Trends in treatment and survival for hemodialysis patients in the United States.

摘要: Abstract Details regarding dialysis therapy have been studied by the US Renal Data System (USRDS) in four random samples of hemodialysis patients during years 1986 to 1997. During this decade, delivered dose has increased at least 0.2 Kt/V. The frequency twice weekly prescription decreased, whereas duration each treatment showed only minor changes. A large shift more biocompatible membranes, particularly synthetic was observed. use acetate dialysate almost disappeared. Outcomes research USRDS significantly lower mortality risk associated independently with higher Kt/V, substituted cellulose or and bicarbonate dialysate. projected reduction from these changes a similar magnitude observed 14% 17% rate 1990 1996. National observational studies may influence practice lead improved survival. (Am J Kidney Dis 1998 Dec;32(6 Suppl 4):S34-8)