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Table 1 Quality-of-care indicators, targets and references

From: Monitoring of hemodialysis quality-of-care indicators: why is it important?

Field Clinical indicator Frequency Clinical performance measures References
Anemia Hemoglobin (Hb, g/dl) M % of patients with 10 < Hb < 13 *
Dialysis dose Kt/VBCM (single-pool) S % of patients with Kt/VBCM > 1.4 EPBG 2002
Kt (liters) S % of patients with Kt > 40l (women), with Kt > 45l (men) Lowrie et al. [1416]
Bone metabolism Phosphorus (mmol/l) M % of patients with 1.13 < P < 1.78 KDOQI Bone metabolism 2003
Calcium (mmol/l) M % of patients with 2.10 < Ca < 2.38 KDOQI Bone metabolism 2003
PTH (pg/ml) Q % of patients with 150 < PTH < 300 KDOQI Bone metabolism 2003
25(OH)vitD (nmol/l) Q % of patients with 72 < vitD < 200 *
Nutrition Albumin (g/l) M % of patients with albumin > 35 *
Serum Bicarbonate (mmol/l) M % of patients with 20 < HCO3- < 24 *
LDL-cholesterol (mmol/l) Q % of patients with LDL < 2.6 *
Vascular access Arteriovenous fistula   % of patients with catheters < 7% Dopps [4]
Middle molecule removal Infusion Volume (Liters) S Infusion volume > 15 L *
β2-microglobulin (mg/l) Q % of patients with β2m < 27.5 Cheung et al. [17]
Hemodynamics Blood pressure S % of patients with pre-dialysis BP < 140/90 mmHg KDOQI 2005 [5]
  Hemodynamics instability   % of dialysis sessions with symptomatic IDH  
  1. : Targets different from available clinical practice guidelines.
  2. Frequency : S = Values collected each dialysis session ; M = monthly ; Q = quarterly.