| アブストラクト | 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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| ジャーナル名 | BJGP open |
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| Pubmed追加日 | 2026/8/1 |
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| 投稿者 | Maharajan, Vijay; Jones, Nicholas Robert; Bankhead, Clare; Erone, Innocent; Haynes, Sarah; Katumba, Alvin M; Li, Christien Ka Hou; Maynard, Suzanne; Roy, Noemi; Shah, Akshay; Stanworth, Simon J; Smith, Margaret; Wright-Drakesmith, Cynthia |
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| 組織名 | Cardio-Oncology Service, Royal Brompton Hospital Centre of Excellence, Guy's and;St Thomas' NHS Foundation Trust, London, UK vijay.maharajan@kellogg.ox.ac.uk.;University of Oxford Nuffield Department of Primary Care Health Sciences, Oxford,;UK.;University of Oxford, Nuffield Department of Women's and Reproductive Health,;Oxford, UK.;Department of Haematology, Oxford University Hospitals NHS Trust, Oxford, UK.;Department of Cardiology, Oxford University Hospital, Oxford, UK.;University of Oxford, Radcliffe Department of Medicine, Oxford, UK.;Department of Anaesthesia, Hammersmith Hospital, Imperial College Healthcare NHS;Trust, London, UK.;Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.;Department of Transfusion Medicine, NHS Blood and Transplant, Oxford, UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/42538128/ |
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