Related Experiment Video
Updated: Jun 19, 2026

Practical Methodology of Cognitive Tasks Within a Navigational Assessment
Published on: June 1, 2015
Creative iron management--a practical guide
1Renal Admin Block, East Kent Hospitals University NHS Foundation Trust, Kent & Canterbury Hospital, Ethelbert Road, Canterbury, Kent CT13NG, UK. karen.jenkins@ekht.nhs.uk
Insights
Intravenous (IV) iron treats anaemia in Chronic Kidney Disease (CKD). A new guide helps healthcare professionals provide IV iron services in non-acute hospital settings, addressing increased demand.
Area of Science:
- Nephrology
- Hematology
Background:
- Intravenous (IV) iron is standard for managing anaemia in Chronic Kidney Disease (CKD).
- Earlier CKD identification due to eGFR reporting has increased anaemia diagnosis and management needs.
- Anaemia prevalence in CKD stages 3-5 is 4.5%, with higher incidence in diabetic patients (22%) compared to non-diabetics (7.9%).
Purpose of the Study:
- To address the growing demand for IV iron treatment in CKD patients.
- To develop a practical guide for establishing IV iron services in non-acute hospital settings.
- To support healthcare professionals in managing anaemia in CKD.
Main Methods:
- A multiprofessional group, including the Anaemia Nurse Specialist Association (ANSA) and the CKD forum, identified the need for innovative service delivery.
- Development of a practical guide for healthcare professionals.
- The guide was launched at ANSA and British Renal Society conferences in 2009.
Main Results:
- A practical guide for developing IV iron services in non-acute settings was produced.
- The guide aims to optimize resource utilization and service provision.
- The guide supports the management of increasing numbers of CKD patients requiring anaemia treatment.
Conclusions:
- There is a growing need for efficient and accessible IV iron services for CKD patients.
- Providing IV iron services in non-acute settings is a viable strategy to meet demand.
- The developed guide offers a practical framework for implementing such services.
Abstract:
The use of intravenous (IV) iron is now part of the every day management of anaemia in people with Chronic Kidney Disease (CKD). The increase in the number of referrals to renal services since the introduction of estimated glomerular filtration rate (eGFR) reporting in 2006 in England means that people with CKD are being identified earlier and consequently, complications such as anaemia are being highlighted sooner. The prevalence of anaemia of CKD has been estimated in a population study of stage 3-5 CKD as 4.5% (John et al. 2004). People with stage 3 CKD and diabetes have a 22% incidence of anaemia that is much greater than the incidence of 7.9% in those without diabetes (El Achkar et al. 2005). The increase in numbers requiring anaemia management is having an impact on resources and service provision, in particular the treatment of iron deficiency with IV iron. A need to be creative and investigate alternative ways of using resources and providing services in different settings was identified by the multiprofessional members of the Anaemia Nurse Specialist Association (ANSA) and the CKD forum (a project group of the British Renal Society). The outcome has been the production of a practical guide for healthcare professionals to assist with the development of IV iron services in a nonacute hospital setting. The guide was launched at the annual ANSA conference (April 2009) and British Renal Society conference (June 2009).
Related Concept Videos
Creative Thinking
Divergent thinking is the...
Impression Management Techniques III: Aligning Actions
Impression Management Techniques I: Managing Appearances
Impression Management Techniques IV: Altercasting
Managing Impressions
Triarchic Theory of Intelligence
