View K-DOQI 2015 Update: Guidelines for Hemodialysis Adequacy in Chronic Renal Disease.
The concern over the high morbidity and mortality of dialysis patients lead the renal community to develop a set of rigorous clinical practice guidelines aimed at changing nephrology practice patterns and thereby improve patient outcomes. Within the hemodialysis adequacy category, the Dialysis Outcomes Quality Initiative focuses on the minimum delivered dose and the prescribed dose of hemodialysis. Specifically, it has been determined by consensus that dialysis care teams should deliver a Kt/V of at least 1.2 (single-pool, variable-volume) for adult hemodialysis patients. For those using the URR, the delivered dose should be equivalent to a Kt/V of 1.2, i.e. an average URR of 65%.
Renal Network Resources
Below are some resources that the Network has collected and offers to facilities as tools to assist in improving the hemodialysis adequacy of your patients. The resources are only a small sample of what is available. The Network does not endorse the use of any one tool over another but offers them for your review and consideration.
Cost of Providing Adequate Hemodialysis
by Ashwini R. Sehgal, MD (DIALYSIS & TRANSPLANTATION VOLUME 32, NUMBER 9 SEPTEMBER 2003)
The Role of the Technician
by Andrew S. O’ Connor, DO1-3; Ronald P. Flauto, DO1,2; Ashwini R. Sehgal, MD1-5 (DIALYSIS & TRANSPLANTATION VOLUME 32, NUMBER 10 OCTOBER 2003)