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Updated: Jul 16, 2026
04:36
Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
[Hemoglobin target in hemodialysis patients]
Lucile Mercadal1, Gilbert Deray, Alain Baumelou
1Université Pierre-et-Marie-Curie - Paris 6, 75013 Paris, France. lucile.mercadal@psl.aphp.fr
Nephrologie & Therapeutique
|March 22, 2007
Summary
Current anemia treatment guidelines recommend a target hemoglobin level > 11 g/dL. Higher targets (13-14 g/dL) may improve quality of life in some patients but pose risks for others, especially those on hemodialysis.
Area of Science:
- Hematology
- Nephrology
- Cardiology
Context:
- Anemia treatment targets are established, with > 11 g/dL recommended.
- Higher hemoglobin targets (13-14 g/dL) are being considered for specific patient groups.
- Cardiovascular disease and hemodialysis introduce unique considerations for anemia management.
Purpose:
- To evaluate the implications of different hemoglobin targets in anemia treatment.
- To assess the benefits and risks associated with high hemoglobin targets (> 11 g/dL).
- To delineate patient populations where higher targets may be beneficial or contraindicated.
Summary:
- A hemoglobin target > 11 g/dL is standard for anemia treatment.
- In patients without cardiovascular disease, a 13-14 g/dL target may enhance quality of life.
- High targets are contraindicated in cardiovascular disease and carry risks in hemodialysis patients, including reduced efficiency and increased clotting.
Impact:
- Informs clinical decision-making regarding optimal hemoglobin targets for anemia.
- Highlights the need for individualized anemia management strategies based on patient comorbidities.
- Suggests potential risks associated with pursuing higher hemoglobin levels in hemodialysis patients, impacting treatment protocols and outcomes.
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