UK Renal Registry 19th Annual Report: Chapter 6 Adequacy of Haemodialysis in UK Adult Patients in 2015: National and Centre-specific Analyses

. Data regarding the urea reduction ratio (URR) were available for analysis from 63 renal centres in the UK. . Fifty centres provided URR data on more than 90% of prevalent haemodialysis (HD) patients. . The proportion of patients in the UK who met the Renal Association clinical practice guideline for URR (.65%) increased from 77.7% in 2002 to 88.1% in 2015. . There was persistent variation observed between centres, 20 centres attaining the RA clinical practice guideline in .90% of patients and 36 centres attaining the guideline in 70–90% of patients. . Patients over the age of 70 years achieved a higher median URR (76.0%) compared to younger patients (,70 years, URR 75.0%). . The overall proportion of prevalent HD patients with a URR .65% has continued to improve over time. . Whilst the majority of UK patients achieved the target URR there was wide variation between centres in the percentage of patients achieving the current guideline target.