Diagnose anemia in adults and children > 15 years with CKD when the Hb concentration is:
- Hb < 13 g/dL (Males)
- Hb < 12 g/dl (Females)
Select Algorithm:
Diagnose anemia in adults and children > 15 years with CKD when the Hb concentration is:
Diagnose anemia in children with CKD when the Hb concentration is:
Investigations should include:
Address all correctable causes of anemia (including iron deficiency and inflammatory states) prior to initiation of ESA therapy
Measure hemoglobin at the following intervals:
Measure hemoglobin at the following intervals:
Measure hemoglobin at the following intervals:
The recommendation that patients with CKD be periodically evaluated for anemia rests on observations that, in the absence of use of erythropoiesis-stimulating agents (ESAs), there often is a gradual decline in Hb over time in patients with CKD as the level of glomerular filtration rate (GFR) declines, suggesting the need for regular surveillance of Hb concentration.
DISCLAIMER: USE OF THE CLINICAL PRACTICE GUIDELINES
This Clinical Practice Guideline is based upon the best information available at the time of publication. The recommendations are designed to provide information and assist decision-making. They are not intended to define a standard of care, and should not be construed as one. Neither should they be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every health care professional making use of this Guideline is responsible for evaluating the appropriateness of applying them in the setting of any particular clinical situation. The recommendations for research contained within this document are general and do not imply a specific protocol.