Persistent Increase in Serum Ferritin Levels despite Converting to Permanent Vascular Access in Pediatric Hemodialysis Patients: Pediatric Nephrology Research Consortium Study Article Swipe
Ali Mirza Onder
,
Md Abu Yusuf Ansari
,
Fang Deng
,
Matthew M. Grinsell
,
Larry T. Patterson
,
Jennifer G. Jetton
,
Sahar Fathallah-Shaykh
,
Daniel Ranch
,
Diego Avilés
,
Lawrence Copelovitch
,
Eileen Ellis
,
Vimal Chadha
,
Ayah Elmaghrabi
,
Jen‐Jar Lin
,
Lavjay Butani
,
Maha Haddad
,
Olivera Marsenić
,
Paul Brakeman
,
Raymond Quigley
,
H. Stella Shin
,
Rouba Garro
,
Rupesh Raina
,
Craig B. Langman
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12134251
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12134251
Our objective was to examine serum ferritin trends after conversion to permanent vascular access (PVA) among children who started hemodialysis (HD) using tunneled cuffed catheters (TCC). Retrospective chart reviews were completed on 98 subjects from 20 pediatric HD centers. Serum ferritin levels were collected at the creation of PVA and for two years thereafter. There were 11 (11%) arteriovenous grafts (AVG) and 87 (89%) arteriovenous fistulae (AVF). Their mean TCC use was 10.4 ± 17.3 months. Serum ferritin at PVA creation was elevated at 562.64 ± 492.34 ng/mL, increased to 753.84 ± 561.54 ng/mL (p = < 0.001) in the first year and remained at 759.60 ± 528.11 ng/mL in the second year (p = 0.004). The serum ferritin levels did not show a statistically significant linear association with respective serum hematocrit values. In a multiple linear regression model, there were three predictors of serum ferritin during the first year of follow-up: steroid-resistant nephrotic syndrome as primary etiology (p = 0.035), being from a center that enrolled >10 cases (p = 0.049) and baseline serum ferritin level (p = 0.017). Increasing serum ferritin after conversion to PVA is concerning. This increase is not associated with serum hematocrit trends. Future studies should investigate the correlation of serum transferrin saturation and ferritin levels in pediatric HD patients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12134251
- https://www.mdpi.com/2077-0383/12/13/4251/pdf?version=1687680794
- OA Status
- gold
- Cited By
- 1
- References
- 37
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382061041
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4382061041Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm12134251Digital Object Identifier
- Title
-
Persistent Increase in Serum Ferritin Levels despite Converting to Permanent Vascular Access in Pediatric Hemodialysis Patients: Pediatric Nephrology Research Consortium StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-25Full publication date if available
- Authors
-
Ali Mirza Onder, Md Abu Yusuf Ansari, Fang Deng, Matthew M. Grinsell, Larry T. Patterson, Jennifer G. Jetton, Sahar Fathallah-Shaykh, Daniel Ranch, Diego Avilés, Lawrence Copelovitch, Eileen Ellis, Vimal Chadha, Ayah Elmaghrabi, Jen‐Jar Lin, Lavjay Butani, Maha Haddad, Olivera Marsenić, Paul Brakeman, Raymond Quigley, H. Stella Shin, Rouba Garro, Rupesh Raina, Craig B. LangmanList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm12134251Publisher landing page
- PDF URL
-
https://www.mdpi.com/2077-0383/12/13/4251/pdf?version=1687680794Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2077-0383/12/13/4251/pdf?version=1687680794Direct OA link when available
- Concepts
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Medicine, Hemodialysis, Vascular access, Internal medicine, Nephrology, Intensive care medicine, FerritinTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1Per-year citation counts (last 5 years)
- References (count)
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37Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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