Clinical outcomes and dialysis adequacy in adolescent hemodialysis patients

Gregory Gorman, Susan Furth, Wenke Hwang, Rulan Parekh, Brad Astor, Barbara A Fivush, Diane Frankenfield, Alicia M Neu

Research output: Contribution to journalArticle

Abstract

• Background: The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative guidelines recommend that adult hemodialysis (HD) patients receive a minimum dialysis dose by single-pooled Kt/V (spKt/V) of 1.2 or greater. There are no data to support a minimum spKt/V dose for children on HD therapy. We aim to determine the association of spKt/V with mortality and hospitalization in adolescents. Methods: Clinical characteristics of adolescent HD patients aged 12 to 18 years old included in the 2000/2001 End-Stage Renal Disease Clinical Performance Measures Project were linked to US Renal Data System data from October 1, 1999, to October 15, 2001. Hospitalization risks after adjustment for time on dialysis therapy, access, hemoglobin level, albumin level, and height were determined by means of Poisson regression. spKt/V was analyzed by the adult target (<versus

Original languageEnglish (US)
Pages (from-to)285-293
Number of pages9
JournalAmerican Journal of Kidney Diseases
Volume47
Issue number2
DOIs
StatePublished - Feb 2006
Externally publishedYes

Fingerprint

Renal Dialysis
Dialysis
Hospitalization
Kidney
Risk Adjustment
Kidney Diseases
Information Systems
Chronic Kidney Failure
Albumins
Hemoglobins
Guidelines
Mortality
Therapeutics

Keywords

  • Adequacy
  • Adolescents
  • Hemodialysis (HD)
  • Hospitalization

ASJC Scopus subject areas

  • Nephrology

Cite this

Clinical outcomes and dialysis adequacy in adolescent hemodialysis patients. / Gorman, Gregory; Furth, Susan; Hwang, Wenke; Parekh, Rulan; Astor, Brad; Fivush, Barbara A; Frankenfield, Diane; Neu, Alicia M.

In: American Journal of Kidney Diseases, Vol. 47, No. 2, 02.2006, p. 285-293.

Research output: Contribution to journalArticle

Gorman, Gregory ; Furth, Susan ; Hwang, Wenke ; Parekh, Rulan ; Astor, Brad ; Fivush, Barbara A ; Frankenfield, Diane ; Neu, Alicia M. / Clinical outcomes and dialysis adequacy in adolescent hemodialysis patients. In: American Journal of Kidney Diseases. 2006 ; Vol. 47, No. 2. pp. 285-293.
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AU - Astor, Brad

AU - Fivush, Barbara A

AU - Frankenfield, Diane

AU - Neu, Alicia M

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