title: Deficiencies in the Management of Iron Deficiency Anemia During Childhood.
abstract: Limited high-quality evidence supports the management of iron deficiency anemia (IDA). To assess our institutional performance in this area, we retrospectively reviewed IDA treatment practices in 195 consecutive children referred to our center from 2006 to mid-2010. The majority of children were ≤4 years old (64%) and had nutritional IDA (74%). In 11- to 18-year-old patients (31%), the primary etiology was menorrhagia (42%). Many were referred directly to the emergency department and/or prescribed iron doses outside the recommended range. Poor medication adherence and being lost-to-follow-up were common. Substantial improvements are required in the management of IDA.
authors.affiliation: Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, Texas.|Children's Health, Dallas, Texas.
authors.forename: Jacquelyn M
authors.initials: JM
authors.lastname: Powers
authors.affiliation: Department of Internal Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Catherine L
authors.initials: CL
authors.lastname: Daniel
authors.affiliation: Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, Texas.|Children's Health, Dallas, Texas.
authors.forename: Timothy L
authors.initials: TL
authors.lastname: McCavit
authors.affiliation: Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, Texas.|Children's Health, Dallas, Texas.
authors.forename: George R
authors.initials: GR
authors.lastname: Buchanan
mesh_terms: D000293:Adolescent; D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007501:Iron / Q000008:administration & dosage*; D008297:Male; D012189:Retrospective Studies
chemical_list: D007501:Iron
keywords: adolescent; infant; iron deficiency anemia; management