Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin

Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involv...

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Main Authors: Maria Salinas, Maria Leiva-Salinas, Emilio Flores, Maite López-Garrigós, Carlos Leiva-Salinas
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Advances in Hematology
Online Access:http://dx.doi.org/10.1155/2020/7341018
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author Maria Salinas
Maria Leiva-Salinas
Emilio Flores
Maite López-Garrigós
Carlos Leiva-Salinas
author_facet Maria Salinas
Maria Leiva-Salinas
Emilio Flores
Maite López-Garrigós
Carlos Leiva-Salinas
author_sort Maria Salinas
collection DOAJ
description Background. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.
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spelling doaj-art-7d7de755159a45d586c15784672e4ba12025-02-03T06:46:34ZengWileyAdvances in Hematology1687-91041687-91122020-01-01202010.1155/2020/73410187341018Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of FerritinMaria Salinas0Maria Leiva-Salinas1Emilio Flores2Maite López-Garrigós3Carlos Leiva-Salinas4Clinical Laboratory, Hospital Universitario de San Juan, Carretera Nacional 322 s/n-03550-San Juan de Alicante, España, SpainDepartment of Dermatology, Hospital Marina Baixa, Av. Alcalde En Jaume Botella Mayor, 7, 03570 Villajoyosa, SpainClinical Laboratory, Hospital Universitario de San Juan, Carretera Nacional 322 s/n-03550-San Juan de Alicante, España, SpainClinical Laboratory, Hospital Universitario de San Juan, Carretera Nacional 322 s/n-03550-San Juan de Alicante, España, SpainDepartment of Radiology and Medical Imaging, University of Missouri Health Care, Columbia, MO 65212, USABackground. The aim was to study the demographic and laboratory pattern of primary care patients with alopecia undergoing laboratory testing, more specifically, the request of hemoglobin and ferritin and values showing anemia and iron deficiency, and to evaluate the effects of an intervention involving automatic ferritin registration and measurement when not requested. Methods. Retrospective and prospective observational cross-sectional studies were conducted, as well as an intervention to automatically register and measure ferritin when not requested by the general practitioner. Results. There were 343 and 1032 primary care laboratory requests prompted by alopecia in the retrospective and prospective studies. Hemoglobin was requested in almost every patient and ferritin in 88%. 5% of the cohort had anemia, and 25% had iron deficiency. The intervention registered and measured that 123 ferritin and 24 iron deficiencies were detected in patients with alopecia, all women, at a cost of 10.6€. Conclusion. Primary care patients with alopecia and laboratory tests request were mainly young female. Our intervention added ferritin when not requested, detecting iron deficiency in 27.9% of women, potentially avoiding the adverse effects of iron deficiency on hair loss.http://dx.doi.org/10.1155/2020/7341018
spellingShingle Maria Salinas
Maria Leiva-Salinas
Emilio Flores
Maite López-Garrigós
Carlos Leiva-Salinas
Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
Advances in Hematology
title Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
title_full Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
title_fullStr Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
title_full_unstemmed Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
title_short Alopecia and Iron Deficiency: An Interventional Pilot Study in Primary Care to Improve the Request of Ferritin
title_sort alopecia and iron deficiency an interventional pilot study in primary care to improve the request of ferritin
url http://dx.doi.org/10.1155/2020/7341018
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