Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group
Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it...
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Veröffentlicht in: | European journal of pediatrics 2020-04, Vol.179 (4), p.527-545 |
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creator | Mattiello, Veneranda Schmugge, Markus Hengartner, Heinz von der Weid, Nicolas Renella, Raffaele |
description | Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it particularly affects females.
Conclusion
: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.
What is Known:
•
Iron deficiency (ID) is one of the most common challenges faced by pediatricians.
•
Significant progress in the diagnosis and therapy of ID has been made over the last decade.
What is New:
•
Our expert panel provides ID management recommendations based on the best available evidence.
•
They include strategies for ID diagnosis and therapy, both oral and intravenous. |
doi_str_mv | 10.1007/s00431-020-03597-5 |
format | Article |
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Conclusion
: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.
What is Known:
•
Iron deficiency (ID) is one of the most common challenges faced by pediatricians.
•
Significant progress in the diagnosis and therapy of ID has been made over the last decade.
What is New:
•
Our expert panel provides ID management recommendations based on the best available evidence.
•
They include strategies for ID diagnosis and therapy, both oral and intravenous.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-020-03597-5</identifier><identifier>PMID: 32020331</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Administration, Intravenous - adverse effects ; Administration, Oral ; Adolescent ; Adolescents ; Anemia ; Anemia, Iron-Deficiency - blood ; Anemia, Iron-Deficiency - diagnosis ; Anemia, Iron-Deficiency - physiopathology ; Anemia, Iron-Deficiency - therapy ; Child ; Child, Preschool ; Children ; Consensus ; Diagnosis ; Epidemiology ; Ferric Compounds - administration & dosage ; Ferric Compounds - adverse effects ; Ferric Compounds - economics ; Ferritins - blood ; Humans ; Infant ; Infant, Newborn ; Intravenous administration ; Iron ; Iron - blood ; Iron - deficiency ; Iron, Dietary - standards ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Neonates ; Nutrient deficiency ; Pediatrics ; Pediatrics - methods ; Review ; Switzerland</subject><ispartof>European journal of pediatrics, 2020-04, Vol.179 (4), p.527-545</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>European Journal of Pediatrics is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d6d6142f81b5a16085b38ff897598f49cbfcf1b9e282d2e42228882744ab9ede3</citedby><cites>FETCH-LOGICAL-c375t-d6d6142f81b5a16085b38ff897598f49cbfcf1b9e282d2e42228882744ab9ede3</cites><orcidid>0000-0002-5041-2308</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-020-03597-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-020-03597-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32020331$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mattiello, Veneranda</creatorcontrib><creatorcontrib>Schmugge, Markus</creatorcontrib><creatorcontrib>Hengartner, Heinz</creatorcontrib><creatorcontrib>von der Weid, Nicolas</creatorcontrib><creatorcontrib>Renella, Raffaele</creatorcontrib><creatorcontrib>SPOG Pediatric Hematology Working Group</creatorcontrib><creatorcontrib>on behalf of the SPOG Pediatric Hematology Working Group</creatorcontrib><title>Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it particularly affects females.
Conclusion
: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.
What is Known:
•
Iron deficiency (ID) is one of the most common challenges faced by pediatricians.
•
Significant progress in the diagnosis and therapy of ID has been made over the last decade.
What is New:
•
Our expert panel provides ID management recommendations based on the best available evidence.
•
They include strategies for ID diagnosis and therapy, both oral and intravenous.</description><subject>Administration, Intravenous - adverse effects</subject><subject>Administration, Oral</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Anemia</subject><subject>Anemia, Iron-Deficiency - blood</subject><subject>Anemia, Iron-Deficiency - diagnosis</subject><subject>Anemia, Iron-Deficiency - physiopathology</subject><subject>Anemia, Iron-Deficiency - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Consensus</subject><subject>Diagnosis</subject><subject>Epidemiology</subject><subject>Ferric Compounds - administration & dosage</subject><subject>Ferric Compounds - adverse effects</subject><subject>Ferric Compounds - economics</subject><subject>Ferritins - blood</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Intravenous administration</subject><subject>Iron</subject><subject>Iron - blood</subject><subject>Iron - deficiency</subject><subject>Iron, Dietary - standards</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonates</subject><subject>Nutrient deficiency</subject><subject>Pediatrics</subject><subject>Pediatrics - methods</subject><subject>Review</subject><subject>Switzerland</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctOHDEQRa2ICIbHD2QRWWLdxI9-uNlFkAyRkEAKiKXltss9hml7YrsVzZ_kc2MYEnasSqq655Z0L0KfKDmjhHRfEiE1pxVhpCK86buq-YAWtOasoqRr99CC8JpULe37A3SY0iMpUE_FPjrgrECc0wX6c-nU6ENyCStv8KS8GmECn3Gw2MXgsQHrtAOvt9h5rFdubSJ4_NvlFQ7xZYY5Fxomp86xDj6BT3PCEXSYipVR2ZXls2FeAf55e7PEt2CcytFpfAWTymEdxi1-CPHJ-REvY5g3x-ijVesEJ6_zCN1__3Z3cVVd3yx_XHy9rjTvmlyZ1rS0ZlbQoVG0JaIZuLBW9F3TC1v3erDa0qEHJphhUDPGhBCsq2tVlgb4ETrd-W5i-DVDyvIxzNGXl5LxTrSspQ0vKrZT6RhSimDlJrpJxa2kRD6XIXdlyJKrfClDNgX6_Go9DxOY_8i_9IuA7wSpnPwI8e33O7Z_Ad1_lxM</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Mattiello, Veneranda</creator><creator>Schmugge, Markus</creator><creator>Hengartner, Heinz</creator><creator>von der Weid, Nicolas</creator><creator>Renella, Raffaele</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-5041-2308</orcidid></search><sort><creationdate>20200401</creationdate><title>Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group</title><author>Mattiello, Veneranda ; Schmugge, Markus ; Hengartner, Heinz ; von der Weid, Nicolas ; Renella, Raffaele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d6d6142f81b5a16085b38ff897598f49cbfcf1b9e282d2e42228882744ab9ede3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Administration, Intravenous - adverse effects</topic><topic>Administration, Oral</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Anemia</topic><topic>Anemia, Iron-Deficiency - blood</topic><topic>Anemia, Iron-Deficiency - diagnosis</topic><topic>Anemia, Iron-Deficiency - physiopathology</topic><topic>Anemia, Iron-Deficiency - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Consensus</topic><topic>Diagnosis</topic><topic>Epidemiology</topic><topic>Ferric Compounds - administration & dosage</topic><topic>Ferric Compounds - adverse effects</topic><topic>Ferric Compounds - economics</topic><topic>Ferritins - blood</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Intravenous administration</topic><topic>Iron</topic><topic>Iron - blood</topic><topic>Iron - deficiency</topic><topic>Iron, Dietary - standards</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonates</topic><topic>Nutrient deficiency</topic><topic>Pediatrics</topic><topic>Pediatrics - methods</topic><topic>Review</topic><topic>Switzerland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mattiello, Veneranda</creatorcontrib><creatorcontrib>Schmugge, Markus</creatorcontrib><creatorcontrib>Hengartner, Heinz</creatorcontrib><creatorcontrib>von der Weid, Nicolas</creatorcontrib><creatorcontrib>Renella, Raffaele</creatorcontrib><creatorcontrib>SPOG Pediatric Hematology Working Group</creatorcontrib><creatorcontrib>on behalf of the SPOG Pediatric Hematology Working Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>European journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mattiello, Veneranda</au><au>Schmugge, Markus</au><au>Hengartner, Heinz</au><au>von der Weid, Nicolas</au><au>Renella, Raffaele</au><aucorp>SPOG Pediatric Hematology Working Group</aucorp><aucorp>on behalf of the SPOG Pediatric Hematology Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group</atitle><jtitle>European journal of pediatrics</jtitle><stitle>Eur J Pediatr</stitle><addtitle>Eur J Pediatr</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>179</volume><issue>4</issue><spage>527</spage><epage>545</epage><pages>527-545</pages><issn>0340-6199</issn><eissn>1432-1076</eissn><abstract>Iron deficiency is the most prevalent nutritional deficiency affecting children and adolescents worldwide. A consistent body of epidemiological data demonstrates an increased incidence of iron deficiency at three timepoints: in the neonatal period, in preschool children, and in adolescents, where it particularly affects females.
Conclusion
: This narrative review focuses on the most suggestive symptoms of iron deficiency in childhood, describes the diagnostic procedures in situations with or without anemia, and provides Swiss expert-based management recommendations for the pediatric context.
What is Known:
•
Iron deficiency (ID) is one of the most common challenges faced by pediatricians.
•
Significant progress in the diagnosis and therapy of ID has been made over the last decade.
What is New:
•
Our expert panel provides ID management recommendations based on the best available evidence.
•
They include strategies for ID diagnosis and therapy, both oral and intravenous.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32020331</pmid><doi>10.1007/s00431-020-03597-5</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0002-5041-2308</orcidid></addata></record> |
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language | eng |
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source | MEDLINE; SpringerLink Journals |
subjects | Administration, Intravenous - adverse effects Administration, Oral Adolescent Adolescents Anemia Anemia, Iron-Deficiency - blood Anemia, Iron-Deficiency - diagnosis Anemia, Iron-Deficiency - physiopathology Anemia, Iron-Deficiency - therapy Child Child, Preschool Children Consensus Diagnosis Epidemiology Ferric Compounds - administration & dosage Ferric Compounds - adverse effects Ferric Compounds - economics Ferritins - blood Humans Infant Infant, Newborn Intravenous administration Iron Iron - blood Iron - deficiency Iron, Dietary - standards Medical diagnosis Medicine Medicine & Public Health Neonates Nutrient deficiency Pediatrics Pediatrics - methods Review Switzerland |
title | Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group |
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