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Collecting and using patient and treatment center data to improve care: Adequacy of hemodialysis and end-stage renal disease surveillance1  William M.

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Presentation on theme: "Collecting and using patient and treatment center data to improve care: Adequacy of hemodialysis and end-stage renal disease surveillance1  William M."— Presentation transcript:

1 Collecting and using patient and treatment center data to improve care: Adequacy of hemodialysis and end-stage renal disease surveillance1  William M. Mcclellan, Jenna Osborne Krisher  Kidney International  Volume 57, Pages S7-S13 (January 2000) DOI: /j x Copyright © 2000 International Society of Nephrology Terms and Conditions

2 Figure 1 Geographic location of the 18 ESRD Networks. The networks are regional ESRD surveillance systems under contract to the Health Care Financing Administration. They are responsible for quality assurance. Data collected by the networks are transmitted to the United States Renal Data System (USRDS) for compilation of the USRDS annual data report. Kidney International  , S7-S13DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

3 Figure 2 Facility-specific unadjusted (•) and crude case-mix adjusted (▴) relative risk for death by dialysis facility. Unadjusted and adjusted estimates of the risk for death are relative to those of the largest facility. Estimates are ranked by adjusted mortality (bars indicate CI adjusted relative risk). The adjusted rates were controlled for age, race, diabetic renal failure, angina pectoris, congestive heart failure, nutritional status and functional status. Figure reprinted with permission from13. Kidney International  , S7-S13DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

4 Figure 3 Distribution of preintervention mean URR among 213 treatment centers in Network 6 in Figure reprinted with permission from19. Kidney International  , S7-S13DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

5 Figure 4 Kaplan-Meier plot of release from close monitoring of 22 treatment centers in Network 6 that were selected for targeted intervention in March Facilities were released from close monitoring when they reached target dialysis adequacy goals. Figure reprinted with permission from19. Kidney International  , S7-S13DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions

6 Figure 5 Annual distribution of urea reduction ratios for nationally representative samples of adult in-center hemodialysis patients alive on December 31 of each year and who had been treated for at least three months. Reprinted with permission from20. Kidney International  , S7-S13DOI: ( /j x) Copyright © 2000 International Society of Nephrology Terms and Conditions


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