Chapter 2. Prevalence of End Stage Kidney Disease. ANZDATA Registry 39th Annual Report. Data to 31-Dec-2015
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1 Chapter 2 Prevalence of End Stage Kidney Disease 2016 ANZDATA Registry 39th Annual Report Data to 31-Dec-2015
2 Renal Replacement Therapy Table 2.1 shows the prevalence (pmp) of renal replacement therapy in Australia and New Zealand over the last 20 years. The prevalence of both dialysis and transplantation continue to grow in both countries, although the growth in dialysis prevalence in Australia has slowed in recent years. Table 2.2 shows the same data for the last 5 years, but with dialysis modality categorised. Table 2.1. Prevalence (pmp) of Renal Replacement Therapy Year Australia New Zealand Dialysis Transplant Total Dialysis Transplant Total (268) 4483 (246) 9365 (514) 934 (250) 821 (220) 1755 (470) (282) 4739 (257) 9929 (539) 1017 (269) 876 (232) 1893 (501) (298) 4969 (267) (565) 1126 (295) 929 (244) 2055 (539) (320) 5140 (273) (593) 1230 (321) 976 (254) 2206 (575) (337) 5346 (281) (618) 1331 (345) 1018 (264) 2349 (609) (355) 5568 (289) (644) 1462 (377) 1058 (273) 2520 (649) (373) 5852 (300) (673) 1594 (404) 1113 (282) 2707 (686) (392) 6085 (309) (700) 1711 (425) 1164 (289) 2875 (714) (402) 6389 (321) (722) 1774 (434) 1219 (298) 2993 (732) (428) 6652 (330) (758) 1878 (454) 1243 (301) 3121 (755) (453) 6981 (341) (794) 1997 (477) 1258 (301) 3255 (778) (467) 7251 (348) (816) 2071 (490) 1303 (308) 3374 (799) (479) 7657 (360) (840) 2106 (494) 1353 (318) 3459 (812) (483) 8048 (371) (854) 2282 (530) 1405 (327) 3687 (857) (487) 8505 (386) (873) 2389 (549) 1443 (332) 3832 (881) (496) 8865 (397) (893) 2394 (546) 1483 (338) 3877 (884) (507) 9263 (408) (915) 2471 (561) 1522 (345) 3993 (906) (512) 9656 (418) (929) 2595 (584) 1571 (354) 4166 (938) (520) (430) (950) 2680 (594) 1619 (359) 4299 (953) (524) (444) (968) 2674 (582) 1694 (369) 4368 (950) 2-2
3 Table 2.2. Prevalence (pmp) of Renal Replacement Therapy by Modality Country Patients Total (893) (915) (929) (950) (968) Transplant 8865 (397) 9263 (408) 9656 (418) (430) (444) Australia Dialysis (496) (507) (512) (520) (524) - Proportion home 28% 29% 29% 30% 30% - Proportion satellite HD 50% 49% 49% 48% 48% - Proportion PD 19% 20% 20% 20% 20% Total 3877 (884) 3993 (906) 4166 (938) 4299 (953) 4368 (950) Transplant 1483 (338) 1522 (345) 1571 (354) 1619 (359) 1694 (369) New Zealand Dialysis 2394 (546) 2471 (561) 2595 (584) 2680 (594) 2674 (582) - Proportion home 51% 51% 51% 49% 48% - Proportion satellite HD 15% 15% 14% 16% 17% - Proportion PD 33% 31% 32% 31% 30% Table 2.3 and figures show the 2015 prevalence (pmp) of RRT by age groups. In both countries the modal age group was The prevalence in the and 85+ age groups was substantially higher in Australia than in New Zealand. Table 2.3. Prevalence (pmp) of Renal Replacement Therapy by Age 2015 Age Australia New Zealand (27) 5 (16) (55) 35 (58) (154) 102 (156) (321) 292 (487) (762) 454 (779) (1376) 944 (1494) (2021) 1194 (2222) (2579) 965 (2468) (2863) 346 (1702) (1294) 31 (387) 2-3
4 Figure Figure Figure Figure
5 Table 2.4 shows the prevalence (pmp) of RRT by state over In Australia at the end of 2015 the Northern Territory had the highest prevalence of dialysis patients and South Australia the lowest; the ACT had the highest prevalence of transplant patients and Western Australia the lowest. Table 2.4. Prevalence (pmp) of Renal Replacement Therapy by State Modality State QLD 2023 (452) 2104 (461) 2223 (478) 2314 (490) 2369 (496) NSW 3603 (499) 3752 (513) 3804 (514) 3879 (516) 3906 (513) ACT 264 (717) 268 (714) 287 (753) 284 (737) 279 (714) VIC 2707 (489) 2808 (499) 2904 (506) 2974 (509) 3021 (509) Dialysis TAS 205 (401) 217 (424) 218 (425) 229 (445) 241 (466) SA 716 (437) 738 (446) 751 (450) 751 (446) 761 (448) NT 462 (1997) 499 (2115) 518 (2135) 556 (2282) 614 (2510) WA 1105 (470) 1143 (469) 1126 (448) 1215 (475) 1270 (490) Aust (496) (507) (512) (520) (524) NZ 2394 (546) 2471 (561) 2595 (584) 2680 (594) 2674 (582) QLD 1721 (384) 1800 (394) 1866 (401) 1923 (407) 1977 (414) NSW 2495 (346) 2586 (354) 2692 (363) 2837 (378) 3004 (394) ACT 218 (592) 235 (626) 238 (625) 239 (620) 251 (642) VIC 2363 (427) 2495 (443) 2645 (461) 2833 (485) 2976 (501) Transplant TAS 221 (432) 228 (445) 225 (439) 221 (429) 236 (457) SA 919 (560) 949 (573) 965 (578) 974 (578) 1007 (593) NT 69 (298) 82 (348) 87 (359) 98 (402) 102 (417) WA 859 (365) 888 (364) 938 (373) 958 (374) 998 (385) Aust 8865 (397) 9263 (408) 9656 (418) (430) (444) NZ 1483 (338) 1522 (345) 1571 (354) 1619 (359) 1694 (369) 2-5
6 Table 2.5 shows the same data by race. A substantial number of Māori and Pacific Peoples were receiving RRT in Australia, and there was one Aboriginal/Torres Strait Islander patient receiving RRT in New Zealand during Table 2.5. Prevalence of Renal Replacement Therapy by Race Country Race Modality Australia New Zealand Caucasian Aboriginal/TSI Asian Māori Pacific Other Not reported Caucasian Aboriginal/TSI Asian Māori Pacific Other Not reported Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant Dialysis Transplant
7 Figure 2.3 shows the overall distribution of RRT modality by country at the end of The dialysis modalities are shown separately in figure 2.4; a substantially higher proportion of New Zealand dialysis patients receive dialysis at home (either PD or home HD) than in Australia. Figure 2.3 Figure
8 Figures 2.5 and 2.6 show the same data by state. There was substantial variation in the types of RRT received between states; in particular, in the Northern Territory the large majority of patients were receiving satellite HD. Figure 2.5 Figure 2.6 Dialysis Table 2.6 and figures show the age distribution of prevalent dialysis patients in The dialysis population in New Zealand is slightly younger than that of Australia. Table 2.6. Dialysis Prevalence (pmp) by Age Age Australia New Zealand (14) 4 (13) (5) 3 (5) (47) 51 (78) (125) 153 (255) (296) 251 (431) (591) 522 (826) (957) 723 (1345) (1567) 666 (1704) (2468) 276 (1357) (1245) 25 (312) 2-8
9 Figure Figure Figure Figure Figure 2.9 and table 2.7 show trends in the method and location of dialysis in Australia and New Zealand over In Australia most of the growth is in satellite and hospital HD, whereas in New Zealand there is growth in hospital HD and a slight decline in home HD. Figure
10 Figure Table 2.7. Method and Location of Dialysis Country Dialysis type Modality PD APD PD CAPD PD Total Australia HD Hospital HD Satellite HD Home HD Total PD APD PD CAPD PD Total New Zealand HD Hospital HD Satellite HD Home HD Total
11 Co-morbidities Figure 2.10 shows trends in the prevalence of co-morbidities (with 95% CIs) in prevalent RRT patients over the last 10 years. In general the rates of these co-morbidities are stable, although the prevalence of coronary artery disease and peripheral vascular disease appears to be falling in both countries. In general co-morbidities are less prevalent in New Zealand. Figure 2.11 shows the prevalence of diabetes. Although the majority of prevalent RRT patients are non-diabetic, there is a strong trend in both countries towards a higher diabetes prevalence. Figure Figure Figure
12 Suggested Citation: ANZDATA Registry. 39th Report, Chapter 2: Prevalence of End Stage Kidney Disease. Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia Available at: ANZDATA Registry C-\ South Australia Health and Medical Research Institute (SAHMRI) Building Level 4 South North Terrace, Adelaide South Australia Australia Phone
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