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Oral or intravenous iron for anemia correction in chronic kidney disease?
Author(s) -
Tilman B. Drüeke,
Ziad A. Massy
Publication year - 2015
Publication title -
kidney international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.499
H-Index - 276
eISSN - 1523-1755
pISSN - 0085-2538
DOI - 10.1038/ki.2015.189
Subject(s) - intravenous iron , medicine , kidney disease , anemia , iron deficiency , hemoglobin , renal function , kidney , gastroenterology
Iron deficiency in patients with chronic kidney disease (CKD) can be corrected by the oral or intravenous route. The natural intestinal barrier against iron overload is circumvented by intravenous iron. The balance between benefit and risk of high iron doses remains unclear. In a randomized controlled trial in CKD patients, Agarwal et al. find similar effects of oral and intravenous iron on hemoglobin levels and kidney function decline but more serious cardiovascular events and infections with intravenous iron.

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