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  • Title: Anaemia management in non-dialysis chronic kidney disease: flexibility of target to target stability?
    Author: De Nicola L, Minutolo R, Conte G.
    Journal: Nephron Clin Pract; 2010; 114(4):c236-41. PubMed ID: 20090364.
    Abstract:
    International clinical practice guidelines have recently recognized for the first time the concrete difficulty of keeping chronic kidney disease (CKD) patients within the narrow haemoglobin (Hb) target recommended of 11-12 g/dl (110-120 g/l) because of the variability of individual patient Hb levels. This emerging clinical problem has been the topic of several editorials that, however, exclusively focused on haemodialysis patients. Recently, 3 retrospective studies have been published on Hb variability in non-dialysis CKD. The studies which overall included more than 6,000 patients showed that Hb variability in non-dialysis CKD is greatly prevalent and is associated with a worse cardiorenal outcome. This minireview summarizes the results and limits of these studies and discusses the potential implications for clinical practice.
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