Anemia of Chronic Kidney Disease

Overview

4.7 out of 5 (129 Reviews)

Credits

1.50

Post Assessment Questions

11

Start Date

1 Sep 2023

Last Review Date

23 Jul 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes


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Activity Description

Anemia of chronic kidney disease (CKD), also known as anemia of chronic renal disease, is a type of normocytic normochromic anemia and hypoproliferative anemia. This condition is common in patients with renal disease and is associated with poor outcomes and increased mortality risk in CKD. Although it shares many similarities with the chronic inflammation aspects of anemia of CKD, a key distinction is the severe erythropoietin deficiency in anemia of CKD. Consequently, treatment focuses on improving renal function when possible, reducing functional iron deficiency, and increasing red blood cell production. Diagnosis requires a complete blood count with differential, peripheral smear, and tests to rule out other causes of anemia, including B12, folate, haptoglobin, thyroid studies, and iron indices (iron, ferritin, total iron-binding capacity, and transferrin saturation).

Erythropoiesis-stimulating agents (ESAs) and iron supplementation currently constitute the backbone of treatment for anemia of chronic renal disease. Guidelines have evolved significantly since the initial use of ESAs and intravenous iron formulations, and many new therapeutic interventions are currently available or being studied in advanced-phase clinical trials. This activity reviews the evaluation and management of anemia of chronic renal disease. This activity also highlights the role of the interprofessional healthcare team in caring for individuals affected by this condition to achieve optimal patient outcomes.


UAN: JA4008338-0000-23-424-H01-P

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Identify the key features of normocytic normochromic and hypoproliferative anemia associated with anemia of chronic renal disease.

  • Implement current KDIGO guidelines for the use of erythropoiesis-stimulating agents and iron supplementation in the treatment of anemia of chronic renal disease patients.

  • Select appropriate intravenous iron therapies based on patient-specific factors, including iron indices and comorbidities.

  • Collaborate with dietitians and other multidisciplinary healthcare providers to ensure patients with anemia of chronic renal disease receive appropriate nutritional support to manage anemia.

Pharmacy Activity Type:
Disease/Drug Therapy Related


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Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

 

Pharmacists: StatPearls, LLC designates this activity for a maximum of 1.50 ACPE credit(s). (UAN: JA4008338-0000-23-424-H01-P ). Pharmacists should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

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  3. Study the educational content of the enduring material.
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Disclaimer

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on statpearls.com. StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

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Reviews

Deborah Z. on 2/27/2021

Darcey A. on 3/14/2021

Edward I. on 7/31/2021

Halyna H. on 8/15/2021

Hassan A. on 9/16/2021

Tammy T. on 10/17/2021

Sarah A. on 11/16/2021

Travis V. on 12/2/2021

Walter P. on 12/13/2021

susma r. on 12/20/2021

Aroona S. on 1/2/2022

NOBUTAKA O. on 1/7/2022

Hardy M. on 1/25/2022

Darcey A. on 2/27/2022

Frederick a. on 2/28/2022

Jennifer B. on 3/19/2022

Gay B. on 4/25/2022

Shanon Z. on 6/25/2022

looking for HIF tutorials as they hopefully come into use soon as an adjunct/alternative to ESA

Gary M. on 7/25/2022

yvette t. on 8/14/2022

Kathy W. on 8/15/2022

Holly E. on 9/15/2022

jeffrey t. on 9/22/2022

Candice P. on 10/6/2022

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mandeep s. on 11/5/2022

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carrie h. on 2/21/2024

Karen L. on 11/14/2023

Excellent

Adrian J. on 11/16/2023

Keith H. on 11/25/2023

Amanda w. on 11/27/2023

Brian M. on 12/1/2023

Jiyoung S. on 12/11/2023

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sandra r. on 12/29/2023

Mohamad K. on 1/5/2024

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Marie B. on 12/8/2024

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Man L. on 1/28/2024

MIJI L. on 2/1/2024

Lori M. on 5/20/2024

Monique A. on 2/1/2024

Jonathan L. on 2/3/2024

Felicia T. on 2/7/2024

Maureen W. on 2/11/2024

Mark H. on 2/17/2024

Yongmei J. on 2/21/2024

Brandon B. on 2/22/2024

Puneet T. on 2/23/2024

Kathy W. on 2/23/2024

Christi C. on 2/26/2024

Redentor R. on 2/28/2024

Duc T. on 3/1/2024

Chutima B. on 3/4/2024

ShuYu K. on 12/22/2024

Derrick R. on 3/7/2024

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Meril M. on 3/20/2024

Elizabeth S. on 3/21/2024

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michael a. on 4/3/2024

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larry m. on 4/10/2024

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DAISY T. on 4/13/2024

Evelyn C. on 4/14/2024

Aroona S. on 4/16/2024

none

peggy h. on 4/20/2024

Winston S. on 4/25/2024

Marc M. on 4/28/2024

Rajat V. on 5/25/2024

Mobin V. on 6/1/2024

ishvar p. on 6/1/2024

Lea S. on 6/6/2024

Alisha P. on 6/12/2024

Alison M. on 6/23/2024

Terrence S. on 6/25/2024

Jessica M. on 7/2/2024

DHANARAJA PADUBIDRI D. on 7/24/2024

Mark K. on 7/27/2024

Hung K. on 8/13/2024

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Regina C. on 8/29/2024

Jon D. on 10/8/2024

Kimberly G. on 11/3/2024

Christine W. on 11/6/2024

Dustie B. on 11/11/2024

Bryant K. on 11/15/2024

This was an excellent review of anemia of chronic kidney disease. Thank you!

Louis M. on 11/28/2024

Alfredo G. on 12/3/2024

John K. on 12/11/2024

Unlimited Pharmacist CE

Stay up to date on the latest medical knowledge with 6820 CE activities. In these online self-assessment activities, read our reference articles and test your knowledge with more than 8101.5 hours of CE.

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6 Month Unlimited Pharmacist CE

Access to all the Unlimited Pharmacist CE activities in all specialties.

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