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Challenges and Best Practices for Managing Anemia in Non-Dialysis Chronic Kidney Disease

 |  Dr. Jayasuriya R  |  441 Views

Anemia is a common complication of chronic kidney disease (CKD), with prevalence increasing as kidney function declines and affecting up to 60% of patients with non-dialysis-dependent CKD.[1] It is associated with impaired quality of life, poorer renal outcomes, and increased morbidity and mortality. Management includes individualized erythropoiesis-stimulating agents (ESAs), oral or intravenous iron, and transfusion when necessary.[2] Iron supplementation can improve hemoglobin and ferritin levels while reducing ESA and transfusion requirements. Emerging hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs) offer a potential therapeutic alternative, although further evidence is needed to establish their long-term clinical benefits and safety.

Reference(s):

1. https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2021.642296/full
2. https://pmc.ncbi.nlm.nih.gov/articles/PMC7878722/