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In <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan, the strategy of management of anaemia in patients with <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> was different from many other parts of the world. In 1996, the National Health Insurance Administration of <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan applied a more restrictive reimbursement criteria for <jats:styled-content style=\"fixed-case\">ESA<\/jats:styled-content> use in patients with <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">ESA<\/jats:styled-content> is to be initiated when non\u2010dialysis <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> patients have a serum creatinine &gt;6\u2009mg\/dL and a hematocrit &lt;28% to maintain a hematocrit level not exceeding 30%. The maximal dose of epoetin\u2010\u03b1 or \u03b2 was 20\u2009000\u2009<jats:styled-content style=\"fixed-case\">U<\/jats:styled-content> per month. The target haemoglobin range and dose limitation for <jats:styled-content style=\"fixed-case\">ESAs<\/jats:styled-content> were the same for dialysis <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> patients. Thus, long before randomized controlled trials showing an increased risk for cardiovascular events at nearly normal haemoglobin concentrations and higher <jats:styled-content style=\"fixed-case\">ESA<\/jats:styled-content> doses in <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content>, nephrologists in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan had avoided the use of disproportionately high dosages of <jats:styled-content style=\"fixed-case\">ESAs<\/jats:styled-content> to achieve a haemoglobin level of 10\u201311\u2009g\/dL. Moreover, intravenous iron supplementation was encouraged earlier in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan in 1996, when we reached consensus on the diagnostic criteria for iron deficiency (serum ferritin &lt;300\u2009ng\/mL and\/or transferrin saturation &lt;30%). The experience of <jats:styled-content style=\"fixed-case\">CKD<\/jats:styled-content> anaemia management in <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>aiwan demonstrated that a reasonable haemoglobin target can be achieved by using the lowest possible <jats:styled-content style=\"fixed-case\">ESA<\/jats:styled-content> dose and intravenous iron supplementation.<\/jats:p>","DOI":"10.1111\/nep.12332","type":"journal-article","created":{"date-parts":[[2014,8,26]],"date-time":"2014-08-26T03:59:10Z","timestamp":1409025550000},"page":"735-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Anaemia management in patients with chronic kidney disease: <scp>T<\/scp>aiwan practice guidelines"],"prefix":"10.1111","volume":"19","author":[{"given":"Szu\u2010Chun","family":"Hung","sequence":"first","affiliation":[{"name":"Division of Nephrology Taipei Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation and Buddhist Tzu Chi University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ko\u2010Lin","family":"Kuo","sequence":"additional","affiliation":[{"name":"Division of Nephrology Taipei Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation and Buddhist Tzu Chi University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Der\u2010Cherng","family":"Tarng","sequence":"additional","affiliation":[{"name":"Department and Institute of Physiology National Yang\u2010Ming University  Taipei Taiwan"},{"name":"Division of Nephrology Department of Medicine Taipei Veterans General Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Cheng","family":"Hsu","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Gerontology Institute of Population Health Sciences National Health Research Institutes  Zhunan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai\u2010Szu","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Nephrology Taipei Medical University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tung\u2010Po","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Nephrology Wei Gong Memorial Hospital  Miaoli Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,18]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198701083160203"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198907203210305"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-111-12-992"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199808273390903"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa065485"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa062276"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0907845"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2012.03.011"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn406"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60952-6"},{"key":"e_1_2_3_12_1","unstructured":"United States Renal Data Systems (USRDS) 2012 annual data report."},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2004.03.023"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.382"},{"key":"e_1_2_3_15_1","unstructured":"FullerDS RobinsonBM BieberBet\u2009al.International comparisons illustrate effect of payment and regulatory changes on anemia practice in U.S. hemodialysis patients: The Dialysis Outcomes and Practice Patterns Study. 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