Rajiv Saran, MD, MS, Bernard J. Canaud, MD, Thomas A

Slides:



Advertisements
Similar presentations
Commentary on ‘The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral.
Advertisements

American Journal of Kidney Diseases
Renal Function Testing
Volume 69, Issue 11, Pages (June 2006)
Lilia Cervantes, Monica Grafals, Rudolph A. Rodriguez 
Douglas S. Fuller, MS, Ronald L. Pisoni, PhD, MS, Brian A
Peritoneal dialysis American Journal of Kidney Diseases
Regional Differences in the Associations Between Prescribed Dialysate Sodium Concentration and Interdialytic Weight Gain in the Dialysis Outcomes and.
Hypertension in the hemodialysis patient and the “lag phenomenon”: insights into pathophysiology and clinical management  Uday M Khosla, MD, Richard J.
Care of the Undocumented Immigrant in the United States With ESRD
Dorian Schatell, MS, Meg Wise, PhD, Kristi Klicko, CHES, Bryan N
Surviving the First Year of Peritoneal Dialysis: Enduring Hard Times
Association of Physical Activity and Renal Function in Subjects With and Without Metabolic Syndrome: A Review of the Third National Health and Nutrition.
Amir Said Alizadeh Naderi, MD, Biff F. Palmer, MD 
Clinical Practice Guidelines for Hemodialysis Adequacy, Update 2006
Impact of Comorbidities on Mortality in Managed Care Patients With CKD
Dialysis Facility Ownership and Epoetin Dosing in Hemodialysis Patients: A Dialysis Provider’s Perspective  J. Michael Lazarus, MD, Raymond M. Hakim,
Solute-Solver: A Web-Based Tool for Modeling Urea Kinetics for a Broad Range of Hemodialysis Schedules in Multiple Patients  John T. Daugirdas, MD, Thomas.
Recognition for Conservative Care in Kidney Failure
Quiz Page July 2009 American Journal of Kidney Diseases
Kidney Disease Outcomes Quality Initiative (K/DOQI) and the Dialysis Outcomes and Practice Patterns Study (DOPPS): Nutrition guidelines, indicators, and.
American Journal of Kidney Diseases
Daniel E. Weiner, MD, MS  American Journal of Kidney Diseases 
Salt and Hypertension American Journal of Kidney Diseases
The DOPPS Practice Monitor for US Dialysis Care: Update on Trends in Anemia Management 2 Years Into the Bundle  Douglas S. Fuller, MS, Ronald L. Pisoni,
In Reply to ‘The US Renal Data System “Pie Chart of Death”’
Joseph A. Vassalotti, MD, Lesley A. Stevens, MD, MS, Andrew S
Anemia management for hemodialysis patients: Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines and Dialysis Outcomes and Practice Patterns.
Dorothea Nitsch, MD, MSc  American Journal of Kidney Diseases 
Hemoglobin Level and Transfusions in Patients on Maintenance Dialysis: Where the Rubber Meets the Road  Eduardo Lacson, MD, MPH, Franklin Maddux, MD 
Iain C. Macdougall, MD  American Journal of Kidney Diseases 
David C. Mendelssohn, MD, FRCPC, Jay B. Wish, MD 
On Statin Treatment to Prevent Sepsis in Dialysis Patients
Michael Copland, MD, Paul Komenda, MD, Eric D
Factors Influencing Route of Administration for Epoetin Treatment Among Hemodialysis Patients in the United States  Mae Thamer, PhD, Yi Zhang, DDS, MS,
This Month in AJKD American Journal of Kidney Diseases
Donna L. Mapes, DNSc, Jennifer L
Hypertension in the hemodialysis patient and the “lag phenomenon”: insights into pathophysiology and clinical management  Uday M Khosla, MD, Richard J.
Interdialytic Weight Gain: Trends, Predictors, and Associated Outcomes in the International Dialysis Outcomes and Practice Patterns Study (DOPPS)  Michelle.
Kidney Disease Among African Americans: A Population Perspective
CPR 1.2.: Evaluation of Anemia in CKD
A Role for Bromine Deficiency in Sleep Disturbances of Long-Term Dialysis Patients  Caterina Canavese, MD, Ester De Costanzi, MD, Piero Stratta, MD, Enrico.
A Timely Evaluation of the Psychometric Properties of the KDQOL-36
The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral and Bone Disorder.
Study Designs in Patient-Oriented Research
Drug Dose Adjustments in Patients With Renal Impairment
Dennis G. Moledina, MD, Mark A. Perazella, MD 
Erratum American Journal of Kidney Diseases
Peter A. McCullough, MD, MPH, Christopher T. Chan, MD, Eric D
Daniel E. Weiner, MD, MS, Mark J. Sarnak, MD, MS 
George L. Bakris, MD, John M. Burkart, MD, Eric D
KDOQI Clinical Practice Guideline and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease: 2007 Update of Hemoglobin Target    American.
Risk for Incident Renal Dialysis in a Managed Care Population
Trial Quality in Nephrology: How Are We Measuring Up?
Multidrug-Resistant Organisms Within the Dialysis Population: A Potentially Preventable Perfect Storm  David P. Calfee, MD, MS  American Journal of Kidney.
Making Music American Journal of Kidney Diseases
Erratum American Journal of Kidney Diseases
Kidney Failure Treatment: The Freedom to Choose
Ronald L. Pisoni, PhD, MS, Brenda W. Gillespie, PhD, David M
August Heidland, MD, Udo Bahner, MD, Spiros Vamvakas, MD 
In the Literature: Cognitive Impairment in Hemodialysis Patients
Achieving Fairness in Access to Kidney Transplant: A Work in Progress
American Journal of Kidney Diseases
Commentary on ‘The DOPPS Practice Monitor for US Dialysis Care: Potential Impact of Recent Guidelines and Regulatory Changes on Management of Mineral.
Anil K. Saxena, MD, B.R. Panhotra, MD, PhD, MNAMS 
Supportive care for patients with renal disease: Time for action
This Month in AJKD American Journal of Kidney Diseases
Dialysis Research and N-of-1 Trials: Made for Each Other?
Clinical Practice Recommendations For Peritoneal Dialysis Adequacy
Clinical Practice Guidelines for Peritoneal Dialysis Adequacy
Presentation transcript:

Dose of dialysis: Key lessons from major observational studies and clinical trials  Rajiv Saran, MD, MS, Bernard J. Canaud, MD, Thomas A. Depner, MD, Marcia L. Keen, PhD, Keith P. McCullough, MS, Mark R. Marshall, MD, Friedrich K. Port, MD, MS  American Journal of Kidney Diseases  Volume 44, Pages 47-53 (November 2004) DOI: 10.1053/j.ajkd.2004.08.011 Copyright © 2004 National Kidney Foundation, Inc. Terms and Conditions

Fig 1 Relative mortality risk (on a log scale) and standard error bars by sex and dialysis dose, as measured by eKt/V. The data points are for quartiles of patients after excluding those with eKt/V <1.05. The reference group is males in the lowest eKt/V quartile. Adjustments include the factors listed for the DOPPS in Table 1, in addition to weight, height, vascular access type at time of dose measurement, education, nursing home status, skipped or shortened treatments in the month before eKt/V measurement, country, and accounting for facility clustering effects. Lines connect the relative risks in the respective eKt/V quartiles at the average values for sex group within the quartile. The smallest sample sizes were for lowest dose females and highest does male groups (n = 694 and 740, respectively). Reprinted from Port et al,23 © 2004, with permision from the National Kidney Foundation. American Journal of Kidney Diseases 2004 44, 47-53DOI: (10.1053/j.ajkd.2004.08.011) Copyright © 2004 National Kidney Foundation, Inc. Terms and Conditions