title: UK Renal Registry 17th Annual Report: Chapter 7 Haemoglobin, Ferritin and Erythropoietin amongst UK Adult Dialysis Patients in 2013: National and Centre-specific Analyses.
abstract: BACKGROUND
  The diagnosis and management of anaemia in chronic kidney disease and the standards to be achieved have been detailed in the UK Renal Association Anaemia of CKD guidelines.
  
  
  OBJECTIVE
  To determine the attainment of standards for anaemia management in the UK.
  
  
  METHODS
  Quarterly data were obtained for haemoglobin (Hb) and factors that influence Hb from renal centres in England,Wales, Northern Ireland (EW&NI) and the Scottish Renal Registry for the incident and prevalent renal replacement therapy (RRT) cohorts for 2013.
  
  
  RESULTS
  In the UK, in 2013,50% of patients commenced dialysis therapy with Hb 5100 g/L (median Hb 100 g/L). Of patients presenting early, 53% started dialysis with Hb 5100 g/L compared to 36% of patients presenting late. The UK median Hb of haemodialysis (HD) & peritoneal dialysis (PD) patients was 112 g/L (inter-quartile range (IQR) 103–120 g/L) and 113 g/L(IQR 103–122 g/L) respectively with 83% of patients having Hb .100 g/L for both treatment modalities. The median ferritin in HD and PD patients was 424 mg/L (IQR 280–616 mg/L) and 285 mg/L (IQR 167–473 mg/L) respectively with the majority of patients achieving ferritin 5100 mg/L.In EW&NI the median ESA dose was higher for HD than PD patients (7,333 vs. 4,000 IU/week). The percentage of patients treated with an ESA and having Hb .120 g/L ranged between centres from 3–29% for HD and from 0–26% for PD.
  
  
  CONCLUSIONS
  There continues to be significant variation between centres in the use of iron and ESAi n order to achieve the target Hb (100–120 g/L).
authors.affiliation: UK Renal Registry, Bristol, UK.
authors.forename: Julie
authors.initials: J
authors.lastname: Gilg
authors.forename: Rebecca
authors.initials: R
authors.lastname: Evans
authors.forename: Anirudh
authors.initials: A
authors.lastname: Rao
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Williams
mesh_terms: D000328:Adult; D004921:Erythropoietin / Q000378:metabolism*; D005293:Ferritins / Q000378:metabolism*; D006454:Hemoglobins / Q000378:metabolism*; D006801:Humans; D012042:Registries; D006435:Renal Dialysis; D006113:United Kingdom
chemical_list: D006454:Hemoglobins; D004921:Erythropoietin; D005293:Ferritins