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Nephrology Dialysis Transplantation, Vol 14, Issue 90002 61-65, Copyright © 1999 by Oxford University Press

ORIGINAL ARTICLES

Chairman's workshop report. European best practice guidelines for The management of anaemia in patients with chronic renal failure

J Cameron
Renal Unit, UMDS Guy's Hospital, London, UK; Correspondence address: Elm Bank, Melmerby, Cumbria, CA10 1HB, UK

Best practice guidelines recommend management strategies and attempt to set standards for optimal patient care. The momentum towards formulating guidelines comes not only from The health care professions, but also from health care management organizations, who need some way of measuring The quality of The services they purchase. The draft European Best Practice Guidelines for The Management of Anaemia in Patients with Chronic Renal Failure has been drawn up by a Working Party including representatives of The European Renal Association/European Dialysis and Transplantation Association (ERA-EDTA) and The national nephrology societies of a cross-section of European countries. The guidelines draw on The recently published National Kidney Foundation - Dialysis Outcomes Quality Initiative (NKF-DOQUTM) Clinical Best Practice Guidelines for The Treatment of Anaemia in Chronic Renal Failure, but reflect European clinical practice and experience. They include additional publications, and new analysis and interpretation of The evidence base. Topics covered in The European guidelines include diagnosis of The anaemia of chronic renal failure, indications for starting treatment with epoetin, recommended minimum target haemoglobin concentrations, epoetin dosage and route of administration, assessing and optimizing iron stores, causes and management of epoetin resistance, and possible adverse effects of epoetin treatment. The evidence supporting each guideline is graded, so that physicians may judge its reliability for themselves. The guidelines are designed to be adapted according to local circumstances and resources; they do not aim to be prescriptive but aim to provide clinical guidance based on The best available evidence. Keywords: anaemia; best practice guidelines; Cochrane Collaboration; epoetin; evidence-based medicine; iron administration
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