NDT Plus Advance Access originally published online on June 5, 2008
NDT Plus 2008 1(4):275-276; doi:10.1093/ndtplus/sfn066
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
A proposal of the simple guide regarding the conversion ratio from epoetin to darbepoetin alpha in treating haemodialysis patients with renal anaemia
Dialysis Center, Kamagaya Daiichi Clinic, Kamagaya, Chiba, Japan
Correspondence: E-mail: techima@poppy.ocn.ne.jp
| The first 10% of the full text of this article appears below. |
Sir,
Darbepoetin alpha (darbepoetin), which has the longest half-time of all the erythropoiesis-stimulating agents (ESAs), is now used world-wide with many advantages for both the patient and the healthcare worker [1,2]. Several recent observations have suggested that in treating renal anaemia the conversion ratio from epoetin to darbepoetin according to the theoretically calculated 1 µg darbepoetin = 200 U epoetin rule (1:200 rule) leads to an overestimate of the required darbepoetin dose [1]. In particular, in a large-scale