Hemodialysis is the most common renal replacement
therapy in the world, and hemodialysis adequacy is an
important and influential factor in the reduction of
various complications experienced by dialysis patients.
Adequacy of dialysis is a term that has been used for
many years based on measurement of small solute
clearance using urea and creatinine. Multiple factors
influence hemodialysis adequacy eg. Economy,distance
of dialysis centre,co-morbidities of patients, supervision
of nephrologists etc. The concept of quality, adequacy,
or appropriateness of hemodialysis which were
introduced in the 1970s, implies dialysis which enables