UK Renal Registry 18th Annual Report: Chapter 7 Adequacy of Haemodialysis in UK Adult Patients in 2014: National and Centre-specific Analyses.

Data suitable for urea reduction ratio (URR) analyses were available for 14,761 (71.9%) of the 20,539 patients receiving haemodialysis (HD) in the UK on the 30/9/2014. In 2014, 88.6% of prevalent HD patients achieved a URR .65%. The between centre range of prevalent patients achieving this target was wide (74.9-97.0%). The median URR in 2014 was 75%. URR was greater in those with longer dialysis vintage, with 91.2% of patients who had survived on renal replacement therapy (RRT) for more than two years achieving a URR .65% compared with only 73.4% of those on RRT for less than six months. Large variation between centres in the percentage of patients achieving the UK Renal Association's (RA) URR guideline persists.