Failure to meet targets compromises outcomes of long-term hemodialysis
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Since 1994, the Centers for Medicare & Medicaid Services have conducted a national program to promote adherence to guidelines for the care of patients receiving dialysis. In a retrospective study of over 15,000 patients on long-term hemodialysis from 2,668 dialysis centers, however, Rocco et al. report a surprising failure of the centers to meet recommended targets, and a strong relationship between this inadherence and high hospitalization and mortality rates.
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