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This review compares the efficacy and adverse effects of specific erythropoietic stimulants (i.e., epoetin [alfa or beta], darbepoetin alfa) when used to manage anemia in patients undergoing cancer therapy (i.e., chemotherapy and/or radiation). This review also addresses questions relevant to optimizing the use of erythropoietic stimulants as a general class: the outcomes of using alternative thresholds to initiate or discontinue treatment and whether there are early predictors of response to treatment.
Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Contract No. 290-02-0026. Prepared by: Blue Cross and Blue Shield Association Technology Evaluation Center EPC, Chicago, Illinois.