Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review

<h3>Background and Aims</h3><p dir="ltr">Chronic kidney disease (CKD) patients undergoing peritoneal dialysis (PD) are susceptible to complications, including iron overload, which can significantly impact their prognosis and overall health. This scoping review aimed to st...

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Main Author: Abdulqadir J. Nashwan (11659453) (author)
Other Authors: Mohammad T. Abuawwad (17632242) (author), Jaber H. Jaradat (21632849) (author), Anas Ibraheem (22047821) (author), Mohamed A. Yassin (8361183) (author), Mohammad J. J. Taha (17908127) (author)
Published: 2024
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author Abdulqadir J. Nashwan (11659453)
author2 Mohammad T. Abuawwad (17632242)
Jaber H. Jaradat (21632849)
Anas Ibraheem (22047821)
Mohamed A. Yassin (8361183)
Mohammad J. J. Taha (17908127)
author2_role author
author
author
author
author
author_facet Abdulqadir J. Nashwan (11659453)
Mohammad T. Abuawwad (17632242)
Jaber H. Jaradat (21632849)
Anas Ibraheem (22047821)
Mohamed A. Yassin (8361183)
Mohammad J. J. Taha (17908127)
author_role author
dc.creator.none.fl_str_mv Abdulqadir J. Nashwan (11659453)
Mohammad T. Abuawwad (17632242)
Jaber H. Jaradat (21632849)
Anas Ibraheem (22047821)
Mohamed A. Yassin (8361183)
Mohammad J. J. Taha (17908127)
dc.date.none.fl_str_mv 2024-09-08T03:00:00Z
dc.identifier.none.fl_str_mv 10.1002/hsr2.2255
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Prevalence_of_iron_overload_in_patients_with_chronic_kidney_disease_on_peritoneal_dialysis_A_scoping_review/29900672
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
chelating
chronic kidney disease
ferritin
iron overload
peritoneal dialysis
dc.title.none.fl_str_mv Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background and Aims</h3><p dir="ltr">Chronic kidney disease (CKD) patients undergoing peritoneal dialysis (PD) are susceptible to complications, including iron overload, which can significantly impact their prognosis and overall health. This scoping review aimed to study the prevalence and implications of iron overload in CKD patients undergoing PD.</p><h3>Methods</h3><p dir="ltr">A comprehensive search was conducted across five databases, leading to the selection of 18 papers for in‐depth analysis. These studies collectively involved 381 PD patients, 60.3% were males.</p><h3>Results</h3><p dir="ltr">No consensus was reached regarding the exact diagnostic cutoff for iron overload. The investigations revealed four main aspects: (1) Seven papers identified various factors contributing to iron overload, emphasizing the role of different iron supplements and magnetic resonance imaging's capability to diagnose iron accumulation in organs; (2) Iron overload in young patients was found to hinder growth; (3) Six studies highlighted the adverse effects of iron overload, with cardiac issues being the most significant; (4) Three studies demonstrated the efficacy of iron‐chelating agents, Deferoxamine and Deferasirox, in treating iron overload patients undergoing PD. Overall, the estimated prevalence of liver iron overload in CKD patients on PD ranges from approximately 10% to 28.6%, which is far lower than the prevalence of 75% elegantly shown in HD patients.</p><h3>Conclusion</h3><p dir="ltr">While iron overload was a significant concern for CKD patients undergoing PD in the past, it is less common in the current era due to advancements in treatments, such as erythropoiesis‐stimulating agents. Treatment with specific chelation agents has proven beneficial, but there is also a risk of adverse effects, necessitating meticulous monitoring and timely intervention.</p><h2>Other Information</h2><p dir="ltr">Published in: Health Science Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/hsr2.2255" target="_blank">https://dx.doi.org/10.1002/hsr2.2255</a></p>
eu_rights_str_mv openAccess
id Manara2_aef6701444118a73e2473c438e9f9ac7
identifier_str_mv 10.1002/hsr2.2255
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29900672
publishDate 2024
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping reviewAbdulqadir J. Nashwan (11659453)Mohammad T. Abuawwad (17632242)Jaber H. Jaradat (21632849)Anas Ibraheem (22047821)Mohamed A. Yassin (8361183)Mohammad J. J. Taha (17908127)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical scienceschelatingchronic kidney diseaseferritiniron overloadperitoneal dialysis<h3>Background and Aims</h3><p dir="ltr">Chronic kidney disease (CKD) patients undergoing peritoneal dialysis (PD) are susceptible to complications, including iron overload, which can significantly impact their prognosis and overall health. This scoping review aimed to study the prevalence and implications of iron overload in CKD patients undergoing PD.</p><h3>Methods</h3><p dir="ltr">A comprehensive search was conducted across five databases, leading to the selection of 18 papers for in‐depth analysis. These studies collectively involved 381 PD patients, 60.3% were males.</p><h3>Results</h3><p dir="ltr">No consensus was reached regarding the exact diagnostic cutoff for iron overload. The investigations revealed four main aspects: (1) Seven papers identified various factors contributing to iron overload, emphasizing the role of different iron supplements and magnetic resonance imaging's capability to diagnose iron accumulation in organs; (2) Iron overload in young patients was found to hinder growth; (3) Six studies highlighted the adverse effects of iron overload, with cardiac issues being the most significant; (4) Three studies demonstrated the efficacy of iron‐chelating agents, Deferoxamine and Deferasirox, in treating iron overload patients undergoing PD. Overall, the estimated prevalence of liver iron overload in CKD patients on PD ranges from approximately 10% to 28.6%, which is far lower than the prevalence of 75% elegantly shown in HD patients.</p><h3>Conclusion</h3><p dir="ltr">While iron overload was a significant concern for CKD patients undergoing PD in the past, it is less common in the current era due to advancements in treatments, such as erythropoiesis‐stimulating agents. Treatment with specific chelation agents has proven beneficial, but there is also a risk of adverse effects, necessitating meticulous monitoring and timely intervention.</p><h2>Other Information</h2><p dir="ltr">Published in: Health Science Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/hsr2.2255" target="_blank">https://dx.doi.org/10.1002/hsr2.2255</a></p>2024-09-08T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/hsr2.2255https://figshare.com/articles/journal_contribution/Prevalence_of_iron_overload_in_patients_with_chronic_kidney_disease_on_peritoneal_dialysis_A_scoping_review/29900672CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299006722024-09-08T03:00:00Z
spellingShingle Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
Abdulqadir J. Nashwan (11659453)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
chelating
chronic kidney disease
ferritin
iron overload
peritoneal dialysis
status_str publishedVersion
title Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
title_full Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
title_fullStr Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
title_full_unstemmed Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
title_short Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
title_sort Prevalence of iron overload in patients with chronic kidney disease on peritoneal dialysis: A scoping review
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
chelating
chronic kidney disease
ferritin
iron overload
peritoneal dialysis