Kidney services clinical quality indicators

Creatinine levels after kidney transplantation

This is the clinical quality indicator for the proportion of all patients receiving a transplant kidney in a calendar year with eGFR (or estimated glomerular filtration rates) below 30 ml/min/1.73m2. A lower proportion is better.

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Rationale

• eGFR (or estimated glomerular filtration rate) is a good measure of kidney function.
• eGFR levels at one year after a transplant are the best predictor of long-term transplant survival.

Comment on current performance

13.5% of our patients had an eGFR below 30 ml/min/1.73m2 one year after a kidney transplant. Across the UK, 13.4% of transplant patients had an eGFR below 30 ml/min/1.73m2, one year after a kidney transplant. Our performance is therefore very similar to the national figure.

Source: UK Renal Registry 17th Annual report (2014)

Patient survival on dialysis

This is the clinical quality indicator for the proportion of patients who are alive one year after starting dialysis ('incident' patients) and the proportion of all patients on dialysis surviving one year ('prevalent' patients). Both measures will be adjusted for age.

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Rationale

Survival is the best measure of dialysis quality. Centre-specific data has been published nationally by the UK Renal Registry since 2006.

Our objectives

We aim to achieve survival above the national average for UK dialysis centres. Our measure of excellence would be to achieve survival rates in the top 10% of UK dialysis centres

Comment on current performance

• 91.1% of patients new to renal replacement therapy in one of our centres were still alive at one year. Across all UK renal centres, survival was 91.2% for this group of patients.
• 90.2% of patients receiving on-going renal replacement therapy in one of our centres were still alive at one year. Across all UK centres survival was 89.4% for this group of patients.

Source: UK Renal Registry 17th Annual report (2014)