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The purpose of this guideline is to support implementation of the NHS England (NHSE) service specification, which describes the requirements for renal replacement therapy (RRT) as an interdependent service for adult critical care services.

This chapter describes the population of patients who developed end-stage kidney disease (ESKD) and started renal replacement therapy (RRT) in the UK in 2019 (figure 2.1). This includes patients starting dialysis therapies – haemodialysis (HD) and peritoneal dialysis (PD) – and patients who received a pre-emptive kidney transplant (Tx).

Intensive Care National Audit and Research Centre (ICNARC) data indicates that 1 in 4 patients admitted to critical care in the United Kingdom due to COVID-19 require RRT with up to 80% mortality amongst these patients, compared to 44% amongst those not treated with RRT.

To find out why the committee made the recommendations on indicators for starting renal replacement therapy and how they might affect practice, see rationale and impact. including for those with a failing transplant. how decisions are likely to …

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4 Adults on RRT in the UK at the end of 2019 Prevalence Key findings • 68,111 adult patients were receiving RRT for ESKD in the UK on 31/12/2019, an increase of 2.5% from 2018 • RRT prevalence was 1,293 pmp for adults, in trend with a 2.0% increase in recent years

Results: There were 53,207 adult patients receiving RRT in the UK on 31st December 2011. The UK adult prevalence of RRT was 842 pmp. This represented an annual increase in prevalent numbers of approximately 4%, although there was variation between centres and PCT/HB areas.

Oct 3, 2018 · It aims to improve quality of life by making recommendations on planning, starting and switching treatments, and coordinating care. NICE has also produced a guideline on chronic kidney disease. This guideline includes recommendations on: …