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Factors influencing anaemia in dialysis patients. A special survey by the EDTA-ERA Registry

Geerlings, W. ; Morris, R. W. ; Brunner, F. P. ; Brynger, H. ; Ehrich, J. H. H. ; Fassbinder, W. ; Rizzoni, G. ; Selwood, N. H. ; Tufveson, G. ; Wing, A. J.

In: Nephrology Dialysis Transplantation, 1993, vol. 8, no. 7, p. 585-589

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    Titre
    • Factors influencing anaemia in dialysis patients. A special survey by the EDTA-ERA Registry
    Auteur
    • Geerlings, W.. Leyenberg Ziekenhuis, The Hague, Netherlands
    • Morris, R. W.. Department of Public Health & Primary Care, Royal Free Hospital School of Medicine London, United Kingdom
    • Brunner, F. P.. Department für Innere Medizin, Universität Basel Switzerland
    • Brynger, H.. Department of Surgery 1 Sahlgrenska Sjukhuset, Goteborg, Sweden
    • Ehrich, J. H. H.. Medizinische Hochschule Hannover Germany
    • Fassbinder, W.. Städtische Kliniken Fulda Germany
    • Rizzoni, G.. Divisione di Nefrologia e Dialisi, Ospedale Pediatrico Bambino Gesu Rome, Italy
    • Selwood, N. H.. EDTA Registry, St Thomas' Hospital United Kingdom
    • Tufveson, G.. Department of Surgery Sahlgrenska Sjukhuset, Göteborg, Sweden
    • Wing, A. J.. Renal Unit, St Thomas' Hospital London, United Kingdom
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Nephrology Dialysis Transplantation, 1993, vol. 8, no. 7, p. 585-589. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:293455
    Summary
    The European Dialysis and Transplantation Association—European Renal Association (EDTA-ERA) Registry conducted a special study on anaemia in dialysis patients because it seemed important to elucidate the various factors that influence the degree of anaemia and the use of regular transfusions in dialysis patients before the introduction of recombinant human erythropoietin (rHuEpo) for larger groups of patients. In a 20% sample of all patients recorded to have been dialysed throughout 1987, statistically significant associations could be found by multifactorial analysis between haemoglobin (Hb) concentration and age, sex, primary renal disease, type of treatment, hours of dialysis per week, and number of years on renal replacement therapy. The type of dialyser membrane did not seem to play a role (although there was weak evidence of an effect of the dialyser). Mean Hb concentration for dialysis patients differed between countries as did the transfusion policy. In view of the high costs of the rHuEpo treatment and potential side-effects, factors such as method of dialysis and hours of haemodialysis per week should be taken into consideration in the treatment of anaemia in dialysis patients