Iron deficiency testing among people with incident heart failure in primary care
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Le résumé fourni par la source
BACKGROUND: Given around 50% of people with heart failure have a degree of iron deficiency, guidelines recommend screening. It is uncertain to what extent this is done in primary care and whether testing is equitable. AIM: To report the proportion of people with incident heart failure who undergo a ferritin test within 12 months. DESIGN & SETTING: Retrospective primary care cohort study using Clinical Practice Research Datalink Aurum data, between 2016 and 2021. METHOD: We report the proportion of adults with an incident diagnosis of heart failure who received a ferritin test within 12 months. Multivariable logistic regression was used to examine the odds of testing based on key demographic covariates and co-morbidities. RESULTS: Among 105 749 individuals with an incident diagnosis of heart failure (mean age 71.6 years, SD 14.3), only 35 688 (33.7%) received a ferritin test within the subsequent year. Increasing age (odds ratio 1.25 per 10-year increase, 95% CI: 1.24-1.27), female sex (male sex OR 0.86, 0.84-0.89) and Asian ethnicity (OR 1.70, 1.59-1.80) were all associated with increased odds of testing as were diagnoses of coeliac disease (OR 1.86, 1.58-2.21), type 1 diabetes (OR 1.82, 1.51-2.19) and cirrhosis (OR 1.64, 1.43-1.87). There was geographic variation in testing, even in adjusted analyses. CONCLUSION: In a large primary care dataset, two thirds of people with incident heart failure did not receive a ferritin test for iron deficiency within a year of diagnosis demonstrating a gap in current practice and an opportunity for improvements in service delivery.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Iron deficiency testing among people with incident heart failure in primary care
- Date Crossref
- 31/07/2026
- Éditeur
- Royal College of General Practitioners
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Guy's and St Thomas' NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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University of Oxford Nuffield Department of Clinical Neurosciences pays non établi dans la noticeUniversité ou école supérieure
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Oxford University Hospitals NHS Trust Department of Haematology pays non établi dans la noticeÉtablissement de santé
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John Radcliffe Hospital pays non établi dans la noticeÉtablissement de santé
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Imperial College Healthcare NHS Trust Department of Anaesthesia pays non établi dans la noticeÉtablissement de santé
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Hammersmith Hospital pays non établi dans la noticeÉtablissement de santé
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NHS Blood and Transplant pays non établi dans la noticeÉtablissement de santé
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Royal Brompton Hospital Centre of Excellence Cardio-Oncology Service pays non établi dans la noticeÉtablissement de santé
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Department of Transfusion Medicine pays non établi dans la noticeInstitution
Guy's and St Thomas' NHS Foundation Trust, Nuffield Department of Clinical Neurosciences — University of Oxford et Department of Haematology — Oxford University Hospitals NHS Trust, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.