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Editorial| Volume 3, ISSUE 3, P180-181, July 2012

Elderly studies of anemia (ESAs) needed

      Anemia is a common problem in elderly patients. The National Health and Nutrition Examination Survey (NHANES III) reported that the incidence of anemia steadily increases after age 50. Anemia is found in 10% and 11% of women and men respectively who were older than age 65, and in 20% of individuals85 years. In this same series, the causes of anemia in patients over 65 years were equally attributed to nutritional deficiency, anemia of inflammation, and “unexplained” causes.
      • Guralnik J.M.
      • Eisenstaedt R.S.
      • Ferrucci L.
      • Klein H.G.
      • Woodman R.C.
      Prevalence of anemia in persons 65 years and older in the United States: evidence for a high rate of unexplained anemia.
      Anemia in the geriatric population has unique significance because it is an independent predictor of morbidity, mortality, and frailty. Consistently an inverse relationship between the number of co-morbid medical conditions and anemia is observed. The anemia associated with malignancy is complex and multifactorial. It may be caused by blood loss, marrow infiltration, erythrophagocytosis, or inflammation. The treatment of anemia in geriatric oncology patients is likely to be even more complex.
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