<?xml version="1.0"?>
<Articles JournalTitle="Iranian Journal of Public Health">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Iranian Journal of Public Health</JournalTitle>
      <Issn>2251-6085</Issn>
      <Volume>48</Volume>
      <Issue>7</Issue>
      <PubDate PubStatus="epublish">
        <Year>2019</Year>
        <Month>07</Month>
        <Day>01</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Treatment Status of Patients with &#x392;-Thalassemia Major in Northern Iran: Thalassemia Registry System</title>
    <FirstPage>1335</FirstPage>
    <LastPage>1345</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Mehrnoush</FirstName>
        <LastName>KOSARYAN</LastName>
        <affiliation locale="en_US">Department of Pediatric, Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Hossein</FirstName>
        <LastName>KARAMI</LastName>
        <affiliation locale="en_US">Department of Pediatric, Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Hadi</FirstName>
        <LastName>DARVISHI-KHEZRI</LastName>
        <affiliation locale="en_US">Student Research Committee, Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Rosetta</FirstName>
        <LastName>AKBARZADEH</LastName>
        <affiliation locale="en_US">Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Aily</FirstName>
        <LastName>ALIASGHARIAN</LastName>
        <affiliation locale="en_US">Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Khadijeh</FirstName>
        <LastName>BROMAND</LastName>
        <affiliation locale="en_US">Thalassemia Research Center, Hemoglobinopathy Institute, Mazandaran University of Medical Sciences, Sari, Iran</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2019</Year>
        <Month>06</Month>
        <Day>27</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background: Electronic registry system of beta-thalassemia patients was run by Thalassemia Research Center (TRC) in 2017. The aim of the current study was presentation of therapeutic status in these patients at Mazandaran Province, Iran.
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Methods: Therapeutic status variables including: Name of cities and hospitals, age and sex of patients, dependent and non-transfusion-dependent, starting age of the blood transfusion and iron-chelating agents, blood group and Rh, washed blood transfusion, abnormal antibody, transfusion reactions, mean hemoglobin during the last 3 months, type of iron chelators, iron chelators dosage, serum ferritin, and the use of hydroxyurea.
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Results: Overall, 1831 patients were registered [891 male (48.7%)]. Mean age of patients was 30&#xB1;9.7 yr. Average of hemoglobin levels for female and male were 9.1&#xB1;5.1 and 9.4&#xB1;6.3 gr/dl, respectively. Seventy-six percent of transfusion-dependent patients (1385) have received iso-group PRBC (packed red blood cells), after crossmatch. The most common blood group among patient was type O-positive (35.7%). Monotherapy with desferrioxamine was most type of used iron-chelating agent in these patients (47.2%). Mean of ferritin was 3300&#xB1;7800 (ng/ml). Twenty-eight percent of patients (484) have received hydroxyurea; proportion of male and female was approximately equal. T2 weighted magnetic resonance imaging (MRIT2*) was measured in 62.2% of patients. Moderate and severe hepatosiderosis was 10.1% and 2.9%, respectively. Patients with moderate and severe cardiac siderosis were 11% and 5%, respectively.
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Conclusion: Registry findings are valuable for treatment management and ensuring patients medications. It will also provide accessibility to various levels of patients&#x2019; information for health care managers and experts to help them make appropriate decisions.
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&#xA0;</abstract>
    <web_url>https://ijph.tums.ac.ir/index.php/ijph/article/view/17595</web_url>
    <pdf_url>https://ijph.tums.ac.ir/index.php/ijph/article/download/17595/6451</pdf_url>
  </Article>
</Articles>
