Vascular Access Data Session North West Regional Day

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Presentation transcript:

Vascular Access Data Session North West Regional Day Retha Steenkamp Head of Operations UKRR

Vascular Access Audit Methods All adult patients in renal centres in England, Wales and Northern Ireland Provide vascular and peritoneal access data for patients on dialysis The Vascular Access Audit Report does not include AKI patients Incident data at patient level Prevalent data in centre level 1 year PD follow-up data 2

Vascular Access Audit Standards 60% of incident patients commencing planned HD should receive dialysis via a functioning AVF/AVG 80% of all prevalent long-term dialysis patients should receive dialysis treatment via definitive access: AVF/AVG or PD 3

AVF/AVG % of incident dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain 57.9 50.0 41.3 27.7 23.8 29.8 Liv Roy 31.5 32.8 28.7 - 17.6 42.5 M RI 37.7 22.9 15.7 48.1 Prestn 41.7 41.4 36.2 29.5 31.4 Salford 41.2 42.3 32.1 23.2 14.2 23.6 Wirral 28.1 39.4 28.9 25.0 24.3 35.3 UK 31.8 32.6 30.9 30.3 23.7 4

AVF/AVG % of incident HD patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain 73.3 66.7 53.1 43.9 35.2 39.0 Liv Roy 46.9 50.0 36.8 - 42.5 M RI 64.4 32.9 21.3 48.1 Prestn 46.7 52.7 45.1 44.0 37.7 Salford 55.3 57.3 44.2 29.2 24.0 38.7 Wirral 39.1 32.5 31.1 30.9 35.3 UK 40.9 41.8 39.2 38.4 28.9 Guideline 60% 5

NTL % of incident dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain 15.8 11.7 22.2 6.2 18.8 46.7 Liv Roy 6.8 13.1 12.6 - 9.2 11.3 M RI 0.0 30.3 32.2 Prestn 13.3 12.9 20.5 20.2 25.0 29.6 Salford 4.4 0.9 13.7 19.7 19.2 15.4 Wirral 22.7 32.1 54.4 64.7 UK 16.9 16.5 19.8 19.9 31.0 6

TL % of incident dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain 5.3 13.3 14.3 29.2 25.0 0.0 Liv Roy 28.8 19.7 36.8 - 18.3 46.2 M RI 20.8 16.5 25.8 51.9 Prestn 34.2 24.1 23.6 34.1 15.0 32.7 Salford 28.9 30.6 26.7 36.6 25.7 22.0 Wirral 18.8 12.1 23.2 UK 29.1 28.0 28.7 27.3 7

AVF/AVG % of prevalent dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain - 79.9 72.2 Liv Roy 92.0 76.3 M RI 58.3 Prestn 47.9 76.0 Salford 63.9 67.2 68.9 58.9 55.6 54.4 Wirral 59.9 65.7 62.8 70.3 66.8 UK 62.4 61.2 56.7 54.8 67.7 8

AVF/AVG/PD % of prevalent dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain - 79.9 84.4 Liv Roy 92.0 76.3 M RI 69.2 Prestn 47.9 76.0 Salford 85.8 88.7 87.8 79.4 76.4 Wirral 76.1 76.8 74.4 70.3 66.8 UK 82.3 79.0 73.6 72.6 67.7 Guideline 80% 9

TL/NTL % of prevalent dialysis patients Centre 2012 2013 2014 2015 2016 2017 Liv Ain - 20.1 15.6 Liv Roy 8.0 23.7 M RI 30.8 Prestn 52.1 24.0 Salford 14.2 11.3 12.2 20.6 23.6 Wirral 0.0 23.9 23.2 25.6 29.7 33.2 UK 17.7 21.0 26.4 27.4 32.3 10

Acknowledgements Thank you to all renal units that submit data to the UKRR Thank you also to all the people at the UKRR who work in the background to make all this possible.