ARE C‐REACTIVE PROTEIN AND FERRITIN LEVELS BEING OVERLOOKED IN INDIGENOUS AUSTRALIANS WITH CHRONIC KIDNEY DISEASE?. Issue 3 (14th June 2013)

• Record Type: Journal Article
• Authors: Claes, Jamin; Ellis, Joy‐Anne L.; Rettie, Fiona; Butcher, Belinda; Bradley, Jennifer
• Is Part Of: Journal of renal care. Volume 39:Issue 3(2013:Sep.)
• Page Start: 176
• Page End: 181
• Publication Date: 2013-06-14
• Subjects: Kidneys -- Diseases -- Nursing -- Periodicals; Hemodialysis -- Periodicals; Kidney Diseases -- nursing -- Periodicals; Renal Replacement Therapy -- nursing -- Periodicals; 616.61
• DOI: 10.1111/j.1755-6686.2013.12015.x
• Languages: English
• ISSNs: 1755-6678

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>SUMMARY</title> <sec id="jorc12015-sec-0001" sec-type="section"> <title>Background</title> <p>Indigenous Australians have significantly higher rates of end‐stage renal disease and worse health outcomes than non‐indigenous Australians.</p> </sec> <sec id="jorc12015-sec-0002" sec-type="section"> <title>Objectives</title> <p>We investigated whether the effect of inflammation on C‐reactive protein (CRP) and ferritin levels is being overlooked in indigenous patients with chronic kidney disease.</p> </sec> <sec id="jorc12015-sec-0003" sec-type="section"> <title>Design</title> <p>Data for 23, 000 patients were extracted from the Renal Anaemia Management database for the period November 1999 to October 2010.</p> </sec> <sec id="jorc12015-sec-0004" sec-type="section"> <title>Measurement</title> <p>Haemoglobin, ferritin, transferrin saturation and CRP levels for indigenous and non‐indigenous Australians were compared with target levels given in the Caring for Australians with Renal Impairment (CARI) guidelines.</p> </sec> <sec id="jorc12015-sec-0005" sec-type="section"> <title>Results</title> <p>Compared with non‐indigenous patients, indigenous Australians had higher median CRP and mean ferritin levels, lower mean haemoglobin level and were less likely to meet CARI targets.</p> </sec> <sec id="jorc12015-sec-0006" sec-type="section"> <title>Conclusion</title> <p>The effect of inflammation on laboratory parameters should be considered particularly when treating indigenous Australians.</p> </sec> </abstract>