Personalized Anemia Management and Precision Medicine in ESA and Iron Pharmacology in End-Stage Kidney Disease.

Abstract:

:Substantial progress has been made in the application of computer-driven methods to provide erythropoietic dosing information for patients with anemia resulting from chronic kidney disease. Initial solutions were simply computerized versions of traditional paper-based anemia management protocols. True personalization was achieved through the use of advanced modeling techniques such as artificial neural networks, physiologic models, and feedback control systems. The superiority of any one technique over another has not been determined, but all methods have shown an advantage in at least one area over the traditional paper expert system used by most dialysis facilities. Improvements in the percentage of hemoglobin measurements within target range, decreased within-subject hemoglobin variability, decreased erythropoiesis-stimulating agent dose, and decreased transfusion rates all have been shown.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Brier ME,Gaweda AE,Aronoff GR

doi

10.1016/j.semnephrol.2018.05.010

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

410-417

issue

4

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(18)30072-X

journal_volume

38

pub_type

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