Effect of pharmacist management on serum hemoglobin levels with renal anemia in hemodialysis outpatients

Junko Ohnishi, Akiyo Miyake, Keiko Kuwatsuka, Yuka Onoue, Miyoshi Lee, Toshihiro Koyama, Toshiaki Sendo, Hiromu Kawasaki, Yoshihisa Kitamura

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


The initiation of a pharmacist-implemented management program to ensure appropriate use of erythropoietin-stimulating agents at Mizushima Kyodo Hospital is described. In the present study, we examined the influence of having pharmacists actively manage hemoglobin levels on therapeutic outcome in a retrospective study of 84 outpatients receiving hemodialysis. We compiled in-hospital guidelines for the use of erythropoietin and iron for outpatients with renal anemia. Pharmacists made recommendations, particularly about changes in the dose of erythropoietin and administration of iron preparations, to physicians. Clinical test results were monitored for 12 months (between November 2007 and October 2008) with and without the participation of pharmacists (continuous 6 months). The counseling by pharmacists significantly decreased hemoglobin levels in the high group (>12 g/dl) and significantly increased them in low group (<10 g/dl). Furthermore, it increased hemoglobin levels in the optimal group, suggesting the management of our hospital guidelines. On the other hand, low levels of hemoglobin indicated low levels of albumin. It is suggested that no improvement in hemoglobin levels may indicate low levels of albumin. These findings suggest that the active participation of pharmacists in the management of renal anemia in hemodialysis patients had a great therapeutic impact.

Original languageEnglish
Pages (from-to)1609-1612
Number of pages4
JournalBiological and Pharmaceutical Bulletin
Issue number10
Publication statusPublished - Oct 2011


  • Erythropoietin
  • Hemodialysis
  • Hemoglobin
  • Pharmacist
  • Renal anemia

ASJC Scopus subject areas

  • Pharmacology
  • Pharmaceutical Science


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