Journal article

Association between serum alkaline phosphatase and primary resistance to erythropoiesis stimulating agents in chronic kidney disease: A secondary analysis of the HERO trial

SV Badve, L Zhang, JS Coombes, EM Pascoe, A Cass, P Clarke, P Ferrari, SP McDonald, AT Morrish, E Pedagogos, V Perkovic, D Reidlinger, A Scaria, R Walker, LA Vergara, CM Hawley, DW Johnson, E D'Almeida, R Fassett, C Kirkpatrick Show all

Canadian Journal of Kidney Health and Disease | Published : 2015

Abstract

Background: Erythropoiesis stimulating agent (ESA)-resistant anemia is common in chronic kidney disease (CKD). Objectives: To evaluate the determinants of severity of ESA resistance in patients with CKD and primary ESA-resistance. Design: Secondary analysis of a randomized controlled trial (the Handling Erythropoietin Resistance with Oxpentifylline, HERO) Setting and patients: 53 adult patients with CKD stage 4 or 5 and primary ESA-resistant anemia (hemoglobin ≤120g/L, ESA resistance index [ERI] ≥1.0IU/kg/week/gHb for erythropoietin or ≥0.005μg/kg/week/gHb for darbepoeitin, no cause for ESA-resistance identified). Measurements: Iron studies, parathyroid hormone, albumin, liver enzymes, phosp..

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