PMID- 18041455 OWN - NLM STAT- MEDLINE DCOM- 20080118 LR - 20151119 IS - 1526-744X (Print) IS - 1526-744X (Linking) VI - 34 IP - 5 DP - 2007 Sep-Oct TI - Route of administration for erythropoiesis-stimulating agents: patient and nursing considerations. PG - 527-31 AB - Several clinical studies have indicated that compared with intravenous (IV) administration, subcutaneous (SC) administration of Epoetin alfa may result in a dose-sparing effect in patients on hemodialysis. However, data also indicate wide inter-patient variability in response, with many patients requiring the same or a higher dose following conversion to SC administration. Convenience favors IV administration of Epoetin alfa in patients on hemodialysis, and patient preferences and comfort should also be primary considerations. For patients who prefer SC injections, the nurse's coordination of the required dosing, administration, and operational factors is key to maintaining and improving anemia-related outcomes. FAU - Holloway, Maggie AU - Holloway M AD - Department of Pediatrics, Division of Pediatric Nephrology, University of California, Los Angeles, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Nephrol Nurs J JT - Nephrology nursing journal : journal of the American Nephrology Nurses' Association JID - 100909377 RN - 0 (Hematinics) RN - 0 (Recombinant Proteins) RN - 11096-26-7 (Erythropoietin) RN - 64FS3BFH5W (Epoetin Alfa) MH - Anemia/*drug therapy/etiology/psychology MH - Choice Behavior MH - Clinical Nursing Research MH - Drug Administration Routes MH - Drug Administration Schedule MH - Drug Monitoring MH - Epoetin Alfa MH - Erythropoietin/*administration & dosage MH - Hematinics/*administration & dosage MH - Humans MH - Infusions, Intravenous MH - Injections, Subcutaneous MH - Kidney Failure, Chronic/complications MH - Nursing Assessment MH - Patient Participation MH - Patient Selection MH - Recombinant Proteins MH - Renal Dialysis/adverse effects/nursing/psychology MH - Research Design MH - Treatment Outcome RF - 18 EDAT- 2007/11/29 09:00 MHDA- 2008/01/19 09:00 CRDT- 2007/11/29 09:00 PHST- 2007/11/29 09:00 [pubmed] PHST- 2008/01/19 09:00 [medline] PHST- 2007/11/29 09:00 [entrez] PST - ppublish SO - Nephrol Nurs J. 2007 Sep-Oct;34(5):527-31.