Anemia of Chronic Kidney Disease

Overview

4.6 out of 5 (115 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.


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.

Disclosures

StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

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.

 

Physicians and Physician Associates: StatPearls, LLC designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians and PAs should only claim credit commensurate with the extent of their participation in the activity.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

American Board of Internal Medicine: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pathology: Successful completion of this Continuing Certification activity, which includes participation in the evaluation component, enables the participant to earn up to 1.50 Lifelong Learning (CME) credits in the American Board of Pathology’s Continuing Certification Program.

American Board of Pediatrics: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.50 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Surgery: Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

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.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

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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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Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.

 

 
 

Reviews

Darcey A. on 3/14/2021

Edward I. on 7/31/2021

Halyna H. on 8/15/2021

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Travis V. on 12/2/2021

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susma r. on 12/20/2021

Hardy M. on 1/25/2022

Frederick a. on 2/28/2022

Jennifer B. on 3/19/2022

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

Gary M. on 7/25/2022

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Excellent

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DHANARAJA PADUBIDRI D. on 7/24/2024

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