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Open AccessJournal ArticleDOI

What should the optimal target hemoglobin be?1

TLDR
While the majority of patients with CKD may experience significant benefits when Hb is normalized, it seems prudent to recommend individualized target Hb concentrations for each patient, taking into account factors such as age, sex, employment status, physical activity, and co-morbidities.
About
This article is published in Kidney International.The article was published on 2002-05-01 and is currently open access. It has received 19 citations till now. The article focuses on the topics: Kidney disease & Anemia.

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Citations
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A prospective study of anemia status, hemoglobin concentration, and mortality in an elderly cohort: the Cardiovascular Health Study.

TL;DR: In this article, the authors assessed baseline hemoglobin quintiles and anemia in relation to mortality in the Cardiovascular Health Study, a prospective cohort study with 11.2 years of follow-up of 5888 community-dwelling men and women 65 years or older, enrolled in 1989-1990 or 1992-1993 in 4 US communities.
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The story so far: molecular regulation of the heme oxygenase-1 gene in renal injury

TL;DR: This review will focus on the molecular regulation of the HO-1 gene in renal injury and will highlight the interspecies differences, predominantly between the rodent and humanHO-1 genes.
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Anemia and mortality in hemodialysis patients: accounting for morbidity and treatment variables updated over time.

TL;DR: The findings confirm the associations of Hb levels > or =11 g/dL with longer survival among maintenance hemodialysis patients, but show no additional survival advantage for patients with HB levels >or =12 g/DL.
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Optimal anemia management reduces cardiovascular morbidity, mortality, and costs in chronic kidney disease

TL;DR: The fundamental impact of anemia on organ function is reduced oxygen delivery to tissues, but other consequences such as impaired cognitive function and concentration, sleep disorders, altered hemostasis, depressed immune function, and impaired cardiac function are not uncommon.
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Prevalence, Types, Risk Factors and Clinical Correlates of Anaemia in Older People in a Rural Ugandan Population

TL;DR: Anaemia control programmes in Uganda should target older people and should include interventions to treat and control hookworms and educational programs on diets that enhance iron absorption.
References
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The effects of normal as compared with low hematocrit values in patients with cardiac disease who are receiving hemodialysis and epoetin.

TL;DR: In patients with clinically evident congestive heart failure or ischemic heart disease who are receiving hemodialysis, administration of epoetin to raise their hematocrit to 42 percent is not recommended.
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Left ventricular mass index increase in early renal disease: impact of decline in hemoglobin.

TL;DR: There remains a critical need to establish optimal therapeutic strategies and targets to improve clinical outcomes in patients with progressive renal disease, and the important modifiable risk factors are defined.
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The impact of anemia on cardiomyopathy, morbidity, and mortality in end-stage renal disease☆

TL;DR: Anemia, an easily reversible feature of end- stage renal disease, is an independent risk factor for clinical and echocardiographic cardiac disease, as well as mortality in end-stage renal disease patients.
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Prevalent left ventricular hypertrophy in the predialysis population: Identifying opportunities for intervention☆☆☆

TL;DR: The high prevalence ofLVH in patients with renal insufficiency prior to the need for dialysis is demonstrated, which is associated with severity of renal impairment, and two modifiable factors (systolic blood pressure and anemia) are identified as important predictors of LVH.
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Hematocrit Level and Associated Mortality in Hemodialysis Patients

TL;DR: Overall, the findings suggest that sustained increases in hematocrit levels are associated with improved patient survival, and patients with hematOCrit levels of 33% to less than 36% appear to have the lowest risk for all-cause and cardiac mortality.