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Anemia Management in Dialysis: Outcomes and Epo Use Across 12 Countries in DOPPS

This study analyzes anemia management and outcomes in dialysis patients from 12 countries, part of the Dialysis Outcomes and Practice Patterns Study (DOPPS). It focuses on hemoglobin (Hgb) levels, Epo dosing, and associated patient and facility characteristics between 2002-2003. The findings highlight predictors of achieving Hgb levels greater than 11 g/dl, mortality risks by Hgb groups, and trends in Epo use and iron therapy. This comprehensive analysis aims to inform best practices and improve anemia management for patients on dialysis.

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Anemia Management in Dialysis: Outcomes and Epo Use Across 12 Countries in DOPPS

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Presentation Transcript

  1. When Using DOPPS Slides

  2. DOPPS Slide Use Guidelines

  3. Anemia Management and Outcomes from 12 Countriesin the Dialysis Outcomes and Practice Patterns Study (DOPPS)

  4. Introduction (1)

  5. Introduction (2)

  6. DOPPS Background

  7. Methods: Study Sample

  8. Methods: Descriptive Statistics

  9. Methods: Hgb and Outcomes

  10. Methods: Epo Dosing

  11. Methods: Predictors of Hgb >11 g/dl and of Epo Use

  12. Epo Use and Hgb Concentrations for Prevalent Patients

  13. Patients New to ESRD: Mean Hgb and Pre-ESRD Epo Use

  14. Patient-Level Characteristics1 Associated with Hgb  11g/dl, 2002-03

  15. Facility-Level Characteristics1 Associated with Hgb  11g/dl, 2002-03

  16. Epo Dose by Country, 2002-2003

  17. Mean Epo Dose and Odds of Hgb >11 g/dl by Country, 2002-03

  18. Patient Characteristics Associated with Receiving Higher Weekly Epo Dose, 2002-03 (1)

  19. Patient Characteristics Associated with Receiving Higher Weekly Epo Dose, 2002-03 (2)

  20. Relative Risk of Mortality by Hgb Group, 1996-2001

  21. Relative Risk of Hospitalization by Hgb Group, 1996-2001

  22. Unadjusted Weekly Epo Dose and Mean Hgb by Country, 2002-2003

  23. Percentage of Epo-treated Patients Receiving Epo by Intravenous Route in 2002 vs. 2003

  24. Indicators of Iron Deficiency and Intravenous Iron Therapy, by Country, 2002-03

  25. Unadjusted Hospitalization Rates by Country, 1996-2001

  26. Results (1)

  27. Results (2)

  28. Results (3)

  29. Conclusions

  30. Acknowledgements

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