Gender differences in dose of erythropoietin to maintain hemoglobin target in hemodialysis patients
Coronado Daza, J.A. (Universidad de Cartagena)
Urrútia, Gerard (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Fecha:	2019
Resumen:	Dialysis patients receiving erythropoietin (EPO) for anemia management are a challenge due to the significant interindividual variability in erythropoietic response. Our objective was to determine if there is a gender-dependent difference in the EPO doses required to maintain the hemoglobin (Hb) targets in adult patients undergoing hemodialysis. We conducted a historic cohort study with a 12-month follow-up. We include patients with the Hb target, normal serum albumin, and normal transferrin saturation index. Monthly data were gathered for the following: Hb level, EPO doses, and intravenous iron doses. In the 11 hemodialysis facilities included, 1844 patients were on hemodialysis. We considered 389 patients for follow-up, 190 of which were excluded mainly for failing to keep the Hb level in the established range. The final cohort for analysis included 141 men (70. 9%) and 58 women (29. 1%). At baseline, men weighed more than women (P < 0. 001). At the end of the follow-up period, the EPO required to maintain Hb level between 10 and 13 g/dl was significantly higher in women in the monthly dose, weekly dose, and weekly EPO dose/patient weight, with no difference in the monthly iron dose. There was a significant association between female gender and the use of high EPO doses (odds ratio, 4. 1; 95% confidence interval, 1. 4-12. 2; P = 0. 01). Our study demonstrates that women require higher doses of EPO to achieve Hb targets.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra, i la creació d'obres derivades, sempre que no sigui amb finalitats comercials i que es distribueixin sota la mateixa llicència que regula l'obra original. Cal que es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Erythropoietin ; Gender ; Hemodialysis ; Hemoglobin target
Publicado en:	Indian Journal of Nephrology, Vol. 29 Núm. 3 (january 2019) , p. 160-165, ISSN 1998-3662

DOI: 10.4103/ijn.IJN_124_18
PMID: 31142961

11 p, 5.8 MB

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