Improving outcomes for ESRD patients: shifting the quality paradigm.

  title={Improving outcomes for ESRD patients: shifting the quality paradigm.},
  author={Allen R. Nissenson},
  journal={Clinical journal of the American Society of Nephrology : CJASN},
  volume={9 2},
The availability of life-saving dialysis therapy has been one of the great successes of medicine in the past four decades. Over this time period, despite treatment of hundreds of thousands of patients, the overall quality of life for patients with ESRD has not substantially improved. A narrow focus by clinicians and regulators on basic indicators of care, like dialysis adequacy and anemia, has consumed time and resources but not resulted in significantly improved survival; also, frequent… CONTINUE READING