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Long-term maintenance of hemoglobin levels in hemodialysis patients treated with bi-weekly epoetin beta pegol switched from darbepoetin alfa: a single-center, 12-month observational study in Japan

https://hiroshima.repo.nii.ac.jp/records/2007220
https://hiroshima.repo.nii.ac.jp/records/2007220
7b2dd829-071f-4547-be19-f99d7ae99f1a
名前 / ファイル ライセンス アクション
JArtifOrgans_22_146.pdf JArtifOrgans_22_146.pdf (549.5 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Long-term maintenance of hemoglobin levels in hemodialysis patients treated with bi-weekly epoetin beta pegol switched from darbepoetin alfa: a single-center, 12-month observational study in Japan
言語 en
作成者 Kawai, Toru

× Kawai, Toru

en Kawai, Toru

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Kusano, Yoshie

× Kusano, Yoshie

en Kusano, Yoshie

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Yamada, Kyouko

× Yamada, Kyouko

en Yamada, Kyouko

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Ueda, Chikako

× Ueda, Chikako

en Ueda, Chikako

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Kawai, Atsushi

× Kawai, Atsushi

en Kawai, Atsushi

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Masaki, Takao

× Masaki, Takao

en Masaki, Takao

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 © The Japanese Society for Artificial Organs 2018. The final publication is available at www.springerlink.com.
権利情報
権利情報 This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。
主題
主題Scheme Other
主題 Continuous erythropoiesis receptor activator
主題
主題Scheme Other
主題 Epoetin beta pegol
主題
主題Scheme Other
主題 Hemoglobin
主題
主題Scheme Other
主題 Hemodialysis
主題
主題Scheme Other
主題 Anemia
内容記述
内容記述 Recent evidence on maintenance administration of epoetin beta pegol, a continuous erythropoiesis receptor activator (CERA), in dialysis patients shows the clinical benefit of bi-weekly administration (Q2W) in improving hematopoiesis and iron use efficiency. We undertook a single-center observational study of 33 Japanese maintenance dialysis patients, whose anemia had been kept stable through weekly administration (Q1W) of darbepoetin (DA), to evaluate the effectiveness of CERA Q2W switched from DA in maintaining hemoglobin (Hb) levels over a 12-month period. The target Hb level was 10.0–12.0 g/dL. Throughout the 12-month period, the mean Hb was stably maintained at 10.5–10.8 g/dL, 69.7–87.9% of the patients achieving the target Hb level. The mean CERA dose was within the range of 62.9–78.8 µg/2 weeks. The average CERA dose adjustment frequency after switching was low at 0.42–0.67 times/3 months. In both subgroups stratified by the DA dose prior to the switch, Hb levels were kept stable during CERA administration; however, in the low-dose group (10–20 µg/week of DA), the CERA and iron doses decreased over time, whereas in the high-dose group (30–60 µg/week of DA) they remained unchanged. CERA Q2W achieved long-term successful anemia management in Japanese maintenance dialysis patients after switching from DA Q1W. CERA dose was adjusted based on an overall consideration of past changes in Hb levels, erythropoiesis-stimulating agent and iron doses. Subgroup analysis showed the CERA dose in the low-dose group decreased continuously, due possibly to a long-term improvement in iron use efficiency.
言語 en
出版者
出版者 Springer Japan
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ AO
出版タイプResource http://purl.org/coar/version/c_b1a7d7d4d402bcce
関連情報
識別子タイプ DOI
関連識別子 10.1007/s10047-018-1080-z
関連情報
識別子タイプ PMID
関連識別子 30426250
関連情報
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s10047-018-1080-z
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1434-7229
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1619-0904
開始ページ
開始ページ 146
書誌情報 Journal of Artificial Organs
Journal of Artificial Organs

巻 22, 号 2, p. 146-153, 発行日 2018-11-14
旧ID 47664
備考 Post-print version/PDF may be used in an institutional repository after an embargo period of 12 months.
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