Managing anemia in dialysis patients: hemoglobin cycling and overshoot

Hemoglobin variability in dialysis patients.

Managing homeless dialysis patients.

Although our dialysis facility is located in a rural area, we noticed an increasing number of homeless patients requiring treatment. After researching the issue of homelessness in dialysis patients, we found little has been reported on the subject. We examined the characteristics of our homeless dialysis patients as well as the effects these patients have on the multidisciplinary dialysis care ...

The relationship between hemoglobin level with PTH level and dialysis adequacy in chronic hemodialysis patients

Background: The role of high levels of parathyroid hormone in the development of anemia either directly or by mediating mechanisms is unclear, and there is a controversy about the pathophysiological role of parathyroid hormone (PTH) in the development and intensification of anemia associated with renal disease. The aim of this study was to investigate the relationship between anemia and parathy...

Managing dialysis patients who develop anemia caused by chronic kidney disease: focus on peginesatide

Anemia in chronic kidney disease is a prevalent and expensive problem in the United States, and it is well documented that anemia worsens as glomerular filtration rates decline. The complications of severe anemia in this patient population contribute significantly to their overall morbidity with increased cardiovascular complications, decreased quality of life, and increased dependence on trans...

Anemia management in peritoneal dialysis patients: can an iron supplement maintain a normal transferrin saturation and hemoglobin level?

The primary cause of anemia in dialysis patients is inadequate production of erythropoietin (EPO) by the dysfunctional kidneys. The EPO circulates in plasma and acts on erythroid progenitor cells in the bone marrow to produce red blood cells (RBCs). At the same time, chronic inflammatory diseases reduce the release of iron from storage sites, resulting in low transferrin saturation (Fe+ sat%). ...