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Lebanese Guidelines For Erythropoiesis-Stimulating Agents (ESAs) Approval in Non-Dialysis Chronic Kidney Disease (ND-CKD) Patients aT the MOPH
Manuals & Guidelines

Lebanese Guidelines For Erythropoiesis-Stimulating Agents (ESAs) Approval in Non-Dialysis Chronic Kidney Disease (ND-CKD) Patients aT the MOPH

May 02, 2017
Author: MOPH
Source: MOPH
1-ESA initiation
  • Address iron deficiency before ESA therapy initiation (iron deficiency defined as ferritin<100 ng/ml and/or transferrin saturation (TSAT)<20%).
  • ESA requisition forms that lack ferritin and TSAT values will be returned.
  • If Hb ≥ 10 g/dl, ESA will be approved only if patient symptomatic with a ferritin >100 ng/ml and TSAT >20%, otherwise rejected.
  • If Hb 9-10 g/dl, ESA will be approved if ferritin>100 ng/ml and TSAT >20%, otherwise rejected.
  • If Hb<9 g/dl and ferritin<100 ng/ml and/or TSAT<20%, ESA will be approved for one month and renewed only if ferritin>100 ng/ml and TSAT>20%.
  • If Hb< 9g/dl and ferritin>100 ng/ml and TSAT>20%, ESA will be approved...

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