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Anemia Management

View K-DOQI Update to Anemia in Chronic Kidney Disease

Members of the Network’s Medical Review Board determined expected hemoglobin rates based on facility size and population mean hemoglobin of 11.0g/dL using a statistical technique and actual Network hemoglobin data (see Table of Expected Hemoglobin Rates).

Table of Expected Hemoglobin Rates 19.41 KB 14 downloads


The Dialysis Outcomes Quality Initiative recommends a threshold hematocrit value range of 33 to 36 percent. However, due to naturally occurring variability in hematocrit levels, it is very difficult to maintain a hematocrit within this narrow range without occasionally exceeding the target ceiling of 36.

Further, starting and stopping EPO therapy can lead to dramatic dips in hematocrit levels that may require high doses of EPO to achieve the target level again. Thus, appropriate utilization of EPO should be monitored by considering both the hemoglobin/hematocrit level and the dosage.

Below are some resources that the Network has collected and offers to facilities as tools to assist in improving the anemia management of your patients. The resources are only a small sample of what is available. The Network does not endorse the use of any one tool over another but offers them for your review and consideration.


Anemia Management Protocol 212.17 KB 19 downloads


Anemia Management Template 121.50 KB 16 downloads


Hyporesponse and Dosing Algorithm 19.23 KB 9 downloads


Starting Dose: Based on Weight 120.25 KB 4 downloads


Medical Documentation Checklist 24.75 KB 8 downloads


Nephrology Pharmacy Associates Advances in Anemia Management