A recent study showed that patients with end-stage kidney disease treated with hemodialysis worldwide have seen improved survival rates over a 20-year period. The biggest gains were in the United States, with reduced mortality rates. Factors such as reducing serum phosphorus, improved fluid management, and better Kt/V among patients have contributed to this improvement. The study looked at practices in hemodialysis facilities in various countries and found that certain practices, such as AV fistula use and phosphorus control, were associated with improved patient survival. Further improvements in these practices could lead to further reductions in mortality rates among hemodialysis patients.
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Phosphate control, fistula rate lowered mortality in U.S. patients on hemodialysis
