Chapter 3 Death and Survival on Dialysis Wong Hin Seng Ong Loke Meng Source: 20 th MDTR Report 2012, NRR

Table 3.1.1: Deaths on dialysis Source: 20 th MDTR Report 2012, NRR

Figure 3.1.1: Death rates on dialysis Source: 20 th MDTR Report 2012, NRR

Table (a) : Causes of death on HD dialysis Source: 20 th MDTR Report 2012, NRR

Table (b) : Causes of death on PD dialysis Source: 20 th MDTR Report 2012, NRR

Table 3.2.1(a): HD Patient survival (censored for change of modality) Dialysis Modality Interval (month) HD n% survivalSE Source: 20 th MDTR Report 2012, NRR

Table 3.2.1(b): PD Patient survival (censored for change of modality) Dialysis Modality Interval (month) PD n% survivalSE Source: 20 th MDTR Report 2012, NRR

Table 3.2.1(c): HD Patient survival (not censored for change of modality) Dialysis Modality Interval (month) HD n% survivalSE Source: 20 th MDTR Report 2012, NRR

Table 3.2.1(d): PD Patient survival (not censored for change of modality) Dialysis Modality Interval (month) PD n% survivalSE Source: 20 th MDTR Report 2012, NRR

Table 3.2.2(a): Unadjusted HD patient survival by year of entry, Source: 20 th MDTR Report 2012, NRR

Figure 3.2.2(a): Unadjusted HD patient survival by year of entry, Source: 20 th MDTR Report 2012, NRR

Table 3.2.2(b): Unadjusted PD patient survival by year of entry, Source: 20 th MDTR Report 2012, NRR

Figure 3.2.2(b): Unadjusted PD patient survival by year of entry, Source: 20 th MDTR Report 2012, NRR

Table 3.2.3(a): Unadjusted HD patient survival by age, Source: 20 th MDTR Report 2012, NRR

Figure 3.2.3(a): Unadjusted HD patient survival by age, Source: 20 th MDTR Report 2012, NRR

Table 3.2.3(b): Unadjusted PD patient survival by age, Source: 20 th MDTR Report 2012, NRR

Figure 3.2.3(b): Unadjusted PD patient survival by age, Source: 20 th MDTR Report 2012, NRR

Table 3.2.4(a): Unadjusted HD patient survival by diabetes mellitus status, Diabetes status Interval (month) Non-diabeticDiabetic n% survivalSEn% survivalSE Source: 20 th MDTR Report 2012, NRR

Figure 3.2.4(a): Unadjusted HD patient survival by diabetes mellitus status, Source: 20 th MDTR Report 2012, NRR

Table 3.2.4(b): Unadjusted PD patient survival by diabetes mellitus status, Diabetes status Interval (month) Non-diabeticDiabetic n% survivalSEn% survivalSE Source: 20 th MDTR Report 2012, NRR

Figure 3.2.4(b): Unadjusted PD patient survival by diabetes mellitus status, Source: 20 th MDTR Report 2012, NRR

Figure 3.3.1(a): Variation in patient survival at 1-year among HD centres adjusted for age and diabetes mellitus status, Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the median % survival among HD centres

Figure 3.3.1(b): Funnel plot for adjusted age at 1-year among HD centres adjusted for age and diabetes mellitus status, cohor Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the mean % survival among HD centres

Figure 3.3.1(c): Variation in patient survival at 5-years among HD centres adjusted for age and diabetes mellitus status, Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the median % survival among HD centres

Figure 3.3.1(d): Funnel plot for patient survival at 5-years among HD centres adjusted age and diabetes mellitus, cohort Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the mean % survival among HD centres

Figure 3.3.2(a): Variation in patient survival at 1-year among PD centres adjusted for age and diabetes mellitus, Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the median% survival among PD centres

Figure 3.3.2(b): Funnel plot of 1-year patient survival from the 90th day of dialysis adjusted for age and diabetes mellitus among PD centres, cohort Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the mean % survival among PD centres

Figure 3.3.2(c): Variation in patient survival at 5-years among PD centres adjusted for age and diabetes mellitus, Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the mean % survival among PD centres

Figure 3.3.2(d): Funnel plot of 5-years patient survival from 90 day of dialysis adjusted for age and diabetes mellitus among PD centres, cohort Source: 20 th MDTR Report 2012, NRR *Horizontal line represents the median% survival among PD centres

Table 3.4.1: Adjusted hazard ratio for mortality of dialysis patients (not censored for change of modality ( ) )

Figure 3.4.1(a): Adjusted hazard ratio for mortality of dialysis patients uncensored for change of modality by diastolic blood pressure ( cohort) Source: 20 th MDTR Report 2012, NRR Hazard ratio <7070-<8080-<90(ref*)90-<100>=100 Diastolic Blood Pressure (mmHg)

Figure 3.4.1(b): Adjusted hazard ratio for mortality of dialysis patients uncensored for change of modality by serum phosphate ( cohort) Source: 20 th MDTR Report 2012, NRR Hazard ratio < (ref*) >=2.2 Serum Phosphate (mmol/L)

Figure 3.4.1(c): Adjusted hazard ratio for mortality of dialysis patients uncensored for change of modality by hemoglobin ( cohort) Source: 20 th MDTR Report 2012, NRR Hazard ratio < <4.5 (ref*)4.5-<5.5>=5.5 Calcium Phosphate Product (mmol2/L2)

Table 3.4.2: Adjusted hazard ratio for mortality of HD patients uncensored for change of modality ( cohort)

Figure 3.4.2: Adjusted hazard ratio for mortality of HD patients uncensored for change of modality by Prescribed Kt/V ( cohort) Source: 20 th MDTR Report 2012, NRR Hazard ratio <11-< <1.4(ref*)1.4-<1.6>=1.6 Prescribed KT/V-HD

Table 3.4.3: Adjusted hazard ratio for mortality of PD patients uncensored for change of modality ( cohort)

Figure 3.4.4(a): Variations in RAMR by HD centre, 2011 Source: 20 th MDTR Report 2012, NRR

Figure 3.4.4(b): Funnel plot of RAMR by HD centre, 2011 Source: 20 th MDTR Report 2012, NRR

Figure 3.4.5(a): Variations in RAMR by PD centres, 2011 Source: 20 th MDTR Report 2012, NRR

Figure 3.4.5(b): Funnel plot for RAMR by PD centres, 2011 Source: 20 th MDTR Report 2012, NRR