Anemia in PD Patients

The prevalence of anemia and the use of erythropoiesis stimulating agents (ESAs) and parenteral iron in peritoneal dialysis patients have consistently been less than that seen in hemodialysis patients [1]. Most relevant data in this area is available from the United States and the USRDS and CMS ESRD Clinical Performance Measures project (CMS CPM project). Trends reported by the USRDS through calendar year 2004 show lower mean hemoglobin, lower EPO doses, and less use of parenteral iron therapy in peritoneal, compared to hemodialysis patients [1]. These facts are reflected in the economic data, only available through 2002. From 1998 through 2002, the annual Medicare payments for ESAs per patient on hemodialysis rose from $4,389 to $6,159, while for patients on peritoneal dialysis the Medicare payments were only $1,839 in $1998 and $3,074 in 2002.


Hemodialysis Patient Peritoneal Dialysis Patient Darbepoetin Alfa Intravenous Iron Iron Sucrose 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Medicine, Division of NephrologyDavid Geffen School of Medicine at UCLALos AngelesUSA

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