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Effectiveness of Care: End Stage Renal Disease
Management of End Stage Renal Disease
Hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater)
Hemodialysis patients with hemoglobin 11gm/dL or greater
Hemodialysis patients with arteriovenous fistulas as primary mode of vascular access
Renal Transplantation
Dialysis patients registered on the waiting list for transplantation
Patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list
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Management of End Stage Renal Disease
Measure Title
Hemodialysis patients with adequate dialysis (urea reduction ratio 65% or greater).
Measure Source
Centers for Medicare & Medicaid Services (CMS), End Stage Renal Disease Clinical Performance Measures Project.
Tables
34 Hemodialysis patients with urea reduction ratio 65% or higher, United States, 2005, by
Data Source
CMS, ESRD Clinical Performance Measures Project.
Denominator
Hemodialysis patients age 18 and older.
Numerator
Subset of the denominator population with urea reduction ratio 65 or greater.
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Management of End Stage Renal Disease
Measure Title
Hemodialysis patients with hemoglobin 11gm/dL or greater.
Measure Source
Centers for Medicare & Medicaid Services (CMS), End Stage Renal Disease Clinical Performance Measures Project.
Tables
35 Hemodialysis patients with hemoglobin 11 gm/dL or higher, United States, 2005, by
Data Source
CMS, ESRD Clinical Performance Measures Project.
Denominator
Hemodialysis patients age 18 and older.
Numerator
Subset of the denominator population with hemoglobin 11g/dL or higher.
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Management of End Stage Renal Disease
Measure Title
Hemodialysis patients with arteriovenous fistulas as primary mode of vascular access.
Measure Source
Centers for Medicare & Medicaid Services (CMS), End Stage Renal Disease Clinical Performance Measures Project.
Tables
36 Hemodialysis patients with arteriovenous fistula as primary mode of vascular access, United States, 2005, by
Data Source
CMS, ESRD Clinical Performance Measures Project.
Denominator
Hemodialysis patients age 18 and older.
Numerator
Subset of the denominator population who were dialyzed using an arteriovenous fistula at the last hemodialysis treatment.
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Renal Transplantation
Measure Title
Dialysis patients registered on the waiting list for transplantation.
Measure Source
Healthy People 2010.
Tables
37 Dialysis patients registered on the waiting list for transplantation, United States, 2003, by
Data Source
National Institutes for Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), United States Renal Data System (USRDS).
Denominator
Number of persons with end stage renal disease on dialysis under age 70.
Numerator
Number of persons under age 70 registered on the kidney transplant waiting list on December 31 of measure year.
Comments
This measure is referred to as measure 4-5 in Healthy People 2010 documentation.
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Renal Transplantation
Measure Title
Patients with treated chronic kidney failure who receive a transplant within 3 years of registration on the waiting list.
Measure Source
Healthy People 2010.
Tables
38 Persons receiving a kidney transplant within 3 years of date of renal failure, United States, 2001, by
Data Source
National Institutes for Health (NIH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), United States Renal Data System (USRDS).
Denominator
Medicare-eligible persons with end stage renal disease on dialysis under age 70.
Numerator
Number of persons under age 70 registered on the kidney transplant waiting list receiving a kidney within 3 years of renal failure.
Comments
Note that the Healthy People 2010 measure refers to "within 3 years of registration on a waiting list." Measuring transplants within 3 years of renal failure yields a more complete picture of access to transplantation.
This measure is referred to as measure 4-6 in Healthy People 2010 documentation.
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