Peer-reviewed

Deprescribing the Kt/V Target for Peritoneal Dialysis in the US: The Path Toward Adopting International Standards for Dialysis Adequacy

JASN | February 2023

Deprescribing the Kt/V Target for Peritoneal Dialysis in the US: The Path Toward Adopting International Standards for Dialysis Adequacy

Authors: Maliha, G., Weinhandl, E.D., Reddy, Y.N.V.


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Background:

This article summarizes the evidence for a Kt/V target of 1.7 for PD, reviews current CMS policies that require Kt/V targets, and suggest a practical path that CMS can take to guide the United States toward increased adoption of high-quality, goal-directed PD per international standards for dialysis adequacy.