Abstract | BACKGROUND: To accurately determine the causes of anemia and proportion of unexplained anemia in a racially diverse cohort of older adults after a comprehensive and standardized evaluation. METHODS: We evaluated results from a single-institutional university anemia clinic. Patients with anemia, defined as a hemoglobin less than 13.0 g/dL for men and less than 12.0 g/dL for women, underwent a prospective standardized history, physical examination, and laboratory measures, with additional studies including bone marrow examination as indicated. Empiric treatment trials were given for identified deficiencies. RESULTS: CONCLUSIONS: In summary, an intensive hematologic evaluation reveals a wide number of anemia etiologies among older adults, including 7.5% with hematologic malignancies; nevertheless, unexplained anemia in the elderly prevails as the most common category in whites and African Americans.
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Authors | Andrew S Artz, Michael J Thirman |
Journal | The journals of gerontology. Series A, Biological sciences and medical sciences
(J Gerontol A Biol Sci Med Sci)
Vol. 66
Issue 8
Pg. 925-32
(Aug 2011)
ISSN: 1758-535X [Electronic] United States |
PMID | 21659341
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Hemoglobins
- Erythropoietin
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Topics |
- Black or African American
(statistics & numerical data)
- Aged
- Aging
- Anemia
(blood, diagnosis, ethnology, etiology)
- Anemia, Iron-Deficiency
(complications, epidemiology)
- Chronic Disease
- Cohort Studies
- Erythropoietin
(blood)
- Female
- Hematologic Neoplasms
(complications)
- Hemoglobins
(analysis)
- Humans
- Inflammation
(complications)
- Male
- Outpatient Clinics, Hospital
- Prevalence
- Prospective Studies
- Referral and Consultation
- White People
(statistics & numerical data)
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