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CPM 2007 ESRD Outcome Comparison
Tool
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Adult In-Center Hemodialysis
Patients
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National and Network data are from
October-December 2006
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US
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Network
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Facility
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ADEQUACY OF DIALYSIS
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Percent of patients with a mean spKt/V > 1.2
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90%
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89%
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Median spKt/V
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1.55
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1.58
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Median dialysis session length (minutes)
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213
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229
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Median URR (%)
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73
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74
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VASCULAR ACCESS
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Percent of prevalent patients dialyzed with
an AV fistula *
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45%
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61%
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Percent of incident patients dialyzed with
an AV fistula
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41%
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56%
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Percent of prevalent patients dialyzed with
an AV Graft
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24%
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15%
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Percent of prevalent patients dialyzed with
a catheter
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29%
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22%
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Percent of prevalent patients dialyzed with
a catheter 90 days or more
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22%
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16%
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ANEMIA MANAGEMENT
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Percent of patients with mean Hgb 11.0 g/dL or more
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84%
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87%
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Percent of patients with mean Hgb 11.0 – 12.0 g/dL **
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33%
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35%
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Percent of patients with mean Hgb < 10.0 g/dL
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5%
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4%
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Median Hgb (g/dL)
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12.1
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12.1
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Percent of patients with mean TSAT 20% or
more
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79%
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74%
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Median TSAT (%)
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26
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24
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Percent of patients with mean serum ferritin concentration > 100 ng/mL
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95%
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93%
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Median serum ferritin
concentration (ng/mL)
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529
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445
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Percent of patients prescribed IV iron
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70%
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72%
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SERUM ALBUMIN
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Percent of patients with mean serum albumin
> 4.0/3.7 g/dL (BCG/BCP)
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34%
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34%
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Percent of patients with mean serum albumin
> 3.5/3.2 g/dL (BCG/BCP)
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81%
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82%
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Median serum albumin (g/dL)
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BCG
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3.8
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3.9
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BCP
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3.5
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3.4
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CALCIUM
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Percent of patients with adjusted calcium
8.4 – 10.2 mg/dL
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83%
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81%
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Percent of patients with monthly calcium
reported
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89%
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86%
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Median calcium (mg/dL)
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9.3
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9.2
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PHOSPHORUS
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Percent of patients with mean phosphorus 3.5
– 5.5 mg/dL
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52%
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54%
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Percent of patients with monthly phosphorus
reported
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89%
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87%
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Median phosphorus (mg/dL)
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5.2
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5.2
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* CMS goal: at least 66% of prevalent hemodialysis patients using AVF by the year 2009.
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** Denominator excludes patients with hgb 12 or higher that are not using ESA
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Note: To convert hemoglobin conventional
units of g/dL to SI units (g/L), multiply by 10.
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Note: To convert serum albumin conventional
units of g/dL to SI units (g/L), multiply by 10.
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Note: To convert calcium conventional units
of mg/dL to SI units (mg/L), multiply by 10.
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Note: To convert phosphorus conventional
units of mg/dL to SI units (mg/L), multiply by 10.
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