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Adequacy of Dialysis

Network 8 Performance - Hemodialysis Adequacy
% of patients with Kt/V greater than or equal to 1.2
  1999 2000 2001 2002 2003 2004 2005 2006 2007
CPM - NW
Kt/V 		88% 89% 89% 90% 89% 92% 91% 91% 93%
CPM - NW
URR 		NA 85% 84% 87% 86% 86% 85% 89% 90%
CPM - US
Kt/V		 84% 86% 89% 89% 91% 91% 91% 90% 91%
CPM - US
URR 		NA 82% 84% 86% 87% 88% 88% 88% 88%
ELAB - NW
Kt/V		 NA NA 92% 92.8% 92.9% NA 92.1% 93.9% 94.3%
ELAB - NW
URR		 NA NA 86.6% 88.9% 87.1% 89.2% 87.9% 88.6% 89.6%
CMS Goal 84% of HD patients with Kt/V of 1.2 or 80% with URR greater than or equal to 65%
Years above indicate the timeframe from which the data was collected.
NR = Not released

According to the K/DOQI guidelines, while life expectancy for the general population in the United States exceeds that of other industrialized nations, life expectancy for ESRD patients falls below that of other countries. On average, the five-year survival probability for all incident (new start) patients is only 38%. For this same group of patients that are age 65 and older, the five-year survival probability drops to 18%. Several reasons for the shortened lifespan of dialysis patients in the US have been theorized, not the least of which is differences in delivery of dialysis. While many factors impact both the quality and quantity of life for dialysis patients, it is widely accepted that increased mortality strongly correlates with inadequate dialysis. To assist with the identification of factors leading to inadequate dialysis, the following tools are available. As always, please contact the Network 8, Inc. QI department if more information or assistance is needed.

Tools and Resources