Management of suspected iron deficiency: A cost-effectiveness model

Diane Elliot, Linn Goldberg, Marcella Loprinzi

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Iron deficiency is frequent among physically active women. Several diagnostic and therapeutic strategies have been advocated. We determined how women's preferences for care varied with their risk of iron deficiency and/or anemia. The women’s strength of feelings (utilities) and management costs were used to assess: 1) no evaluation or therapy; treatment based on a 2) complete blood count (CBC) or 3) ferritin level; and 4) empiric iron therapy. The analysis was applied to groups with differing iron deficiency prevalence. Women (N = 22) were adverse to the risk of both anemia and iron deficiency without anemia, and their preferences did not correlate with age, running mileage, years of running, or vitamin supplement use. Because of women's desire to avoid undiagnosed deficiency, the benefits of no evaluation, complete blood count assessment, and, to a less extent, serum ferritin decreased as the prevalence of iron deficiency increased. Ferritin level was more effective per cost than a CBC. However, empiric therapy had the highest effectiveness per cost. These results suggest a strategy that combines both patient concerns and the clinical suspicion of disease in choosing management for physically active women at risk for iron deficiency.

Original languageEnglish (US)
Pages (from-to)1332-1337
Number of pages6
JournalMedicine and Science in Sports and Exercise
Volume23
Issue number12
StatePublished - 1991

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Cost-Benefit Analysis
Iron
Blood Cell Count
Ferritins
Iron-Deficiency Anemias
Therapeutics
Costs and Cost Analysis
Vitamins
Anemia
Emotions
Serum

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Public Health, Environmental and Occupational Health

Cite this

Management of suspected iron deficiency : A cost-effectiveness model. / Elliot, Diane; Goldberg, Linn; Loprinzi, Marcella.

In: Medicine and Science in Sports and Exercise, Vol. 23, No. 12, 1991, p. 1332-1337.

Research output: Contribution to journalArticle

Elliot, Diane ; Goldberg, Linn ; Loprinzi, Marcella. / Management of suspected iron deficiency : A cost-effectiveness model. In: Medicine and Science in Sports and Exercise. 1991 ; Vol. 23, No. 12. pp. 1332-1337.
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