SUBJECT CONSULTANT REVIEW

Title of the article
Association between number of months below K/DOQI haemoglobin target and risk of hospitalization and death.
Authors
Ishani A, Solid CA, Weinhandl ED, Gilbertson DT, Foley RN, Collins AJ.
Journal
Nephrol Dial Transplant. 2008 May;23(5):1682-9. Epub 2007 Dec 8.
Subject Consultant
C. Basile
Score (1 to 3 stars)
**
Comments
A proportion of haemodialysis patients experience periods below target haemoglobin levels due to longer time required to reach the target or to haemoglobin level variability. This study shows that more months below target were associated with increased risk of hospitalization (RR 1.70, 95% CI 1.63–1.76) and mortality (RR 2.48, 95% CI 2.28–2.69).