PMID- 25695811 OWN - NLM STAT- MEDLINE DCOM- 20160119 LR - 20161125 IS - 1660-8151 (Print) IS - 1660-8151 (Linking) VI - 129 Suppl 1 DP - 2015 TI - UK Renal Registry 17th Annual Report: Chapter 7 Haemoglobin, Ferritin and Erythropoietin amongst UK Adult Dialysis Patients in 2013: National and Centre-specific Analyses. PG - 143-67 LID - 10.1159/000370277 [doi] AB - BACKGROUND: The diagnosis and management of anaemia in chronic kidney disease and the standards to be achieved have been detailed in the UK Renal Association Anaemia of CKD guidelines. AIMS: To determine the attainment of standards for anaemia management in the UK. METHODS: Quarterly data were obtained for haemoglobin (Hb) and factors that influence Hb from renal centres in England,Wales, Northern Ireland (EW&NI) and the Scottish Renal Registry for the incident and prevalent renal replacement therapy (RRT) cohorts for 2013. RESULTS: In the UK, in 2013,50% of patients commenced dialysis therapy with Hb 5100 g/L (median Hb 100 g/L). Of patients presenting early, 53% started dialysis with Hb 5100 g/L compared to 36% of patients presenting late. The UK median Hb of haemodialysis (HD) & peritoneal dialysis (PD) patients was 112 g/L (inter-quartile range (IQR) 103-120 g/L) and 113 g/L(IQR 103-122 g/L) respectively with 83% of patients having Hb .100 g/L for both treatment modalities. The median ferritin in HD and PD patients was 424 mg/L (IQR 280-616 mg/L) and 285 mg/L (IQR 167-473 mg/L) respectively with the majority of patients achieving ferritin 5100 mg/L.In EW&NI the median ESA dose was higher for HD than PD patients (7,333 vs. 4,000 IU/week). The percentage of patients treated with an ESA and having Hb .120 g/L ranged between centres from 3-29% for HD and from 0-26% for PD. CONCLUSIONS: There continues to be significant variation between centres in the use of iron and ESAi n order to achieve the target Hb (100-120 g/L). FAU - Gilg, Julie AU - Gilg J AD - UK Renal Registry, Bristol, UK. FAU - Evans, Rebecca AU - Evans R FAU - Rao, Anirudh AU - Rao A FAU - Williams, Andrew J AU - Williams AJ LA - eng PT - Journal Article DEP - 20150122 PL - Switzerland TA - Nephron JT - Nephron JID - 0331777 RN - 0 (Hemoglobins) RN - 11096-26-7 (Erythropoietin) RN - 9007-73-2 (Ferritins) SB - IM MH - Adult MH - Erythropoietin/*metabolism MH - Ferritins/*metabolism MH - Hemoglobins/*metabolism MH - Humans MH - *Registries MH - *Renal Dialysis MH - United Kingdom GN - NLM: Original DateCompleted: 20150220 EDAT- 2015/02/20 06:00 MHDA- 2015/02/20 06:01 CRDT- 2015/02/20 06:00 PHST- 2015/02/20 06:00 [entrez] PHST- 2015/02/20 06:00 [pubmed] PHST- 2015/02/20 06:01 [medline] AID - 000370277 [pii] AID - 10.1159/000370277 [doi] PST - ppublish SO - Nephron. 2015;129 Suppl 1:143-67. doi: 10.1159/000370277. Epub 2015 Jan 22.