algorithm for the diagnosis, prevention, and treatment of IDA in this clinical group. Material and methods. The paper discusses the data of leading international and Russian guidelines for the diagnosis, prevention, and treatment of IDA and gives the author’s own materials of following up patients with female reproductive system diseases and anemia for 15 years. Results. The paper formulates the simplest, clear and Russian adjustable algorithms for the diagnosis, prevention, and treatment of IDA in the group of gynecological patients, which are to improve the quality of medical care during specialized gynecological examination. Conclusion. By taking into account the absence of uniform conventional guidelines for the prevention and treatment of IDA and the presence of the specific features of this anemia just in gynecological disease, it is very important to create adapted algorithms for this pathology in terms of available international and the author’s clinical experience.

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About the authors

Nicholay I. Stuklov

Peoples’ Friendship University of Russia

Email: stuklovn@gmail.com
MD, Professor, Department of Hospital Therapy, course leader of Hematology

References

  1. Стуклов Н.И., Альпидовский В.К., Огурцов П.П. Анемии. Клиника, диагностика и лечение. Учебное пособие для врачей. М.: МИА; 2013. 264с. [Stuklov N.I., Alpidovskiy V.K., Ogurtsov P.P. Anemia. The clinic, diagnosis and treatment. A manual for physicians. Moscow: MIA; 2013. 264p. (in Russian)]
  2. UNICEF, United Nations University, WHO. Iron deficiency anemia: assessment, prevention and control. A guide for programme managers. Geneva: World Health Organization; 2001 (WHO/NHD/01.3). 114р.
  3. Стуклов Н.И., Козинец Г.И., Леваков С.А., Огурцов П.П. Анемии при гинекологических и онкогинекологических заболеваниях. М.: МИА; 2013. 238с. [Stuklov N.I., Kozinets G.I., Levakov S.A., Ogurtsov P.P. Anemia of gynecological diseases and gynecological cancer. Moscow: MIA; 2013. 238p. (in Russian)]
  4. The prevalence of anaemia in women: a tabulation of available information. Geneva: World Health Organization; 1992. (WHO/MCH/MSM/92.2)
  5. Румянцев А.Г., Захарова И.Н., ред. Диагностика и лечение железодефицитной анемии у детей и подростков. Пособие для врачей. М.: Конти принт; 2015. 76с. [Rumyantsev A.G., Zaharova I.N., ed. Diagnosis and treatment of iron deficiency anemia in children and adolescents. Manual for physicians. Moscow: Konti print; 2015. 76p. (in Russian)]
  6. Beard J.L. Iron requirements in adolescent females. J. Nutr. 2000; 130(2S, Suppl.): 440S-2S.
  7. Стуклов Н.И. Современная профилактика и лечение железодефицитной анемии в различных клинических группах в зависимости от тяжести анемии, возраста и пола. Поликлиника. 2014; 5-1: 49-56. [Stuklov N.I. Modern treatment and prophylaxis of iron deficiency anemia in different clinical groups depending on the severity of anemia, the age and sex. Poliklinika. 2014; 5-1: 49-56. (in Russian)]
  8. Шеффер Р.М., Гаше К., Хух Р., Краффт А. Железное письмо: рекомендации по лечению железодефицитной анемии. Гематология и трансфузиология. 2004; 49(4): 40-8. [Sheffer R.M., Gashe K., Huh R., Krafft A. Iron letter: recommendations for the treatment of iron deficiency anemia. Gematologiya i transfuziologiya. 2004; 49(4): 40-8. (in Russian)]
  9. Козинец Г.И., Левина А.А., Шмаров Д.А., Дягилева О.А., Левина Т.Н., Наумова И.Н., Попова О.В., Стуклов Н.И., Шумилова Л.Л., Орлова Г.К., Погорелов В.М. Железодефицит - реальная опасность. Русский медицинский журнал. 2003; 11(8): 464-7. [Kozinets G.I., Levina A.A., Shmarov D.A., Dyagileva O.A., Levina T.N., Naumova I.N., Popova O.V., Stuklov N.I., Shumilova L.L., Orlova G.K., Pogorelov V.M. Iron deficiency is a real danger. Russkiy meditsinskiy zhurnal. 2003; 11(8): 464-7. (in Russian)]
  10. Стуклов Н.И., Семенова Е.Н. Железодефицитная анемия. Современная тактика диагностики и лечения. Современные критерии эффективности терапии. Клиническая медицина. 2013; 91(12): 61-8. [Stuklov N.I., Semenova E.N. Iron-deficiency anemia. Modern tactics diagnosis and treatment. Current criteria for the effectiveness of therapy. Klinicheskaya meditsina. 2013; 91(12): 61-8. (in Russian)]
  11. Zacharski L.R., Ornstein D.L. , Woloshin S., Schwartz L.M. Association of age, sex, and race with body iron stores in adults: analysis of NHANES III data. Am. Heart J. 2000; 140(1): 98-104.
  12. Стуклов Н.И., Кунина М.Ю., Семенова Е.Н. Эффективность и переносимость препаратов железа. Что важнее? Существует ли оптимальное решение? Поликлиника. 2014; 2-1: 48-53. [Stuklov N.I., Kunina M.Yu., Semenova E.N. Efficacy and tolerability of iron supplementation. What is more important? Is there an optimal solution? Poliklinika. 2014; 2-1: 48-53. (in Russian)]
  13. Кунина М.Ю., Семенова Е.Н., Стуклов Н.И. Особенности ответа на терапию железодефицитной анемии в зависимости от этиологии. Вестник последипломного медицинского образования. 2014; 1: 74-6. [Kunina M.Yu., Semenova E.N., Stuklov N.I. Features of the response to therapy of iron deficiency, depending on the aetiology. Vestnik poslediplomnogo meditsinskogo obrazovaniya. 2014; 1: 74-6. (in Russian)]
  14. Стуклов Н.И., Козинец Г.И., Леваков С.А. Хроническая кровопотеря как причина развития железодефицитной анемии при заболеваниях женской репродуктивной системы. Вестник последипломного медицинского образования. 2013; 3: 54-5. [Stuklov N.I., Kozinets G.I., Levakov S.A. Chronic blood loss as a cause of iron deficiency anemia in diseases of the female reproductive system. Vestnik poslediplomnogo meditsinskogo obrazovaniya. 2013; 3: 54-5. (in Russian)]
  15. Хаятова З.Б. Клиника, диагностика и лечение воспалительных заболеваний органов малого таза у женщин репродуктивного возраста с анемией: дисс.: д-ра мед. наук. Новосибирск; 2014. 266с. [Hayatova Z.B. The clinic, diagnosis and treatment of inflammatory diseases of the pelvic organs in women of reproductive age with anemia. Diss. Novosibirsk; 2014. 266p. (in Russian)]

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