Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients : A Multihospital Study
Joint Authors
Brophy, Donald F.
Holdford, David A.
Mays, Darcy
Joshi, Avani D.
Gehr, Todd W. B.
Harpe, Spencer E.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-19
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Intravenous (IV) iron and Erythropoiesis Stimulating Agents (ESAs) are recommended for anemia management in chronic kidney disease (CKD).
This retrospective cohort study analyzed utilization patterns of IV iron and ESA in patients over 18 years of age admitted to University Health System Hospitals with a primary or secondary diagnosis of CKD between January 1, 2006 to December 31, 2008.
A clustered binomial logistic regression using the GEE methodology was used to identify predictors of IV iron utilization.
Only 8% (n = 6678) of CKD patients on ESA therapy received IV iron supplementation in university hospitals.
Those receiving iron used significantly less amounts of ESAs.
Patient demographics (age, race, primary payer), patient clinical conditions (admission status, severity of illness, dialysis status), and physician specialty were identified as predictors of IV iron use in CKD patients.
Use of IV iron with ESAs was low despite recommendations from consensus guidelines.
The low treatment rate of IV iron represents a gap in treatment practices and signals an opportunity for healthcare improvement in CKD anemic patients.
American Psychological Association (APA)
Joshi, Avani D.& Holdford, David A.& Brophy, Donald F.& Harpe, Spencer E.& Mays, Darcy& Gehr, Todd W. B.. 2012. Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients : A Multihospital Study. Anemia،Vol. 2012, no. 2012, pp.1-11.
https://search.emarefa.net/detail/BIM-457197
Modern Language Association (MLA)
Joshi, Avani D.…[et al.]. Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients : A Multihospital Study. Anemia No. 2012 (2012), pp.1-11.
https://search.emarefa.net/detail/BIM-457197
American Medical Association (AMA)
Joshi, Avani D.& Holdford, David A.& Brophy, Donald F.& Harpe, Spencer E.& Mays, Darcy& Gehr, Todd W. B.. Utilization Patterns of IV Iron and Erythropoiesis Stimulating Agents in Anemic Chronic Kidney Disease Patients : A Multihospital Study. Anemia. 2012. Vol. 2012, no. 2012, pp.1-11.
https://search.emarefa.net/detail/BIM-457197
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457197