Anemia is relatively common in the immediate period (first 3 months) following a renal transplant. Poesen et al identified risk factors which can help to identify a patient who may benefit from an intervention. The authors are from University Hospital Leuven in Belgium.

Patient selection: renal transplant patient during the first 3 months after transplant


Outcome: anemia (<= 13 g/dL for males; <= 12 g/dL for females)


Risk factors for lower hemoglobin at 3 months after the transplant:

(1) older donor

(2) poor graft function (low eGFR at three months)

(3) low iron stores, especially if there is interruption of iron supplements

(4) discontinuation of erythropoiesis-stimulating drugs after the transplant

(5) pre-transplant anemia

(6) longer hospital stay after transplant



• Donor age had a mean of 45 years +/- 15. A donor age > 50 will be used to indicate an older donor.


Risk factors for anemia soon after transplant (or during follow-up period):

(1) increased blood loss during surgery

(2) repeated phlebotomies for diagnostic testing


Factors associated with a higher hemoglobin at 3 months after transplant:

(1) history of polycystic disease

(2) male gender

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