References

Bouri S, Martin J. Investigation of iron deficiency anaemia. Clinical Medicine. 2018; 18:(3)242-244 https://doi.org/10.7861/clinmedicine.18-3-242

British Society for Gastroenterology. Guidelines for the management of iron deficiency anaemia. 2011. http://www.bsg.org.uk/clinical-resourse/guidelines-for-the-management-of-iron-deficiency-anaemia/ (accessed 16 August 2021)

Camaschella C. Iron deficiency. Blood. 2019; 133:(1)30-39 https://doi.org/10.1182/blood-2018-05-815944

Anaemia of chronic disease and kidney failure. 2020. https://emedicine.medscape.com/article/1389854-overview (accessed 16 August 2021)

Cullis J. Anaemia of chronic disease. Clinical Medicine. 2013; 13:(2)193-196 https://doi.org/10.7861/clinmedicine.13-2-193

What is the prognosis of iron deficiency anaemia?. 2020. https://www.medscape.com/answers/202333-153113/what-is-the-prognosis-of-iron-deficency-anaemia (accessed 16 August 2021)

National Institute for Health and Care Excellence. Anaemiairon deficiency. 2021. https://cks.nice.org.uk/topics/anaemia-iron-deficiency/ (accessed 16 August 2021)

Madu JM, Ughasoro MD. Anaemia of chronic disease: An in-depth review. Med Princ Pract. 2017; 26:(1)1-9 https://doi.org/10.1159/000452104

National Cancer Institute. Anaemia and cancer treatment. 2018. https://www.cancer.gov/about-cancer/treatment/side-effects/anaemia (accessed 16 August 2021)

National Institute of Diabetes and Digestive and Kidney Diseases. Anaemia of Inflammation or chronic disease. 2018. https://www.niddk.nih.gov/health-information/blood-diseases/anemia-inflammation-chronic-disease (accessed 16 August 2021)

Royal College of Nursing. Iron deficiency and anaemia in adults. 2016. https://www.shfnf.co.uk/wp-content/uploads/2016/06/RCNguide_iron_deficiency_WEB.pdf (accessed 16 August 2021)

Royal Wolverhampton NHS Trust. Haematology normal adult reference ranges. 2019. http://www.royalwolverhampton.nhs.uk/services/service-directory-a-z/pathology-services/departments/haematology/haematology-normal-adult-reference-ranges/ (accessed 16 August 2021)

The Association for Clinical Biochemistry and Laboratory Medicine. Anaemia. 2016. https://labtestsonline.org.uk/conditions/anaemia (accessed 16 August 2021)

Anaemia of chronic disease. 2016. https://patient.info/doctor/anaemia-of-chronic-disease#nav-2 (accessed 16 August 2021)

Iron-deficiency anaemia. 2020. https://patient.info/doctor/iron-deficiency-anaemia-pro#nav-2 (16 August 2021)

York Teaching hospital. Guidance for primary care for the interpretation of Haematinics: B12, folate and ferritin. 2019. https://www.yorkhospitals.nhs.uk/seecmsfile/?id=3746 (16 August 2021)

Anaemia in primary care: iron deficiency and anaemia of chronic disease

02 September 2021
8 min read
Volume 32 · Issue 9

Abstract

Iron deficiency anaemia and anaemia of chronic disease are commonly seen in primary care. Margaret Perry discusses how to recognise, diagnose and manage these conditions

This article will look at iron deficiency anaemia and anaemia of chronic disease. Both are problems encountered frequently at a global scale and in the primary care setting. Both conditions can potentially affect any age, although anaemia of chronic disease is more common among older adults. It is hoped that the information provided will give general practice nurses and nurse prescribers greater confidence in the recognition, diagnosis, and management of these conditions, to improve patient care.

Anaemia is a condition which affects people around the world and occurs in many forms, some common and frequently encountered, others much rarer. Two of the most commonly diagnosed of these anaemia types will be reviewed here – iron deficiency anaemia and anaemia of chronic disease. Less common forms of anaemia are shown in Table 1.

The Association for Clinical Biochemistry and Laboratory Medicine, 2016

Iron deficiency anaemia (IDA) is the most common cause of anaemia and is a problem worldwide, with an estimated 500 million people affected, occurring both in low-income countries such as sub-Saharan Africa and also in more affluent parts of the world (National Institute for Health and Care Excellence (NICE), 2021). Anaemia of chronic disease (ACD), also called anaemia of inflammation, is the second most common anaemia type.

Both can potentially affect any age, but the latter type is more common among older adults and is a frequent finding among those in this age group admitted to hospital (Madu and Ughasoro, 2017).

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month