A blood test is done at the beginning and at the end of your hemodialysis treatment to see how much urea is in your blood. To find out if your dialysis was adequate, your Urea Reduction Ratio is figured. Divide your BUN measurement from the end of the treatment by the BUN measurement at the beginning of the treatment. That number is then subtracted from 1, and then multiplied by 100. A URR of 65 or more means your dialysis is adequate.
Several factors can affect the percentage of a facility's patients who receive adequate dialysis.
A facility may be able to affect some of these factors, but not others. These factors can include how well it cares for its patients, how healthy its patients are, and whether its patients have good health habits. Please note that the adequacy information presented here is limited to the adequacy information for Medicare beneficiaries who were on dialysis and receiving hemodialysis during the time period indicated in the table. Therefore, depending on the number of Medicare beneficiaries at a particular facility, the data for the entire patient population at that facility may actually vary from what is presented here. Contact the facility for their most current adequacy information, their non-Medicare patients adequacy information and adequacy information for patients who are on peritoneal dialysis.