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| 4.2 Preparation for Renal Replacement Therapy (RRT) 4.2.7 Anaemia Management in Pre Dialysis Patients Over the last few years the benefits of anaemia correction by erythropoietin and iron have become recognised in patients with progressive chronic renal failure in the pre-dialysis phase of their illness. Benefits include improved quality of life (ref.72), increased energy levels and exercise capacity (ref.74) and improved cardiac function (ref.73,74). Commissioners need to know that a change in clinical practice based on good evidence is taking place whereby more pre-dialysis patients are being treated which translates into a significant cost pressure in the service. Link to National Service Standard 2 |