Incidence of new patients starting RRT

Transcription

1 SECTION A INCIDENCE A1 Incidence of new patients starting RRT A1.1 Incidence of new patients starting RRT Number of 15 patients Year starting RRT A1.2 Annual incidence per million of new patients starting RRT Year Number starting RRT (number of males) Population of Scotland Incidence per million (718) * (985) 58117* (1339) * (159) * (319) (365) (35) (334) (317) (334) (318) (289) (32) (289) Population figures are from the General Register Office for Scotland. They are estimates for the 3 June each year. * The estimates shown for the five year bands between 1984 and 23 are the arithmetical mean of the mid-year estimates for each of the five years in question, the annual incidence of new patients is averaged over the five year periods. X

2 A1.3 Scottish Index of Multiple Deprivation (SIMD) quintiles of incident RRT patients and prevalent RRT patients on 31 December Incidence Patients Prevalence Patients Scotland 2 % of patients (most deprived) (least deprived) SIMD Quintile There are three patients with missing postcode for whom SIMD could not be derived. The Scottish Index of Multiple Deprivation (SIMD) identifies small area concentrations of multiple deprivation across all of Scotland in a consistent way. The SIMD ranks small areas (called datazones) from most deprived (ranked 1) to least deprived (ranked 655), we have grouped those rankings into quintiles. 1

3 A1.4 Incidence of new patients starting RRT by NHS Board area of residence standardised for age, sex and social deprivation NHS Board Number starting RRT Incidence per 1 Standardised incidence per 1 A&A BORD D&G FIFE FV GG&C GRAM HIGH LAN LOTH ORKN SHET TAY WI SCOT There are four patients with a missing deprivation code. The incidence of new patients starting RRT in each NHS Board area of residence has been standardised to take into account differences in the age, sex and SIMD distribution of residents to allow direct comparison between areas. The age, sex, SIMD standardised incidence is the total number of residents who would be expected to start RRT in an NHS Board area, if the age, sex, SIMD structure of the Board area was the same as that of Scotland as a whole. A five year incident period from 29 to 213 has been used to minimise the impact of year to year fluctuations in numbers of patients. 2

4 A1.5 Incidence of patients starting RRT from by NHS Board: standardised for age, sex and social deprivation Incidence 12 per ORKN BORD WI SHET D&G FIFE TAY FV A&A HIGH GRAM LAN LOTH GG&C NHS Board area +3SD +2SD Mean -2SD -3SD NHS Board area (1s) The methodology for this chart has changed compared with that used in the SRR Report 212, as well as standardising by age and sex, incidence has also been standardised by SIMD. There are no outliers. 3

5 A2 General and incident RRT 213 A2.1 Age specific incidence of new patients starting RRT 213 per 1 55 Rate per 1 age specific Males Females Persons Age group A2.2 Age specific incidence and prevalence of RRT patients 213 Age Estimated 3/6/213 Number starting RRT 213 Incidence per million Prevalent patients receiving RRT on 3/6/213 Prevalence per million < Total Source: This table shows age specific incidence and prevalence on 3 June 213, of patients receiving RRT per million. Ages given are at the start of RRT for incidence figures and age 3 June 213 for prevalence figures. This allows use of the General Register Office mid-year statistics to calculate age specific rates. 4

6 A2.3 Age specific incident RRT 1994 to 213 per < Rate 25 per Year starting RRT A2.4 Incidence per 1 of patients aged 65 and over starting RRT by NHS Board: standardised for age, sex and social deprivation NHS Board A&A BORD D&G FIFE FV GRAM GG&C HIGH LAN LOTH ORKN SHET TAY WI Scotland

7 A2.5 Incidence of patients aged 65 and over starting RRT by NHS Board: standardised for age, sex and social deprivation Incidence 36 per ORKN SHET WI BORD D&G FV HIGH FIFE A&A TAY GRAM LAN LOTH GG&C NHS Board area +3SD +2SD Mean -2SD -3SD NHS Board area (1s) 6

8 A3 Age distribution of patients when starting RRT A3.1 Number of patients in each age group and median age when starting RRT Year starting RRT < Median age n % n % n % n % n % Total A3.2 Number and median age of patients starting RRT by renal unit Renal unit Number starting RRT Median Age Number starting RRT 213 Median Age 213 ARI XH DGRI GLAS MONK NINE RAIG RHSC RIE VHK TOTAL

9 A3.3 Number of patients in each age group and median age when starting RRT by NHS Board area of residence NHS Board area < Number starting RRT Median Age A&A BORD D&G FIFE FV GG&C GRAM HIGH LAN LOTH ORKN SHET TAY WI

10 A4 Primary renal diagnosis of patients starting RRT ERA-EDTA Primary Renal Diagnoses (PRD) codes and groupings used in SRR reports are available on the SRR website: A4.1 Percentage of patients in each diagnosis group starting RRT % of patients Year starting RRT Unknown Diabetes Multisystem Interstitial Glomerulonephritis A4.2 Number of patients in each diagnosis group starting RRT Year starting RRT Glomerulonephritis Interstitial Multisystem Diabetes Unknown Missing TOTAL Please see primary renal diagnosis section on page ix for details of the missing diagnoses. 9

11 A4.3 Primary renal diagnosis of patients aged less than 45 years starting RRT Year starting RRT Glomerulonephritis Interstitial Multisystem Diabetes Unknown Total n (%) n (%) n (%) n (%) n (%) n There are three patients with a missing PRD code, these patients started RRT before A4.4 Primary renal diagnosis of patients aged 75 years and older starting RRT Year starting RRT Glomerulonephritis Interstitial Multisystem Diabetes Unknown Total n (%) n (%) n (%) n (%) n (%) n There are seven patients with a missing PRD code. 1

12 A5 Modality of RRT There are three principal types of RRT: Haemodialysis (HD); Peritoneal Dialysis (PD); Kidney Transplantation. Patients who have received a kidney transplant as their first mode of RRT are termed as receiving a pre-emptive transplant. A5.1 Mode of first RRT Transplant PD HD Number of 15 patients Year starting RRT A5.2 Mode of first RRT Year starting RRT HD PD Transplant Total n % n % n %

13 Scottish Renal Association A5.3 Number of patients on each mode of RRT after one, five and ten years by mode of RRT for patients starting RRT from First RRT Mode Number of patients Subsequent RRT Mode 1 year 5 years 1 years n (%) n (%) n (%) HD 219 HD PD Tx Deceased Other* PD 58 HD PD Tx Deceased Other* Tx 44 HD PD Tx Deceased Other* * This category includes other outcomes such as lost to follow up and renal recovery. The percentage of patients receiving each mode of RRT is given at exactly one, five and ten years after the date of first RRT for each individual, according to their first mode of RRT. Changes in RRT modality between the reported time points are not shown. 13