Haemodialysis adequacy outcomes. More recently, haemodiafiltration has been reported Various measures of the adequacy of to be with improved. the haemodialysis dose are used by Future reports will include the use of dialysis services. These are commonly haemodiafiltration and high-flux the amount of urea removed by dialysis. dialysis at each dialysis session The proportion of patients at each (measured using the urea reduction DHB who received a URR was: ≥65% ratio (URR) or Kt/V). Northland: 81.7% Many treating DHBs do not measure Waitemata: 60.8% or report dialysis adequacy. Missing Auckland: 53.3% data represent differing practice Counties Manukau: 58.6% patterns and the difficulty in Waikato: 65.8% Hawke’s Bay: 74.6% measuring dialysis adequacy for Taranaki: 65.5% home-based haemodialysis. MidCentral: 80% Capital & Coast: 63.0% It is unclear whether dialysis Canterbury: Not estimable clearances are associated with patient Southern: Not estimable.
Haemodialysis adequacy Various measures of the adequacy of the haemodialysis dose are used by dialysis services. These are commonly the amount of urea removed by dialysis at each dialysis session (measured using the urea reduction ratio (URR) or Kt/V). Many treating DHBs do not measure or report dialysis adequacy. Missing data represent differing practice patterns and the difficulty in measuring dialysis adequacy for home-based haemodialysis. It is unclear whether dialysis clearances are associated with patient outcomes. More recently, haemodiafiltration has been reported to be with improved. Future reports will include the use of haemodiafiltration and high-flux dialysis. The proportion of patients at each DHB who received a URR ≥65% was: Northland: 81.7% Waitemata: 60.8% Auckland: 53.3% Counties Manukau: 58.6% Waikato: 65.8% Hawke’s Bay: 74.6% Taranaki: 65.5% MidCentral: 80% Capital & Coast: 63.0% Canterbury: Not estimable Southern: Not estimable.
nz-care-processes-and-treatment-targets-report-2015.docx