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Table 1 Characteristics of included RCTs

From: Physical health-related quality of life at higher achieved hemoglobin levels among chronic kidney disease patients: a systematic review and meta-analysis

First Author

Publication Year

Design

RRT

Control (Target)

Intervention (Target)

Pop. (n)

Mean eGFR (mL/min)

eGFR method

Instrument

% M

Age(y) mean Total (sd)

Mean baseline hemoglobin mg/dl (sd)

Follow up (weeks)

Inclusion criteria

Mean achieved Hb control (sd)

 

Mean achieved Hb intervention (sd)

Iron target

Cointervention

Churchill, D (Canadian)

1990

Double blind RCT

Yes

9.5–11.0

11.5–13.0

78

5D

NR

SIP and KDQ

57

44(16)

7 (1.0)

24

CKD-5D stable for 3 months + Hb < 9, HD 3x week

10.2 (1.0)

 

11.7 (1.4)

Oral or IV iron at discretion of investigators

Parfrey, P. S.

2005

Double blind RCT

Yes

9.5–11.5

13.5–14.5

596

5D

R

KDQOL, SF-36 and FACIT

60

51 (15.4)

11 (1.2)

72

CKD incident in HD (3–18 months) + neither HF nor CHD

10.8 (1.2)

 

13.1 (1.5)

TSAT > 20%

Pfeffer, Ma (TREAT)

2009

Double blind RCT

No

>  9

13

4038

33

MDRD

FACIT and SF36

41

68 (60–75)a

10.5 (9.8–10.9)a

97

eGFR 20–40, diabetic, Hb < 11, TSAT > 15

10.6 (9.9–11.3)a

 

12.5 (12–12.8a)

NR

Roger, Sd

2014

Single blind RCT

No

> 9.5

13

51

27

MDRD

FACIT and SF36

57

80 (4.9)

10 (1.01)

24

eGFR 60 - < 15, Hb < 11, TSAT > 15

10.5 (10.1–11)b

 

12.5 (12.1–12.8)b

NR

Akizawa, T.

2011

Open Label

No

9–11

11–13

322

12

MDRD

FACIT and SF36

50

65 (11.8)

9.15 (0.8)

28

Hb < 10

10.0 (0.8)

 

11.7 (0.8)

TSAT > 20%/ferritin > 100 ng/mL

Singh, Ak (CHOIR)

2006

Open Label

No

11.3

13.5

1432

27

MDRD

KDQ and SF-36

44

66 (14.3)

10.1 (0.9)

144

Hb < 11, eGFR 15–50

11.3 (0.9)

 

12.5 (0.9)

NR

Drueke, T. (CREATE)

2006

Open Label

No

10.5–11.5

13–15

603

24

Cockcroft–Gault

SF-36

57

59 (14.6)

11.6 (0.6)

48

Hb < 11, eGFR 15–30

11.5 (1.0)

 

13 (1.0)

Oral or IV iron at discretion of investigators

Rossert, J.+

2006

Open Label

No

11.0–12.0

13–15

390

30.3

NR

Cockcroft-G

SF-36 and Katz

40

58 (13.6)

11.5 (1.0)

24

CKD 25–60, TSAT > 20, ferritin > 100

12.0

 

14.0

NR

Villar, E

2011

Open Label

No

11.0–12.9

13.0–14.9

89

30.0

MDRD

SF-36

62

65 (8)

11.4 (0.8)

48

DM2, Hb 10–12, eGFR 25–60

11.5

13.0

 

Oral or IV iron at discretion of investigators (ferritin > 200mcg/l)

Furuland, H.

2003

Open Label

Both

9.0–12.0

13.5–16.0

416

NR

Iohexol-C

KDQOL

63

63 (13)

11.0 (1.0)

48

Hb 9–12, eGFR < 30 mL/min

11.5 (1.5)

13.5 (1)

 

TSAT > 20%,ferritin > 250 mcg/L

Besarab (Normal Hematocrit)

1998

Open Label

Yes

9.0–11.-0

13.0–15.0

1233

5D

NR

SF-36

50

65 (12)

10.1 (1.0)

72

CKD-HD,HF or IHD, TSAT > 20

10.3

13.3

 

TSAT> 20%

Foley, Rn

2000

Open Label

Yes

9.5–10.5

13.0–14.0

146

5D

NR

KDQOL, SF-36

62

62 (56–65)b

10.4

48

HD > 3 months, LV hypertrophy or dilatation, Hb 9–11

10.4 (10.2–10.6)b

12.2 (12.5–11.9)b

 

TSAT > 20%

Ritz, E. + (ACORD)

2007

Open Label

No

10.5–11.5

13.0–15.0

172

45

Cockcroft–Gault

SF-36

50

58 (49–69)a

11.9 (11.3.-12)a

60

CKD-DM 1 or 2, stage 1–3, Hb 10.5–13

11.5

13.0

 

NR

Levin+

2005

Open Label

No

9–10.5

12–14

172

28

MDRD

SF-36

70

57 (15)

11.7 (0.8)

96

CKD stages 2–4, progressive decline Hb (>  1 g/dL) within 12 m

11.7

13.0

 

TSAT > 20%, ferritin > 60 mcg/L

MacMahon+

2000

Double-Blind

Yes

10.0

14.0

30

NR

NR

SIP

NR

NR

8.5 (0.2)

12

Prevalent HD patients > 12 m

10.0

14.0

 

TSAT > 20%, ferritin > 100 mg/dL

  1. a range. b Confidence interval. + not included in the meta-analysis. LVMI Left Ventricular Mass Index, LV Left Ventricle, CDV Cardiovascular, eGFR Estimated Glomerular Filtration Rate, CKD Chronic Kidney Disease, ESA Erythropoiesis stimulating agent, Hb Hemoglobin, HD Hemodialysis, TSAT Transferrin Saturation, IV Intravenous, NR Not reported, DM2 Diabetes mellitus 2, CKD Chronic kidney disease, KDQOL Kidney Disease Quality of Life Instrument. SF-36 Short Form 36, SIP Sickness Impact Profile