Chronic Kidney Disease Anemia Management: What Should Be Done?

被引:1
|
作者
Szczech, Lynda Anne [1 ]
机构
[1] Duke Univ, Sch Med, Dept Med, Durham, NC 27710 USA
关键词
Anemia; Chronic kidney disease; Hemoglobin; INDEPENDENT RISK-FACTORS; RENAL-INSUFFICIENCY; EPOETIN-ALPHA; TRIAL; DEATH;
D O I
10.1159/000321852
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A transition in the approach to anemia management in nephrology occurred when randomized trials demonstrated that higher hemoglobin targets do not result in better outcomes and may arguably cause harm. Contradicting the speculative conclusions drawn based on earlier observational data, this has resulted in hypotheses regarding the cause of these seemingly disparate but substantively similar messages. The renal community now must struggle with how to incentivize quality care and maximize patient quality of life while minimizing the real safety signal of which we are now aware. Copyright (C) 2011 S. Karger AG, Basel
引用
收藏
页码:186 / 188
页数:3
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