ESA Hb Target CKD — RACP Adult Medicine MCQ

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EasyNephrologyESA Hb Target CKDRACP Adult Medicine

A 58-year-old man with CKD 4 develops anaemia (Hb 82 g/L). Ferritin 450, TSAT 25% (iron replete). Commenced on ESA. What Hb target?

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Correct answer: D — 100–115 g/L

KDIGO: target Hb 100–115 g/L with ESAs. Normalisation (>130) increases cardiovascular events and mortality (CREATE, CHOIR, TREAT trials).

Reference: KHA-CARI – 2013; KDIGO – 2012