Prevalence of gastrointestinal malignancy in non-anemic iron deficiency and significance for endoscopic screening: A Western Australian multicenter cohort study

There is a paucity of evidence regarding non-anemic iron deficiency as a predictor for colorectal cancer and therefore the indication for endoscopic evaluation. This study explores the rates of malignancy in adults with iron deficiency with and without anemia. A retrospective multicenter diagnostic...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2023-09, Vol.38 (9), p.1530-1534
Hauptverfasser: Hodges, Samantha, Attree, Chloe, Picardo, Sherman, Faithfull, Tiffany, McElholm, Adrian, Ragunath, Krish
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Sprache:eng
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Zusammenfassung:There is a paucity of evidence regarding non-anemic iron deficiency as a predictor for colorectal cancer and therefore the indication for endoscopic evaluation. This study explores the rates of malignancy in adults with iron deficiency with and without anemia. A retrospective multicenter diagnostic cohort study was conducted across two Australian health services. All cases that underwent both esophagogastroduodenoscopy and colonoscopy between September 1, 2018, and December 31, 2019, for the investigation of iron deficiency were included, and the cohort was divided into anemic and non-anemic arms. Multivariate binomial logistic regression was performed to establish clinical characteristics associated with neoplasia. Five hundred eighty-four patients underwent endoscopic evaluation over a 16-month period. There was a significantly higher rate of malignancy in the iron deficiency anemia arm as compared with those without anemia (8.76% vs 1.20%, P  60% of the total cohort. The presence of anemia (odds ratio [OR] 6.87, P 
ISSN:0815-9319
1440-1746
1440-1746
DOI:10.1111/jgh.16215