Epidemiology and Management of CKD-related Anemia: Past Failures, Future Opportunities
Brian J. G. Pereira, MD

The Economics of Anemia Management
Jay B. Wish, MD
Searching for a Novel Erythropoietic Treatment: What Does the Future Have to Offer?
George Aronoff, MD
Questions and Answers, Audience Participation, and Panel Discussion

At the conclusion of the certified activity, participants should be able to do the following:
Recognize the short- and long-term benefits and burdens of currently available treatments for CKD-related anemia.
Summarize current and future rules and regulations that govern reimbursement for CKD-related anemia treatment and the impact of cost of care on clinical decision making.
Evaluate the safety, efficacy, and potential place in therapy for novel erythropoietic agents, delivery systems, and dosing protocols being studied for the management of CKD-related anemia.

Jay B. Wish, MD
Professor of Medicine
Case Western Reserve University
Medical Director of Hemodialysis Unit
University Hospitals of Cleveland
Cleveland, OH

Brian J. G. Pereira, MD
Professor of Medicine
Tufts University School of Medicine
President, Advanced Magnetics, Inc.
Boston, MA

George Aronoff, MD
Chief, Division of Nephrology
Department of Medicine
Professor of Medicine and Pharmacology
University of Louisville
Louisville, KY

Satellite symposia are not part of official RPA annual meeting events as planned by the RPA Program Committee.

This group of talks has a single post-test. Participants must pass the post-test with a score of 80% or higher, and complete the registration for credit and evaluation forms to obtain credit. The links to the post-test and required forms appear on the individual talk pages.
Date of Web Release: July 25, 2006
CME Credit Eligible Through: July 25 , 2007

Physicians (ACCME): 1.25 AMA PRA Category 1 Credit(s)™
Nurses (ANCC-COA and CA-BRN): 1.5 contact hours
Other Participants (IACET): 0.10 CEU’s
Target Audiences: This program has been designed to meet the educational needs of nephrologists, nephrology nurses, practice managers, advanced practice nurses, and physician assistants who manage patients with chronic kidney disease (CKD)-related anemia. The Institute for Continuing Healthcare Education plans and implements continuing education activities that are fair, balanced, evidence based, evaluated for bias, and in the best interest of the public.
Method of Participation:
To receive a certificate of credit, registrants must first review the statement of educational need, the learning objectives, and the faculty disclosure information, then listen to and watch the lectures, pass the post-test with a score of 80% or higher, and complete the registration for credit and evaluation forms.  It should take approximately 1.25 hours to complete the entire activity.  Upon receipt of your registration for credit and evaluation forms, a certificate will be generated and mailed to the address you provide.  Forms must be received by July 25, 2007 to be eligible for continuing-education credit.  There is no registration fee to participate in this activity.

Anemia, a major consequence of CKD, is an independent risk factor for the development of cardiovascular disease, resulting in increased morbidity and mortality and decreased healthrelated quality of life (HRQOL). Despite the guidelines issued by the National Kidney Foundation-The Kidney Disease Outcomes Quality Initiative (NKF-KDOQI) for the evaluation and management of CKD-related anemia, CKD-related anemia remains underrecognized and undertreated. It is essential that all members of the health-care team who care for patients with CKD understand the importance of early identification and management of anemia in order to customize therapy that will optimize outcomes. In addition, clinicians need to gain practical knowledge of the benefits and limitations of standard-, advanced-, and extended-dosing intervals of currently available erythropoietic agents as well as the efficacy, safety, and practical value of agents in development.

The Institute for Continuing Healthcare Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Institute for Continuing Healthcare Education designates this educational activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)ô. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Institute for Continuing Healthcare Education is accredited as a provider of continuing nursing education by the American Nurses Credentialing Centerís Commission on Accreditation.

This activity offers 1.5 contact hours to participating nurses. This credit may be applied toward licensure requirements in those states that recognize American Nurses Credentialing Centerís Commission on Accreditation (ANCC-COA)-accredited providers.

Accreditation applies solely to educational activities and does not imply approval or endorsement of any commercial product by the ANCC-COA. The Institute for Continuing Healthcare Education is approved by the California Board of Registered Nursing, Provider Number 13313. The Institute for Continuing Healthcare Education approves this activity for 1.5 contact hours. Susan R. Grady, RNC, MSN, is the nurse planner for this activity.


The Institute for Continuing Healthcare Education (Vox Medica) has been reviewed and approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1620 I Street, NW, Suite 615, Washington, DC 20006. The Institute for Continuing Healthcare Education has awarded 0.10 CEUís to participants who successfully complete this program.

This activity is supported by an educational grant from Roche Laboratories Inc.

The Institute for Continuing Healthcare Education recognizes and adheres to the ACCME Standards for Commercial Support of Continuing Medical Education.

The Institute for Continuing Healthcare Education and HDCN have have conflict of interest policies that require course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials. It is not assumed that these financial interests or affiliations will have an adverse impact on faculty presentations; they are simply noted here to fully inform participants. Speaker disclosures are posted on each individual talk page.

The opinions expressed on this Web site are those of the participating faculty and not those of the Institute for Continuing Healthcare Education, Roche Laboratories Inc., or any manufacturers of products mentioned herein.

The information is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a health-care professional regarding diagnostic and treatment options of a specific patient’s medical condition. In no event will the Institute for Continuing Healthcare Education be responsible for any decision made or action taken based upon the information provided through this activity. Participants are encouraged to consult the package insert for all products for updated information and changes regarding indications, dosages, and contraindications. This recommendation is particularly important with new or infrequently used products.

Copyright 2006, Institute for Continuing Healthcare Education (the Institute). All rights reserved. No part of this presentation may be reproduced or transmitted in any other form or by any means, electronic or mechanical, without first obtaining written permission from the Institute.

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients’ conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.

To complete this educational activity, the user will need Windows or Macintosh operating software, and a connection to the Internet with a 28.8 kbps modem or better. The computer should have an audio card with speakers. An audio player, either the Windows Media Player from Microsoft or the Real Player from Real Media (www.real.com) is required and either can be downloaded for free per instructions on the individual lecture pages. Flash version 8.0 is required for the full-screen slide version of the program. Acrobat Reader is required to print the certificate of credit, and this can be download free from www.adobe.com.

For any questions concerning this specific activity please send an e-mail to info@iche.edu or call HDCN at 630-325-3276 during normal business hours.