Control-relevant erythropoiesis modeling in end-stage renal disease

IEEE Trans Biomed Eng. 2014 Mar;61(3):658-64. doi: 10.1109/TBME.2013.2286100. Epub 2013 Oct 16.

Abstract

Anemia is prevalent in end-stage renal disease (ESRD). The discovery of recombinant human erythropoietin (rHuEPO) over 30 years ago has shifted the treatment of anemia for patients on dialysis from blood transfusions to rHuEPO therapy. Many anemia management protocols (AMPs) used by clinicians comprise a set of experience-based rules for weekly-to-monthly titration of rHuEPO doses based on hemoglobin (Hb) measurements. In order to facilitate the design of an AMP using model-based feedback control theory, we present a physiologically relevant erythropoiesis model and demonstrate its applicability using clinical data.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Algorithms
  • Anemia* / drug therapy
  • Anemia* / etiology
  • Anemia* / physiopathology
  • Drug Monitoring
  • Erythropoiesis / drug effects*
  • Erythropoietin / administration & dosage
  • Erythropoietin / pharmacokinetics
  • Erythropoietin / pharmacology
  • Erythropoietin / therapeutic use
  • Humans
  • Kidney Failure, Chronic* / complications
  • Kidney Failure, Chronic* / drug therapy
  • Kidney Failure, Chronic* / physiopathology
  • Models, Biological*
  • Models, Statistical
  • Recombinant Proteins / administration & dosage
  • Recombinant Proteins / pharmacokinetics
  • Recombinant Proteins / pharmacology
  • Recombinant Proteins / therapeutic use

Substances

  • Recombinant Proteins
  • Erythropoietin