STOCK and FLOW. ANZDATA Registry 2011 Report CHAPTER 1 STOCK & FLOW. Blair Grace Kylie Hurst Stephen McDonald 1-1
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1 CHAPTER 1 STOCK & FLOW Blair Grace Kylie Hurst Stephen McDonald 1-1
2 ANZDATA Registry 2011 Report The number of new patients in Australia decreased slightly to 2257 in While there is variation in this rate from year to year, the rate has clearly stabilised over the period from 2006 and possibly decreased over the period from 2008 to Reflecting both the changes in numbers of new patients and higher number of transplants, the number of prevalent dialysis patients (people receiving dialysis at the end of 2010) has not changed substantially from In New Zealand there was a similar stability in rates of new patients, although there is greater variability reflecting a smaller population based. Rates of prevalent patients and new patients are shown in Figures 1.1 to 1.3. Further data about stock and flow is shown in Figures 1.6 to The overall number of new transplants (846) increased by 9% in 2010 after a decrease of 5% in Australia in In 2010, there were 296 live donor transplants reported, a 9% decrease after the 8% decrease in 2009 (327 transplants). The number of new transplants remained similar in 2010 in New Zealand (110 transplants), and numbers of live donor transplants (60) have decreased since Figure 1.1 updated on 9-Mar-2012 Prevalent Patients (Number Per Million Population at 31st December) Australia Total (779) (799) (822) (834) (849) No. Functioning Transplants # 6860 (331) 7113 (338) 7500 (349) 7892 (359) 8382 (375) No. Dialysis Patients 9260 (447) 9729 (462) (473) (475) (474) Proportion Home * 31% 31% 31% 30% 28% Proportion Satellite HD 43% 45% 46% 47% 50% Proportion CAPD/APD 22% 22% 22% 21% 19% New Zealand Total 3244 (775) 3354 (793) 3454 (809) 3680 (852) 3820 (874) No. Functioning Transplants # 1247 (298) 1283 (303) 1348 (316) 1400 (324) 1442 (330) No. Dialysis Patients 1997 (477) 2071 (490) 2106 (493) 2280 (528) 2378 (544) Proportion Home * 54% 52% 52% 51% 53% Proportion Satellite HD 17% 18% 19% 18% 17% Proportion CAPD/APD 38% 36% 36% 35% 35% Country of Transplant # Patients lost to follow up are not included * Proportion of all patients dialysing currently receiving home-based treatment (either PD or HD) Figure 1.2 Patient Flow Summary (Number Per Million Population at 31st December) * Country of Transplant Australia Total New Patients 2432 (118) 2382 (113) 2545 (118) 2402 (109) 2257 (101) Total New Transplants * 641 (31) 615 (29) 813 (38) 773 (35) 846 (38) Living Donor Transplants Subsequent Transplants Total Deaths Dialysis Patients Transplant Patients New Zealand Total New Patients 499 (119) 469 (111) 497 (116) 583 (135) 503 (115) Total New Transplants * 90 (21) 123 (29) 122 (29) 121 (28) 110 (25) Living Donor Transplants Subsequent Transplants Total Deaths Dialysis Patients Transplant Patients
3 Figure 1.3 Figure 1.4 Figure
4 ANZDATA Registry 2011 Report Figure 1.6 Figure 1.7 The incident rate among Australian Aboriginal, Maori and Pacific People is substantially higher than among non-indigenous people. However, among Australian Aboriginal people the incidence rate has clearly stabilised over the past 5 years (after a long period of steady increase since 1990). In New Zealand, rates among Maori are stable, while those among Pacific Peoples are increasing. Lower rates of transplantation, leads to higher rates of prevalent dialysis patients (Figure 1.8). Figure 1.8 Prevalence and Incidence by Indigenous Racial Origin, (Number Per Million Population Per Year for Patients) Aboriginal and Torres Strait Islanders Combined Race Australia Aboriginal and Torres Strait Islanders New Zealand Maori New Patients 221 (428) 239 (453) 251 (466) 195 (355) 198 (353) Dialysis 989 (1916) 1092 (2072) 1159 (2153) 1177 (2141) 1208 (2151) Functioning Transplants * 148 (287) 148 (281) 159 (295) 160 (291) 177 (315) Transplant Operations 27 (52) 18 (34) 31 (58) 24 (44) 28 (50) Deaths 140 (271) 134 (254) 164 (305) 174 (316) 160 (285) New Patients 169 (271) 147 (232) 157 (244) 176 (270) 154 (232) Dialysis 684 (1096) 687 (1085) 688 (1070) 724 (1109) 759 (1143) Functioning Transplants * 111 (178) 113 (178) 117 (182) 127 (194) 138 (208) Transplant Operations 10 (16) 17 (27) 12 (19) 19 (29) 20 (30) Deaths 125 (200) 134 (212) 152 (236) 126 (193) 114 (172) Pacific People New Patients 79 (262) 77 (248) 87 (273) 103 (314) 106 (315) Dialysis 371 (1231) 409 (1318) 433 (1357) 485 (1480) 541 (1608) Functioning Transplants * 77 (255) 78 (251) 85 (266) 87 (265) 89 (265) Transplant Operations 7 (23) 6 (19) 10 (31) 6 (18) 9 (27) Deaths 54 (179) 34 (110) 55 (172) 48 (146) 50 (149) * By Transplanting Country 1-4
5 Figure 1.9 National and State Stock and Flow 1-Jan-2010 to 31-Dec-2010 (31-Dec-2009 Figures) State New Patients Transplant Operations * Dialysis Deaths Transplant Dialysis Dependent + Functioning Transplants # * + Queensland 439 (491) 141 (136) 293 (311) 36 (29) 1994 (1944) 1631 (1567) 3625 (3511) New South Wales 690 (747) 239 (223) 448 (497) 53 (54) 3441 (3374) 2376 (2232) 5817 (5606) Aust. Capital Territory 53 (41) 21 (14) 26 (27) 3 (4) 245 (239) 215 (199) 460 (438) Victoria 563 (541) 247 (211) 297 (347) 25 (21) 2598 (2513) 2186 (2028) 4784 (4541) Tasmania 47 (57) 31 (20) 28 (27) 2 (1) 192 (194) 203 (190) 395 (384) South Australia 175 (205) 82 (82) 114 (107) 19 (19) 674 (670) 911 (861) 1585 (1531) Northern Territory 64 (72) 5 (5) 43 (45) 0 (4) 439 (418) 69 (68) 508 (486) Western Australia 226 (243) 80 (82) 152 (177) 56 (51) 1007 (989) 818 (781) 1825 (1770) Australia 2257 (2402) 846 (773) 1401 (1538) 160 (149) (10341) 8409 (7926) (18267) Total New Zealand 503 (583) 110 (121) 319 (331) 34 (34) 2378 (2260) 1415 (1379) 3793 (3639) # Patients lost to follow-up are not included * Resident State + Point Prevalence at 31 December Figure 1.10 Prevalent Transplant and Dialysis Patients 1985 to 2010 Country of Transplant # Patients Lost of Follow-up are not included (Number Per Million Population at 31 December) Australia New Zealand Year Transplant # Dialysis Total Transplant # Dialysis Total (137) 2230 (141) 4393 (278) 377 (114) 402 (122) 779 (236) (149) 2339 (146) 4731 (295) 426 (129) 402 (121) 828 (250) (158) 2526 (155) 5100 (314) 452 (135) 437 (131) 889 (266) (169) 2675 (162) 5473 (331) 484 (145) 482 (144) 966 (289) (182) 2750 (164) 5804 (345) 531 (158) 527 (156) 1058 (314) (191) 2956 (173) 6221 (365) 579 (170) 557 (163) 1136 (333) (202) 3138 (182) 6631 (384) 607 (174) 630 (180) 1237 (354) (211) 3383 (193) 7082 (405) 677 (192) 674 (191) 1351 (382) (219) 3703 (210) 7575 (429) 705 (197) 721 (202) 1426 (399) (228) 4099 (230) 8163 (457) 731 (202) 784 (216) 1515 (418) (234) 4518 (250) 8754 (484) 783 (213) 850 (231) 1633 (444) (243) 4882 (267) 9331 (510) 824 (221) 934 (250) 1758 (471) (254) 5190 (280) 9887 (534) 882 (233) 1017 (269) 1899 (502) (263) 5536 (296) (559) 936 (245) 1126 (295) 2062 (540) (269) 6019 (318) (587) 983 (256) 1230 (321) 2213 (577) (276) 6409 (335) (611) 1023 (265) 1331 (345) 2354 (610) (284) 6851 (353) (637) 1063 (273) 1462 (376) 2525 (650) (294) 7263 (370) (664) 1116 (282) 1594 (403) 2710 (686) (302) 7719 (388) (690) 1168 (290) 1711 (425) 2879 (715) (313) 8004 (398) (710) 1221 (299) 1774 (434) 2995 (733) (321) 8640 (424) (745) 1239 (300) 1878 (454) 3117 (754) (331) 9260 (447) (779) 1247 (298) 1997 (477) 3244 (775) (338) 9729 (462) (799) 1283 (303) 2071 (490) 3354 (793) (349) (473) (822) 1348 (316) 2106 (493) 3454 (809) (359) (475) (834) 1400 (324) 2280 (528) 3680 (852) (375) (474) (849) 1442 (330) 2378 (544) 3820 (874) 1-5
6 ANZDATA Registry 2011 Report There is substantial variation in incidence rates and especially transplant rates leading to differences in the balance between dialysis and transplantation in various States (Figure 1.11 to 1.14). In 2010 Tasmania joined South Australia as states with a greater number of prevalent transplants than dialysis patients. Figure 1.11 Comparison of Prevalent Transplant and Dialysis Dependent Patients (Number Per Million Population at 31 December) Transplants ** Queensland 1356 (331) 1403 (334) 1483 (344) 1556 (351) 1631 (361) New South Wales* 1992 (301) 2034 (304) 2133 (314) 2234 (323) 2376 (338) Aust. Capital Territory* 188 (347) 193 (351) 197 (353) 198 (349) 215 (373) Victoria 1688 (329) 1766 (338) 1887 (354) 2028 (372) 2186 (394) Tasmania 154 (314) 165 (335) 177 (355) 190 (378) 203 (400) South Australia 746 (476) 784 (494) 830 (517) 862 (531) 911 (554) Northern Territory 73 (347) 78 (363) 74 (336) 67 (296) 69 (300) Western Australia 681 (331) 703 (333) 744 (342) 782 (348) 818 (356) Australia 6878 (332) 7126 (338) 7525 (350) 7917 (360) 8409 (376) New Zealand 1229 (294) 1270 (300) 1323 (310) 1375 (318) 1415 (324) ** By Resident State and Country Dialysis Queensland 1704 (417) 1809 (431) 1885 (438) 1957 (442) 1994 (442) New South Wales* 3025 (458) 3192 (477) 3356 (493) 3408 (493) 3441 (490) Aust. Capital Territory* 206 (380) 215 (391) 235 (421) 239 (421) 245 (425) Victoria 2348 (458) 2411 (462) 2482 (466) 2524 (463) 2598 (468) Tasmania 163 (333) 175 (355) 179 (359) 198 (393) 192 (378) South Australia 604 (385) 626 (395) 631 (393) 682 (420) 674 (410) Northern Territory 334 (1586) 368 (1713) 398 (1805) 417 (1844) 439 (1911) Western Australia 876 (425) 933 (442) 994 (457) 1000 (445) 1007 (439) Australia 9260 (447) 9729 (462) (473) (475) (474) New Zealand 1997 (477) 2071 (490) 2106 (493) 2280 (528) 2378 (544) * NSW population excludes residents of the Southern Area Health Service * ACT population includes residents of the Southern Area Health Service (Medical services in the ACT service this Southern Area Region) Transplanted patients lost to follow up have been excluded Figure 1.12 Figure
7 Figure 1.14 Comparison of Transplant and Dialysis Dependent Patients
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