Skip to Main content Skip to Navigation
Master Thesis

Hyperferritinémie dysmétabolique : évaluation de la pratique des saignées par les médecins généralistes en Ille-et-Vilaine

Abstract : Introduction: The metabolic syndrome is the most frequent cause of hyperferritinemia. Iron depletion has been for a long time the only treatment proposed for dysmetabolic hyperferritinemia (DH). Have the new recommendations changed this practice in general medicine? Patients and methods: It was an epidemiological, observational, transverse survey for general practitioners (GP) in Ille-et-Vilaine. The gathering of information took place from July to November 2019. Results: 173 surveys were analyzed. Iron depletions were prescribed by 15% of the GP. 79% suggested a diet with surveillance. A reminder of hygieno-dietetic rules (HDR) was practiced by 85,8% of the GP themselves, with a rare recourse to nutritionists or dietitians. Only 10% of GP have had a recent training on DH. Discussion: The last recommendations regarding DH were generally obeyed, that is to say the application of HDR. Iron depletions were still prescribed probably by ignorance of recommendations and/or because of wrong interpretations of the iron intrahepatic concentration at hepatic MRI. Conclusion: Nowadays, Iron depletion doesn’t seem to be part of DH’s treatment for the majority of interviewed GP, despite the lack of formation on the subject. The HDR are widely offered but without recourse to nutritionnists or dietitians. The right application of these rules must be studied.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03239285
Contributor : Santé Rennes 1 Connect in order to contact the contributor
Submitted on : Thursday, May 27, 2021 - 2:33:54 PM
Last modification on : Tuesday, November 30, 2021 - 3:45:19 AM

File

GAUTIERLucie.pdf
Files produced by the author(s)

Identifiers

  • HAL Id : dumas-03239285, version 1

Collections

Citation

Lucie Gautier. Hyperferritinémie dysmétabolique : évaluation de la pratique des saignées par les médecins généralistes en Ille-et-Vilaine. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03239285⟩

Share

Metrics

Les métriques sont temporairement indisponibles