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NDT Advance Access published online on January 8, 2007
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfl740
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© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Epoetin trials: randomised controlled trials don't always mimic observational data

Simon D. Roger1 and Adeera Levin2

1Department of Renal Medicine, Gosford Hospital, Gosford 2250, Australia and 2Division of Nephrology, University of British Columbia, Vancouver, BC Canada

Correspondence and offprint requests to: Dr Simon D. Roger, MD, FRACP, Department of Renal Medicine, Gosford Hospital, Gosford 2250, Australia. Email: sroger@nsccah.health.nsw.gov.au

Keywords: epoetin; anaemia; chronic kidney disease; randomized controlled trials

The first 150 words of the full text of this article appear below.

The medical management of stage 3 and 4 chronic kidney disease (CKD) attempts to both slow the rate of progression towards dialysis and prevent the development of secondary complications associated with worsening uraemia. Clinicians attempt to achieve this by targeting blood pressure, lipids, calcium-phosphate imbalance (mineral metabolism) and anaemia.

Over the past 20 years, there has been a wealth of publications reporting on the associations between uraemic anaemia and the development of left ventricular dilatation and left ventricular hypertrophy (LVH) [1–4], reduced quality of life [5,6] and mortality rates [7], both in the CKD non-dialysis and dialysis populations. In the pre-epoetin era, Silberberg reported an association between the degree of anaemia and LVH and differential mortality rates in dialysis patients in the late 1980s [8]. These findings were extended by Foley and Parfrey et al. [9,10. . . [Full Text of this Article]


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