Kinetic indices and dialysis outcomes

Performance and methodology issues associated to Kt/V indices for hemodialysis adequacy are analyzed by means of concepts obtained from dynamics similarity theory, together with urea kinetic modeling. This theoretical analysis suggests the acceptance of Kt/V against other indices like Kt. Afterwards, the study justifies, presents, and validates by means of a cross-sectional study over 98 chronic renal patients, a novel mathematical-clinical procedure, which provides a good and clinically efficient estimate of dialyzer-based Kt/V (dKt/V), as a complement to equilibrated Kt/V (eKt/V).