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Assessing the Association between Serum Ferritin, Transferrin Saturation, and C-Reactive Protein in Northern Territory Indigenous Australian Patients with High Serum Ferritin on Maintenance Haemodialysis
Joint Authors
Majoni, Sandawana William
Lawton, Paul D.
Barzi, Federica
Cass, Alan
Hughes, Jaquelyne T.
Source
International Journal of Nephrology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-24
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To determine the significance of high serum ferritin observed in Indigenous Australian patients on maintenance haemodialysis in the Northern Territory, we assessed the relationship between ferritin and transferrin saturation (TSAT) as measures of iron status and ferritin and C-reactive protein (CRP) as markers of inflammation.
Methods.
We performed a retrospective cohort analysis of data from adult patients (≥18 years) on maintenance haemodialysis (>3 months) from 2004 to 2011.
Results.
There were 1568 patients.
The mean age was 53.9 (11.9) years.
1244 (79.3%) were Indigenous.
44.2% ( n = 693 ) were male.
Indigenous patients were younger (mean age [52.3 (11.1) versus 57.4 (15.2), p < 0.001 ]) and had higher CRP [14.7 mg/l (7–35) versus 5.9 mg/l (1.9–17.5), p < 0.001 ], higher median serum ferritin [1069 µg/l (668–1522) versus 794.9 µg/l (558.5–1252.0), p < 0.001 ], but similar transferrin saturation [26% (19–37) versus 28% (20–38), p = 0.516 ].
We observed a small positive correlation between ferritin and TSAT ( r 2 = 0.11 , p < 0.001 ), no correlation between ferritin and CRP ( r 2 = 0.001, p < 0.001 ), and positive association between high serum ferritin and TSAT ( p < 0.001 ), Indigenous ethnicity ( p < 0.001 ), urea reduction ratio ( p = 0.001 ), and gender ( p < 0.001 ) after adjustment in mixed regression analysis.
Conclusion.
Serum ferritin and TSAT may inadequately reflect iron status in this population.
The high ferritin was poorly explained by inflammation.
American Psychological Association (APA)
Majoni, Sandawana William& Lawton, Paul D.& Barzi, Federica& Cass, Alan& Hughes, Jaquelyne T.. 2017. Assessing the Association between Serum Ferritin, Transferrin Saturation, and C-Reactive Protein in Northern Territory Indigenous Australian Patients with High Serum Ferritin on Maintenance Haemodialysis. International Journal of Nephrology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167825
Modern Language Association (MLA)
Majoni, Sandawana William…[et al.]. Assessing the Association between Serum Ferritin, Transferrin Saturation, and C-Reactive Protein in Northern Territory Indigenous Australian Patients with High Serum Ferritin on Maintenance Haemodialysis. International Journal of Nephrology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1167825
American Medical Association (AMA)
Majoni, Sandawana William& Lawton, Paul D.& Barzi, Federica& Cass, Alan& Hughes, Jaquelyne T.. Assessing the Association between Serum Ferritin, Transferrin Saturation, and C-Reactive Protein in Northern Territory Indigenous Australian Patients with High Serum Ferritin on Maintenance Haemodialysis. International Journal of Nephrology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1167825