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Chronic Kidney Disease Anemia Management: What Should Be Done?
Author(s) -
Lynda A. Szczech
Publication year - 2011
Publication title -
blood purification
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 57
eISSN - 1421-9735
pISSN - 0253-5068
DOI - 10.1159/000321852
Subject(s) - intensive care medicine , observational study , harm , kidney disease , medicine , anemia , nephrology , randomized controlled trial , quality of life (healthcare) , disease management , disease , nursing , psychology , social psychology , parkinson's disease
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.

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