{"id":449846,"date":"2022-05-20T00:21:02","date_gmt":"2022-05-19T21:21:02","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/how-have-changes-in-anemia-care-affected-patients-with-kidney-failure\/"},"modified":"2022-05-20T00:21:02","modified_gmt":"2022-05-19T21:21:02","slug":"how-have-changes-in-anemia-care-affected-patients-with-kidney-failure","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/how-have-changes-in-anemia-care-affected-patients-with-kidney-failure\/","title":{"rendered":"#How have changes in anemia care affected patients with kidney failure?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6a368bb888a51\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #dd3333;color:#dd3333\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #dd3333;color:#dd3333\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6a368bb888a51\" checked aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/buradabiliyorum.com\/en\/how-have-changes-in-anemia-care-affected-patients-with-kidney-failure\/#%E2%80%9CHow_have_changes_in_anemia_care_affected_patients_with_kidney_failure%E2%80%9D\" >&#8220;How have changes in anemia care affected patients with kidney failure?&#8221;<\/a><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"%E2%80%9CHow_have_changes_in_anemia_care_affected_patients_with_kidney_failure%E2%80%9D\"><\/span>&#8220;How have changes in anemia care affected patients with kidney failure?&#8221;<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<div>\n<div class=\"article-gallery lightGallery\">\n<div data-thumb=\"https:\/\/scx1.b-cdn.net\/csz\/news\/tmb\/2022\/how-have-changes-in-an.jpg\" data-src=\"https:\/\/scx2.b-cdn.net\/gfx\/news\/2022\/how-have-changes-in-an.jpg\" data-sub-html=\"Graphical abstract. Credit: &lt;i&gt;Clinical Journal of the American Society of Nephrology&lt;\/i&gt; (2022). DOI: 10.2215\/CJN.14361121\">\n<figure class=\"article-img\">\n            <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/scx1.b-cdn.net\/csz\/news\/800a\/2022\/how-have-changes-in-an.jpg\" alt=\"How have changes in anemia care affected patients with kidney failure?\" title=\"Graphical abstract. Credit: &lt;i&gt;Clinical Journal of the American Society of Nephrology&lt;\/i&gt; (2022). DOI: 10.2215\/CJN.14361121\" width=\"800\" height=\"450\"\/><figcaption class=\"text-darken text-low-up text-truncate-js text-truncate mt-3\">\n                Graphical abstract. Credit: <i>Clinical Journal of the American Society of Nephrology<\/i> (2022). DOI: 10.2215\/CJN.14361121<br \/>\n            <\/figcaption><\/figure>\n<\/p><\/div>\n<\/div>\n<p>A recent study published in the <i>Clinical Journal of the American Society of Nephrology<\/i> has investigated how 2011 changes to anemia care have impacted clinical outcomes among patients with kidney failure who are receiving hemodialysis.<\/p>\n<p>                                                                                                                        Anemia\u2014a shortage of healthy red blood cells that carry oxygen to the body&#8217;s tissues\u2014is a common problem in individuals with kidney disease. Erythropoietin-stimulating agents (ESAs), which prompt the bone marrow to make red blood cells, have traditionally been used to address the problem; however, studies have linked the medications to a higher risk of cardiovascular problems. In 2011, changes were made to Medicare reimbursement policies and US Food and Drug Administration recommendations related to the use of ESAs\u2014with the goal of taking a more conservative <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>roach.<\/p>\n<p>To investigate the long-term effects of these changes on anemia care and clinical outcomes among patients who have kidney failure and are receiving hemodialysis, Haesuk Park, Ph.D. (University of Florida, Gainesville) and her colleagues examined data from the United States Renal Data System from January 2006 through December 2016.<\/p>\n<p>Among the major findings:<\/p>\n<ul>\n<li>Of 481,564 patients with kidney failure who were receiving hemodialysis, ESA use im<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/social-mediaa\/\" data-internallinksmanager029f6b8e52c=\"1\" title=\"Social Media\" target=\"_blank\" rel=\"noopener\">media<\/a>tely decreased by 84.8 per 1,000 persons after the changes.<\/li>\n<li>Blood transfusion use rapidly increased by 8.34 per 1,000 persons in April 2012 then gradually decreased.<\/li>\n<li>Patients&#8217; levels of hemoglobin (the protein in red blood cells responsible for transporting oxygen) dropped: the percentage of patients with hemoglobin &gt;11 g\/dL decreased from 68% in January 2006 to 28% in December 2016, whereas those with hemoglobin <\/li>\n<li>After the policies and recommendations changed, the risks of stroke, all-cause mortality, cardiovascular mortality, and heart failure were lower by 17%, 13%, 19%, and 14%, respectively; however, the risk of heart attack was higher by 4%.<\/li>\n<\/ul>\n<p>&#8220;Medicare reimbursement policy and FDA-recommended ESA dosing changes adopted in 2011 were associated with decreased ESA use, lower hemoglobin levels, and better clinical outcomes for risk of major adverse cardiovascular events, mortality, and stroke but with a higher risk of acute myocardial infarction among adults receiving hemodialysis,&#8221; said Dr. Park. &#8220;Due to these significant changes in clinical outcomes, longitudinal follow-up is warranted to assess if the policy changes warrant further refinement.&#8221;<\/p>\n<p>An accompanying Patient Voice article poses a number of additional questions for consideration, including ones that relate to patients&#8217; perspectives and quality of life.\n                                                                                                                        <\/p>\n<hr\/>\n<div class=\"article-main__explore my-4 d-print-none\">\n<p>                                                                                        Trials reveal efficacy and safety of oral drug for treating anemia associated with kidney disease\n                                                                                    <\/p><\/div>\n<hr class=\"mb-4\"\/>\n<div class=\"article-main__more p-4\">\n                                                                                                <strong>More information:<\/strong><br \/>\n                                                Haesuk Park et al, Medicare Bundled Payment Policy on Anemia Care, Major Adverse Cardiovascular Events, and Mortality Among Adults Undergoing Hemodialysis, <i>Clinical Journal of the American Society of Nephrology<\/i> (2022). <a rel=\"nofollow noopener\" target=\"_blank\" data-doi=\"1\" href=\"https:\/\/dx.doi.org\/10.2215\/CJN.14361121\">DOI: 10.2215\/CJN.14361121<\/a>. <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/cjasn.asnjournals.org\/content\/early\/2022\/05\/19\/CJN.14361121\">cjasn.asnjournals.org\/content\/ \u2026 2\/05\/19\/CJN.14361121<\/a><br \/>\nCher Thomas, Medicare Bundled Payment Policy and Anemia Care: Perspectives from a Patient with Kidney Disease, <i>Clinical Journal of the American Society of Nephrology<\/i> (2022). <a rel=\"nofollow noopener\" target=\"_blank\" data-doi=\"1\" href=\"https:\/\/dx.doi.org\/10.2215\/CJN.03540322\">DOI: 10.2215\/CJN.03540322<\/a>. <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/cjasn.asnjournals.org\/content\/early\/2022\/05\/19\/CJN.03540322\">cjasn.asnjournals.org\/content\/ \u2026 2\/05\/19\/CJN.03540322<\/a><\/p><\/div>\n<div class=\"d-inline-block text-medium my-4\">\n                                                Provided by<br \/>\n                                                                                                    American Society of Nephrology<br \/>\n                                                                                                        <a rel=\"nofollow noopener\" target=\"_blank\" class=\"icon_open\" href=\"http:\/\/www.asn-online.org\/\"><br \/>\n                                                        <svg>\n                                                            <use href=\"https:\/\/medx.b-cdn.net\/tmpl\/v6\/img\/svg\/sprite.svg#icon_open\" x=\"0\" y=\"0\"\/>\n                                                        <\/svg><br \/>\n                                                    <\/a><\/p><\/div>\n<p>                                        <!-- print only --><\/p>\n<div class=\"d-none d-print-block\">\n<p>                                                 <strong>Citation<\/strong>:<br \/>\n                                                 How have changes in anemia care affected patients with kidney failure? (2022, May 19)<br \/>\n                                                 retrieved 19 May 2022<br \/>\n                                                 from https:\/\/medicalxpress.com\/<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">news<\/a>\/2022-05-anemia-affected-patients-kidney-failure.html<\/p>\n<p>                                            This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no<br \/>\n                                            part may be reproduced without the written permission. 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Credit: Clinical Journal of the American Society of Nephrology (2022). DOI: 10.2215\/CJN.14361121 A recent study published in the Clinical Journal of the American Society of Nephrology has investigated how 2011 changes to anemia care have impacted clinical outcomes among patients with kidney&#8230;<\/p>\n","protected":false},"author":1,"featured_media":449847,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/scx2.b-cdn.net\/gfx\/news\/2022\/how-have-changes-in-an.jpg","fifu_image_alt":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-449846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sciencee"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/449846","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=449846"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/449846\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/449847"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=449846"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=449846"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=449846"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}