In response to data from trials showing an increase in clinical events with the use of erythropoiesis-stimulating agents (ESAs), Seliger et al. carried out an observational case–control study and have found that high doses of ESAs are associated with an increased risk of stroke.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Pfeffer, M. A. et al. for the TREAT Investigators. A trial of darbepoetin alfa in type 2 diabetes and chronic kidney disease. N. Engl. J. Med. 361, 2019–2032 (2009).
Singh, A. K. et al. for the CHOIR Investigators. Correction of anemia with epoetin alfa in chronic kidney disease. N. Engl. J. Med. 355, 2085–2098 (2006).
Seliger, S. L. et al. Erythropoiesis-stimulating agents increase the risk of acute stroke in patients with chronic kidney disease. Kidney Int. doi:10.1038/ki.2011.49.
Besarab, A. et al. The effects of normal as compared with low hematocrit values in patients with cardiac disease who are receiving hemodialysis and epoetin. N. Engl. J. Med. 339, 584–590 (1998).
Solomon, S. D. et al. for the Trial to Reduce Cardiovascular Events with Aranesp Therapy (TREAT) Investigators. Erythropoietic response and outcomes in kidney disease and type 2 diabetes. N. Engl. J. Med. 363, 1146–1155 (2010).
Szczech, L. A. et al. Secondary analysis of the CHOIR trial epoetin-α dose and achieved hemoglobin outcomes. Kidney Int. 74, 791–798 (2008).
Szczech, L. A. et al. A secondary analysis of the CHOIR trial shows that comorbid conditions differentially affect outcomes during anemia treatment. Kidney Int. 77, 239–246 (2010).
Author information
Authors and Affiliations
Ethics declarations
Competing interests
L. Szczech has worked as a consultant for Affymax, Akros Pharma, Amgen, FibroGen, GlaxoSmithKline, and Sandoz.
Rights and permissions
About this article
Cite this article
Szczech, L. Association between ESA use and stroke in patients with CKD. Nat Rev Nephrol 7, 365–366 (2011). https://doi.org/10.1038/nrneph.2011.70
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrneph.2011.70