{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:01:49Z","timestamp":1767164509580,"version":"build-2238731810"},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Little is known about iron deficiency anemia (IDA)'s treatment in Portugal. We aim to estimate the proportion of anemia, IDA, and iron deficiency without anemia; characterize the diagnostic procedures and prescription patterns; assess anemia's impact over work absenteeism, in a Local Health Unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods:<\/jats:title>\n                    <jats:p>Cross-sectional study that evaluated complete blood counts, iron-containing prescriptions, comorbidities, economic failure, and disability certificates issued in 2015 at the Local Health Unit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We evaluated 62,794 complete blood count. The proportion of anemia was 16.5%, higher in patients with economic failure, pregnant women, and patients with congestive heart failure. Of the patients with anemia 87.8% had not serum iron and\/or ferritin dosing, and of those with serum iron\/ferritin levels tested 50.6% had IDA. IDA was higher in pregnant women, women aged \u226515 years and in patients with congestive heart failure. Approximately 56.2% of patients with IDA did not receive iron-containing medication, and in 38% of the cases the prescribed dose was subtherapeutic. Of the total iron prescriptions 44.1% were association therapies. Anemia accounted for 5.2% of the disability certificates issued in 2015 (1749 workdays lost).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Most patients with anemia are not being adequately evaluated and a major proportion does not undergo treatment or has subtherapeutic doses of iron. These results may explain the anemia's impact on work capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is one of the largest studies on anemia in Portugal. An effort to adapt to the established recommendations is urged, to minimize the consequences of this disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/j.pbj.0000000000000064","type":"journal-article","created":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T18:00:09Z","timestamp":1595008809000},"page":"e064","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis, treatment, and work impact of iron deficiency anemia in a Portuguese urban community"],"prefix":"10.1097","volume":"5","author":[{"given":"Pedro","family":"Norton","sequence":"first","affiliation":[{"name":"Occupational Health Service, S. Jo\u00e3o Hospital Center"},{"name":"EPIUnit \u2013 Publick Health Institut, University of Porto, Rua das Taipas"},{"name":"Department of Public Health and Forensic Sciences and Medical Education, University of Porto Medical School, Porto"}]},{"given":"Nat\u00e1lia","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Publick Health Institut, University of Porto, Rua das Taipas"}]},{"given":"Paulo","family":"Pinho","sequence":"additional","affiliation":[{"name":"Occupational Health Service, S. Jo\u00e3o Hospital Center"}]},{"given":"Joana","family":"Costa Gomes","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Publick Health Institut, University of Porto, Rua das Taipas"},{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Carla","family":"Silva","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"C\u00e9line","family":"Gama","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Manuel","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Pedro","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Sara","family":"Cunha","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Sara","family":"Moreira","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"S\u00edlvia","family":"Martins","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Sofia","family":"Faria","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Sophie","family":"Sousa","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Nuno","family":"Figueiras Alves","sequence":"additional","affiliation":[{"name":"Health Centers Group of Matosinhos, Matosinhos, Portugal."}]},{"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Publick Health Institut, University of Porto, Rua das Taipas"},{"name":"Department of Public Health and Forensic Sciences and Medical Education, 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