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The Impact of Selecting a High Hemoglobin Target Level on Health-Related Quality of Life for Patients With Chronic Kidney Disease
Author(s) -
Fiona Clement,
Scott Klarenbach,
Marcello Tonelli,
Jeffrey Johnson,
Braden Manns
Publication year - 2009
Publication title -
archives of internal medicine
Language(s) - English
Resource type - Journals
eISSN - 1538-3679
pISSN - 0003-9926
DOI - 10.1001/archinternmed.2009.112
Subject(s) - medicine , quality of life (healthcare) , kidney disease , confidence interval , anemia , epoetin alfa , randomized controlled trial , hemoglobin , physical therapy , darbepoetin alfa , renal function , nursing
Treatment of anemia in chronic kidney disease (CKD) with erythropoietin-stimulating agents (ESAs) is commonplace. The optimal hemoglobin treatment target has not been established. A clearer understanding of the health-related quality of life (HQOL) impact of hemoglobin target levels is needed. We systematically reviewed the randomized controlled trial (RCT) data on HQOL for patients treated with low to intermediate (9.0-12.0 g/dL) and high hemoglobin target levels (>12.0 g/dL) and performed a meta-analysis of all available 36-item short-form (SF-36) RCT data.

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