Interpretation of erythropoietin levels in patients with various degrees of renal insufficiency and anemia

Autor: Walter Fierz, Rudolf P. Wüthrich, Wolfgang Korte, Peter Ammann, Hans Rickli, Daniela Garzoni, Thomas Fehr
Rok vydání: 2004
Předmět:
Zdroj: Kidney International. 66:1206-1211
ISSN: 0085-2538
Popis: Interpretation of erythropoietin levels in patients with various degrees of renal insufficiency and anemiaBackgroundChronic renal failure leads to hyporegenerative anemia due to erythropoietin deficiency. The creatinine clearance and hemoglobin levels, at which anemia treatment with recombinant erythropoietin should be started, are unclear. Interpretation of serum erythropoietin levels in the context of renal insufficiency remains controversial and was addressed in this study.MethodsThree hundred and ninety-five patients were randomly chosen out of over 5000 consecutive patients investigated by coronary angiography at a single center between 1997 and 2001. Laboratory values and clinical information were prospectively collected in a central registry. Serum samples were frozen before angiography and now used to measure serum erythropoietin levels and evaluate the relationship between erythropoietin and hemoglobin levels in the context of various degrees of renal insufficiency.ResultsThe patients with the lowest renal function (creatinine clearance
Databáze: OpenAIRE