Oral or intravenous iron for anemia correction in chronic kidney disease?

Tilman B Drüeke, Ziad A Massy

Journal: Kidney international 2016;88(4):673-5

PMID: 26422625

Free Full Text on Elsevier Science View on PubMed

Abstract

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.

Address: Inserm MRS Unité 1018, Team 5, Hôpital Paul Brousse, Paris-Sud University and Versailles Saint-Quentin-en-Yvelines University (Paris-Ile-de-France-Ouest University), Villejuif, France.; Division of Nephrology, Ambroise Paré Hospital, Assistance Publique-Hôpitaux de Paris, Versailles Saint-Quentin-en-Yvelines University (Paris-Ile-de-France-Ouest University), Boulogne Billancourt/Paris, France.

DOI: 10.1038/ki.2015.189

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Full Text Sources:

https://linkinghub.elsevier.com/retrieve/pii/S2157...

Medical:

https://medlineplus.gov/chronickidneydisease.html

MeSH Terms: Anemia, Iron-Deficiency, Female, Ferric Compounds, Ferrous Compounds, Glucaric Acid, Hematinics, Humans, Male, Renal Insufficiency, Chronic