TY - JOUR
T1 - Prevalence and management of anemia in renal transplant recipients
T2 - A European survey
AU - Vanrenterghem, Yves
AU - Ponticelli, Claudio
AU - Morales, José María
AU - Abramowicz, Daniel
AU - Baboolal, Keshwar
AU - Eklund, Björn
AU - Kliem, Volker
AU - Legendre, Christophe
AU - Morais Sarmento, Antonio Luis
AU - Vincenti, Flavio
PY - 2003/7
Y1 - 2003/7
N2 - The TRansplant European Survey on Anemia Management (TRESAM) documented the prevalence and management of anemia in kidney transplant recipients. Data from 72 transplant centers in 16 countries were screened, involving 4263 patients who had received transplants 6 months, 1, 3 or 5 years earlier. The mean age of transplant recipients was 45.5 years at transplantation. The most common etiology was chronic glomerulonephritis. The most common comorbidities were coronary artery disease, hepatitis B/C, and type 2 diabetes. The mean hemoglobin levels before transplantation were significantly higher in the more recently transplanted recipients. At enrollment, 38.6% of patients were found to be anemic. Of the 8.5% of patients who were considered severely anemic, only 17.8% were treated with epoetin. There was a strong association between hemoglobin and graft function; of the 904 patients with serum creatinine >2 mg/dL, 60.1% were anemic, vs. 29.0% of those with serum creatinine ≤2mg/dL (p <0.01). Therapy with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor antagonists, mycophenolate mofetil (MMF) or azathioprine was also associated with a higher likelihood of anemia. The prevalence of anemia in the transplant recipients was remarkably high and appeared to be associated with impaired renal function and with ACE inhibitors and angiotensin II receptor antagonist use. Further studies should be carried out to interpret whether appropriate management of anemia after kidney transplantation may improve long-term outcome.
AB - The TRansplant European Survey on Anemia Management (TRESAM) documented the prevalence and management of anemia in kidney transplant recipients. Data from 72 transplant centers in 16 countries were screened, involving 4263 patients who had received transplants 6 months, 1, 3 or 5 years earlier. The mean age of transplant recipients was 45.5 years at transplantation. The most common etiology was chronic glomerulonephritis. The most common comorbidities were coronary artery disease, hepatitis B/C, and type 2 diabetes. The mean hemoglobin levels before transplantation were significantly higher in the more recently transplanted recipients. At enrollment, 38.6% of patients were found to be anemic. Of the 8.5% of patients who were considered severely anemic, only 17.8% were treated with epoetin. There was a strong association between hemoglobin and graft function; of the 904 patients with serum creatinine >2 mg/dL, 60.1% were anemic, vs. 29.0% of those with serum creatinine ≤2mg/dL (p <0.01). Therapy with angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor antagonists, mycophenolate mofetil (MMF) or azathioprine was also associated with a higher likelihood of anemia. The prevalence of anemia in the transplant recipients was remarkably high and appeared to be associated with impaired renal function and with ACE inhibitors and angiotensin II receptor antagonist use. Further studies should be carried out to interpret whether appropriate management of anemia after kidney transplantation may improve long-term outcome.
KW - Anemia
KW - Chronic kidney disease
KW - Epoetin
KW - Hemoglobin
KW - Immunosuppressive treatment
KW - Kidney transplantation
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U2 - 10.1034/j.1600-6143.2003.00133.x
DO - 10.1034/j.1600-6143.2003.00133.x
M3 - Article
C2 - 12814475
AN - SCOPUS:10744233694
VL - 3
SP - 835
EP - 845
JO - American Journal of Transplantation
JF - American Journal of Transplantation
SN - 1600-6135
IS - 7
ER -