Thematic Area: Anaemia

KDIGO Clinical Practice Guideline for Aenemia in Chronic Kidney Disease

Kidney Int (2012).

Core Recommendations:

1. Diagnose anemia in children with CKD if Hb concentration is 
   <11.0 g/dl in children 0.5–5 years, 
   <11.5 g/dl  in children 5–12 years, 
   <12.0 g/dl in children 12–15 years, 
   <13.0 g/dl in males and <12.0 g/dl in females >15 years.
2. For all pediatric CKD patients with anemia not on iron or ESA therapy, oral iron (or IV iron in HD patients) administration is recommended when TSAT is <20% and ferritin is <100 microgram/l.
3. For all children on ESA therapy who are not receiving iron supplementation, oral iron (or IV iron in HD patients) administration is recommended to maintain TSAT >20% and ferritin >100 microgram/l.
4. Evaluate iron status (TSAT and ferritin) at least every 3 months during ESA therapy, including the decision to start or continue iron therapy.
5. In children receiving ESA therapy Hb should be in the range of 11.0 to 12.0 g/dl.

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