Editorial Exercise adequacy in dialysis

uc:uu'cLL,P. N. (2012). Exercise adequacy in dialysis. Renal Society cifAustralasia journal, 8(2), 52-53. Dialysis adequacy Since the early 1980s, dialysis adequacy has been predominantly associated with small solute clearance of urea, most often urea reduction ratios (URRs) or Kt/V, where K=clearance, t=time andV=volume. In parts of the world the reliance on a minimum value of Kt/V had the unfortunate effect of decreasing dialysis treatment times and consequently increasing dialysis patient mortality (Lowrie, Zhu, & Lew, 1998). Although many clinicians reject urea clearance as the gold standard, it ubiquitously pervades nephrology clinical care. Other approaches have been proposed as better measures of adequacy than those addressing urea. Australian guidelines propose that adequate dialysis includes blood pressure control, fluid management, ideal dry weight, salt intake and review of th