[Technology in the background of the improvement of anemia treatment]

The Renal Anaemia Management (RAM) Programme is a unique service available in 18 major renal centres around Australia. Since its inception some 6 years ago, the software package has been modified to accommodate the needs of the renal team and the renal patient population. In addition, with the support of nephrologists, the RAM software has created a specialised role, that of the Renal Anaemia Coordinator (RAC). The RAM software collects clinical data and patient characteristics from patients with anaemia associated with renal disease. This is an integral part of a national exchange of information for the optimal management of the overall health of the renal patient population. The RAM database is a valuable tool that has changed the practice of anaemia management and improved the outcomes of patients with renal insufficiency. RAM provides a rapid method of reviewing haematological and biological parameters on a regular basis with a multidisciplinary approach. At a glance, RACs can now detect trends in determining vascular access programming, dietetic review, and patient education and support services. This has allowed the Renal Anaemia service to reach common goals and improve outcomes. The RAC provides a point of contact and education for patient, family members and their general practitioner's regarding erythropoietin therapy. This advancement in technology has revolutionised the collection of information about individual patients and their presenting history of renal failure. It has also allowed for earlier recognition and treatment of renal disease.