Transfusion therapy: associated risks and alternative approaches.

V. T. Picard, M. H. Sayers, B. S. Spinowitz, R. E. Richner

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Transfusion therapy has been the mainstay for treating the anemia of end-stage renal disease (ESRD). Recently, several factors, including the awareness of associated risks, especially the transmission of blood-borne diseases and the transient treatment effect with regard to reversal of anemic symptoms, have caused a reassessment of transfusion therapy. Recombinant human erythropoietin (epoetin) has emerged as the alternative treatment, capable of sustained reversal of anemia without the associated risks of transfusions. The result of epoetin therapy has been marked improvement in the quality of life of ESRD patients. However, the advent of this therapy has also changed the nurse's role in caring for ESRD patients, as new medical management issues are identified and supportive care is tailored to the individual patient.

Original languageEnglish (US)
Pages (from-to)457-464
Number of pages8
JournalANNA journal / American Nephrology Nurses" Association
Issue number6
StatePublished - Dec 1990

ASJC Scopus subject areas

  • General Medicine


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