Anemia in pediatric dialysis patients in end-stage renal disease network 5

Pediatric Nephrology : Journal of the International Pediatric Nephrology Association
Jeffrey J FadrowskiBarbara Fivush

Abstract

To identify demographic and clinical characteristics associated with failure to achieve hemoglobin levels >/=11 g/dl in prevalent pediatric end-stage renal disease (ESRD) patients, a cross-sectional analysis of patient clinical data collected by the Mid-Atlantic Renal Coalition in conjunction with the 2000 and 2001 ESRD Clinical Performance Measures Projects was performed. Ninety-nine patients (mean age 12.6 years, SD 5.4) contributed 119 observations to this analysis. Of patients on hemodialysis, 36.6% were anemic, and 39.5% of patients on peritoneal dialysis (PD) were anemic. Associations between age, race, gender, assigned cause of ESRD, Kt/V, transferrin saturation, time on dialysis, serum albumin, dialysis modality, and the achievement of target hemoglobin were examined. In multivariate logistic regression analyses examining age, dialysis modality, time on dialysis, and serum albumin, each 1-year increase in age was significantly associated with hemoglobin levels <11 g/dl [adjusted odds ratio (OR) 1.18, 95% confidence interval (CI) 1.06-1.32] and PD patients were more than twice as likely to have hemoglobin levels <11 g/dl (adjusted OR 2.62, 95% CI 0.98-7.04). Patients on dialysis for 6 months or more were less likely to b...Continue Reading

Citations

May 26, 2006·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Bradley A WaradyCatherine Stehman-Breen
Jan 12, 2007·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Guido FillerHubert Wong
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Nov 27, 2007·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Jeffrey J FadrowskiAlicia M Neu
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Sep 7, 2016·International Journal of Nephrology·Daniella Levy ErezMiriam Davidovits
Apr 6, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Ari H PollackRaj Munshi
Oct 25, 2006·Mental Retardation and Developmental Disabilities Research Reviews·Arlene C GersonStephen R Hooper
Jun 22, 2019·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Na Ri KangKyoung Hee Han

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