Erythropoietic Stimulating Agents and Quality of a Patient’s Life: Individualizing Anemia Treatment

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Erythropoietic stimulating agents and quality of a patient's life: individualizing anemia treatment.

Erythropoietic stimulating agents (ESAs) such as erythropoietin have been used for decades to treat the anemia of CKD. Clinical practice guidelines suggest target hemoglobin levels >10 g/dl, and average Hb levels have risen from 9.6 to 12.0 g/dl. Several studies have shown trends for higher mortality and myocardial infarction, higher BP, increased vascular access thrombosis, and strokes in pati...

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Effects of Iron Supplementation on Erythropoietic Response in Patients with Cancer-Associated Anemia Treated by Means of Erythropoietic Stimulating Agents

During the past decade, intravenous iron supplementation to ESA (erythropoiesis-stimulating agent) therapy has emerged as an option to augment hemoglobin response in anemic cancer patients. In this paper, the results of seven published randomized clinical trials assessing the role of iron supplementation to ESA therapy in the hematology/oncology setting will be discussed. The pathogenetic mecha...

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Treatment of renal anemia: Erythropoiesis stimulating agents and beyond

Anemia, complicating the course of chronic kidney disease, is a significant parameter, whether interpreted as subjective impairment or an objective prognostic marker. Renal anemia is predominantly due to relative erythropoietin (EPO) deficiency. EPO inhibits apoptosis of erythrocyte precursors. Studies using EPO substitution have shown that increasing hemoglobin (Hb) levels up to 10-11 g/dL is ...

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Current Anemia Treatment in Hemodialysis Patients: The Challenge for Secure Use of Erythropoietin-Stimulating Agents

Anemia is the poor capacity of blood to carry oxygen. Anemia is diagnosed by measuring hemoglobin (HB) level (g/dL) and hematocrit (HT) (percentage of erythrocytes in the blood). Normal limits vary in the general population [1]. According to the World Health Organiza‐ tion, normal HB is defined as 13 g/dL in men and 12 g/dL in women [2]. In clinical practice, HB lower than 11 g/dL is widely acc...

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ژورنال

عنوان ژورنال: Clinical Journal of the American Society of Nephrology

سال: 2012

ISSN: 1555-9041,1555-905X

DOI: 10.2215/cjn.11961111