Individualization of the Dosage Regimen of Erythropoietin is Crucial in End-stage Renal Disease Patients.

Saudi J Kidney Dis Transpl

Department of Pharmacy Practice, Nirmala College of Pharmacy, Kerala University of Health Sciences, Kerala, India.

Published: September 2023

AI Article Synopsis

  • The study aimed to analyze how erythropoietin is used in patients with end-stage renal disease and how factors like body weight and sex affect their response.
  • A total of 120 patients were reviewed, with different dosing regimens for erythropoiesis-stimulating agents, and results showed that the once-weekly dose was significantly more effective than the others.
  • Higher body mass index (BMI) was linked to better responses to the therapy, while no significant difference was found between sexes regarding their response to treatment.

Article Abstract

The objective of this study was to understand the utilization pattern of erythropoietin in end-stage renal disease patients, along with the effect of body weight and sex on the patients' responses. In this retrospective single-center study, 120 patients were included who were on a once weekly (n = 79), twice weekly (n = 37), or thrice weekly (n = 4) regimen. The doses of erythropoiesis-stimulating agents (ESA) were collected, and the erythropoietin resistance index (ERI) was determined. The Kruskal-Wallis test was used to evaluate the dose schedules, and the once-weekly regimen produced a greater response (P = 0.001). The asymptotic significance of Pearson's Chi-square-test equating the mean ERI and body mass index (BMI) was 0.034. No statistically significant correlation was estimated between sex and mean ERI (P = 0.201). Our study demonstrated that the once-weekly regimen dominated over the others in terms of efficacy, and individuals with a higher BMI were found to respond better to the ESA therapy.

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Source
http://dx.doi.org/10.4103/1319-2442.397212DOI Listing

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