Red cell survival in relation to changes in the hematocrit: more important than you think

Kalicki, Robert M; Uehlinger, Dominik E (2008). Red cell survival in relation to changes in the hematocrit: more important than you think. Blood purification, 26(4), pp. 355-60. Basel: Karger 10.1159/000133838

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The management of anemia in patients with chronic renal failure has greatly improved with the availability of recombinant human erythropoietin in the late 1980s, leading to a considerable reduction in mortality and morbidity and to an improvement in quality of life. The findings from recent controlled clinical outcome trials have resulted in a rather narrow, generally accepted therapeutic hematocrit target range. However, currently available dosing algorithms do not permit achievement and maintenance of target values within the therapeutic range in many patients. One possible explanation for this failure may be the ignorance of a finite erythrocyte lifespan not integrated into most algorithms. The purpose of this article is to underline the essential role played by the erythrocyte lifespan in the erythropoietic response to recombinant human erythropoietin and to encourage the integration of this concept in the future development of computer-assisted decision support systems.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Nephrology and Hypertension

UniBE Contributor:

Kalicki, Robert and Uehlinger, Dominik

ISSN:

0253-5068

ISBN:

18493121

Publisher:

Karger

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

06 Dec 2013 13:53

Publisher DOI:

10.1159/000133838

PubMed ID:

18493121

Web of Science ID:

000257478100009

URI:

https://boris.unibe.ch/id/eprint/28090 (FactScience: 116573)

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