Patients with total Kt/V maintained below 1.7 had significantly more clinical problems and severe anemia but there was no difference in outcome demonstrated for patients with Kt/V maintained above 2.0 and between 1.7 and 2.0. We recommended that the minimal target of total Kt/V should be above 1.7.

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Patients who refuse timely start of dialysis have worse overall outcome at one year after the offer of dialysis, compared with elective starters.