Recommended Citation
Kramer H, Yee J, Weiner DE, Bansal V, Choi MJ, Brereton L, Berns JS, Samaniego-Picota M, Scheel P, Jr., and Rocco M. Ultrafiltration rate thresholds in maintenance hemodialysis: An nkf-kdoqi controversies report. Am J Kidney Dis 2016; 68(4):522-532.
Document Type
Article
Publication Date
10-1-2016
Publication Title
American journal of kidney diseases : the official journal of the National Kidney Foundation
Abstract
High hemodialysis ultrafiltration rate (UFR) is increasingly recognized as an important and modifiable risk factor for mortality among patients receiving maintenance hemodialysis. Recently, the Kidney Care Quality Alliance (KCQA) developed a UFR measure to assess dialysis unit care quality. The UFR measure was defined as UFR≥13mL/kg/h for patients with dialysis session length less than 240 minutes and was endorsed by the National Quality Forum as a quality measure in December 2015. Despite this, implementation of a UFR threshold remains controversial. In this NKF-KDOQI (National Kidney Foundation-Kidney Disease Outcomes Quality Initiative) Controversies Report, we discuss the concept of the UFR, which is governed by patients' interdialytic weight gain, body weight, and dialysis treatment time. We also examine the potential benefits and pitfalls of adopting a UFR threshold as a clinical performance measure and outline several aspects of UFR thresholds that require further research.
Medical Subject Headings
Heart Failure; Humans; Hypertension; Kidney Failure, Chronic; Practice Guidelines as Topic; Renal Dialysis; Ultrafiltration
PubMed ID
27449697
Volume
68
Issue
4
First Page
522
Last Page
532
