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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nid</journal-id><journal-title-group><journal-title xml:lang="ru">Нефрология и диализ</journal-title><trans-title-group xml:lang="en"><trans-title>Nephrology and Dialysis</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1680-4422</issn><issn pub-type="epub">2618-9801</issn><publisher><publisher-name>Российское диализное общество</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">nid-422</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Российские национальные рекомендации по диагностике и лечению анемии при хронической болезни почек</article-title><trans-title-group xml:lang="en"><trans-title>Russian national clinical recommendations for diagnosis and treatment of anemia in chronic kidney disease</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шило</surname><given-names>В. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Shilo</surname><given-names>V. Yu.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Земченков</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Zemchenkov</surname><given-names>A. Yu.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гуревич</surname><given-names>К. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Gurevich</surname><given-names>K. Ya.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Добронравов</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Dobronravov</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лысенко</surname><given-names>(Козловская) Л.В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lysenko</surname><given-names>(Kozlovskaya) L.V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермоленко</surname><given-names>В. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermolenko</surname><given-names>V. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Смирнов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Smirnov</surname><given-names>A. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Томилина</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tomilina</surname><given-names>N. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хасабов</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Khasabov</surname><given-names>N. N.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шилов</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Shilov</surname><given-names>E. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шостка</surname><given-names>Г. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Shostka</surname><given-names>G. D.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российское Диализное Общество; Общество Нефрологов России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Dialysis Society; Nephrology Society of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>19</day><month>08</month><year>2024</year></pub-date><volume>18</volume><issue>1</issue><fpage>19</fpage><lpage>34</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шило В.Ю., Земченков А.Ю., Гуревич К.Я., Добронравов В.А., Лысенко (.Л., Ермоленко В.М., Смирнов А.В., Томилина Н.А., Хасабов Н.Н., Шилов Е.М., Шостка Г.Д., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Шило В.Ю., Земченков А.Ю., Гуревич К.Я., Добронравов В.А., Лысенко (.Л., Ермоленко В.М., Смирнов А.В., Томилина Н.А., Хасабов Н.Н., Шилов Е.М., Шостка Г.Д.</copyright-holder><copyright-holder xml:lang="en">Shilo V.Y., Zemchenkov A.Y., Gurevich K.Y., Dobronravov V.A., Lysenko (.L., Ermolenko V.M., Smirnov A.V., Tomilina N.A., Khasabov N.N., Shilov E.M., Shostka G.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.nephro.ru/jour/article/view/422">https://journal.nephro.ru/jour/article/view/422</self-uri><abstract><p>Российские национальные рекомендации по диагностике и лечению анемии при хронической болезни почек являются обновлением национальных рекомендаций, подготовленных Рабочей группой по анемии в 2006 году, и учитывают накопленную информацию, полученную в ходе первичного и повторных анализов результатов крупных международных клинических исследованиях и их мета-анализов, опубликованных до декабря 2015 года. Учтены выводы и положения рекомендаций KDIGO (2012), ряда национальных и европейских рекомендаций и комментариев к ним, а также имеющаяся информация об особенностях российской популяции и реальной клинической практики. Целевым уровнем гемоглобина для всех пациентов с ХБП определен диапазон от 100 до 120 г/л, выделены группы пациентов, которые могут получить преимущества от уровней гемоглобина вблизи нижней и верхней границ диапазона. Определены алгоритмы обследования и терапии при анемии, а также при недостаточном ответе на терапию. Первой линией терапии часто являются препараты железа; введена рекомендация по ограничению эскалации дозы эритропоэтина при недостаточном ответе. Увеличение недельной дозы эритропоэтина более 12 тыс. МЕ/неделю редко приводит к повышению уровня гемоглобина, но увеличивает риски, связанные с терапией эритропоэтином. Сохранено крайне консервативное отношение к гемотрансфузиям.</p></abstract><trans-abstract xml:lang="en"><p>Russian national clinical recommendations for diagnosis and treatment of anemia in chronic kidney disease are renewal of the national recommendations issued in 2006 by Anemia Working Group previously and accumulate information from large multicenter clinical trials and re-analysis and meta-analysis of data published until December 2015. The working group considered statements and rationales of KDIGO (2012), other national guidelines and position statements as well as Russia population feature and real practice conditions. The target level for hemoglobin is defined as 10.0-12.0 g/dl. The groups of patients, which can benefit with hemoglobin level close to lower and upper border of the target range are described. The algorithms of patient evaluation and therapy are recommended as well as the evaluation of non-responders. First line therapy in most cases is iron; the erythropoietin (EPO) dose escalation in resistant cases should be limited. The exceeding of weekly dose of 12,000 IE rarely leads to hemoglobin increase but extends the risks linked to EPO therapy. Blood transfusion is indicated in very limited number of conditions.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>клинические рекомендации</kwd><kwd>анемия</kwd><kwd>препараты железа</kwd><kwd>эритропоэтин</kwd><kwd>средства</kwd><kwd>стимулирующие эритропоэз</kwd><kwd>целевой диапазон гемоглобина</kwd><kwd>гемотрансфузии</kwd><kwd>Clinical Practice Guideline</kwd><kwd>anemia</kwd><kwd>iron</kwd><kwd>erythropoietin</kwd><kwd>erythropoiesis-stimulating agent</kwd><kwd>hemoglobin target range</kwd><kwd>red cell transfusion</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Бикбов Б.Т., Томилина Н.А. 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