ASH Comments About Proposed AHRQ Update Report on ESA Usage in Cancer

ASH has submitted comments to the Agency for Healthcare Research and Quality (AHRQ) about its proposed key questions for the 2010 update of the 2006 report on Comparative Effectiveness of Epoetin and Darbepoetin for Managing Anemia in Patients Undergoing Cancer Treatment. ASH noted the importance of including comparative effectiveness (including potential harms) of non-erythropoiesis-stimulating agent (ESA) therapies such as transfusions in the considerations of anemia management for patients with cancer; suggested consideration of the dose density/intensity of the ESA, particularly in those recipients who do not initially respond to ESA with a hemoglobin increase; and acknowledged the limitations of current understanding of the reasons why cancer patients treated with ESAs may be at increased risk of harm.

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