In nephrology, dialysis adequacy is the measurement of renal dialysis for the purpose of determining dialysis treatment regime and to better understand the pathophysiology of renal dialysis.[1] It is an area of considerable controversy in nephrology.[2]
In the US, the dominant way of measuring dialysis adequacy in Kt/V and based on the clearance of urea, though the relevance of this measurement is disputed.[3]
The normal clearance of urea is approximately 100 ml/min. A patient getting a conventional hemodialysis treatment, without remaining residual function, has a urea clearance of 10-15 ml/min.[citation needed]
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