Evidence map›Paper›PMID 41282507›Full record

ArticleBiomedical reports2026

Efficacy of oral vs. intravenous iron for the treatment of iron deficiency anemia in different conditions: A systematic review and meta-analysis.

Caifang Zhao, Wei He

Abstract read
In one paragraph

Article in Biomedical reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Caifang ZhaoDepartment of Hematology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang 321000, P.R. China.
Wei HeDepartment of Hematology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang 321000, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present systematic review and meta-analysis evaluated the efficacy and safety of oral vs. intravenous (IV) iron therapy in managing iron deficiency anemia (IDA) across various clinical conditions. A comprehensive search was conducted in PubMed/MEDLINE, EMBASE, Cochrane CENTRAL, Web of Science, Scopus, and ClinicalTrials.gov, yielding 31 eligible studies. IV iron demonstrated statistically significant superiority over oral iron in increasing hemoglobin levels among patients with chronic kidney disease (CKD), inflammatory bowel disease (IBD), cancer-related anemia and general IDA. Specifically, pooled standardized mean differences (SMD) indicated significant improvements with IV iron for cancer-related anemia (SMD: -0.662, P=0.011), CKD (SMD: -0.492, P=0.035), IBD (SMD: -0.560, P<0.001) and IDA (SMD: -0.397, P<0.001). However, no significant differences were observed for postoperative anemia or restless legs syndrome. IV iron consistently provided faster hemoglobin correction and fewer gastrointestinal side effects compared with oral iron; however, higher costs and logistical requirements may limit its widespread use. Meta-regression analysis revealed that neither treatment duration nor dosage significantly influenced treatment outcomes, highlighting the role of patient-specific factors in determining the efficacy of iron therapy. Despite substantial heterogeneity, sensitivity and publication bias analyses confirmed the robustness of the findings. Overall, IV iron therapy is the preferred choice in conditions with impaired iron absorption or urgent clinical needs, whereas oral iron remains suitable for mild to moderate cases.

Indexed as

anemia treatmenthemoglobinintravenous ironiron deficiency anemiameta-analysisoral iron

Identifiers

PMID41282507
PMCPMC12635910

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.