Document Detail


Anemia after renal transplantation.
MedLine Citation:
PMID:  16997048     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anemia in the setting of chronic kidney disease is a well-recognized phenomenon that is associated with decreasing renal function and deficiency of or resistance to erythropoietin. However, anemia in the post-renal transplantation setting has received comparatively less attention in the literature. In this review, we aim critically to appraise the available literature regarding posttransplantation anemia, concentrating in particular on the prevalence of posttransplantation anemia, its etiopathogenesis, potential effects on morbidity and mortality, and the rationale for intervention and treatment. Despite deficiencies in the literature, we conclude that posttransplantation anemia is a common phenomenon that can occur either early or late posttransplantation, and its causation is usually multifactorial and includes contributions notably from poor or decreasing renal function, immunosuppression, and iron deficiency. Conversely, there is a shortage of well-conducted prospective studies looking at the morbidity attributable to posttransplantation anemia and a lack of trial evidence to determine whether intervention improves patient morbidity and outcome.
Authors:
Behdad Afzali; Salam Al-Khoury; Nilesh Shah; Ashraf Mikhail; Adrian Covic; David Goldsmith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  48     ISSN:  1523-6838     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-09-25     Completed Date:  2006-10-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  519-36     Citation Subset:  IM    
Affiliation:
Department of Nephrology and Transplantation, Guy's Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Anemia, Iron-Deficiency / drug therapy,  epidemiology*,  etiology*
Cardiovascular Diseases / physiopathology
Erythropoiesis / drug effects,  physiology
Erythropoietin / blood,  pharmacology,  therapeutic use
Erythropoietin, Recombinant / pharmacology,  therapeutic use
Humans
Kidney Failure, Chronic / surgery
Kidney Transplantation / adverse effects*
Prevalence
Risk Factors
Chemical
Reg. No./Substance:
0/Erythropoietin, Recombinant; 0/epoetin beta; 11096-26-7/Erythropoietin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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