Highlights from the Annual Report UK Renal Registry 2013 Annual Audit Meeting Dr Catriona Shaw Registrar, UK Renal Registry

UK Renal Registry 2013 Annual Audit Meeting

The Fifth Edition of the Clinical Practice Guidelines Module Blood-borne viruses Haemodialysis Vascular Access For Haemodialysis Peritoneal dialysis Peritoneal access Planning, initiation & withdrawal of RRT Assessment of the Potential Kidney Transplant Recipient Acute Kidney Injury Nutrition in CKD Anaemia in CKD Cardiovascular disease in CKD CKD-Mineral and Bone Disorders (CKD-MBD) Detection, Monitoring and Care of Patients with CKD Post-operative Care of the Kidney Transplant Recipient RA and ART Guideline on Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality for Haemodialysis and Related Therapies

DEMOGRAPHY RRT incidence rates between 1980 and 2011 UK Renal Registry 15th Annual Report

Figure 1.6. Median age of incident RRT patients by centre in 2011 White points indicate transplant centres

Population aged 65 and over, 2011 England and Wales local and unitary authorities

RRT incidence rates in the countries of the UK 1990–2011 UK Renal Registry 15th Annual Report

Figure International comparison of RRT incidence rates in 2010 Non UK data from USRDS

Prevalence rate of RRT patients per million population by age and gender on 31/12/2010

Growth in prevalent patients by treatment modality at the end of each year 1997–2011 UK Renal Registry 15th Annual Report MODALITY

UK Renal Registry 15th Annual Report RRT modality at 90 days (incident cohort 1/10/2010 to 30/09/2011)

UK Renal Registry 15th Annual Report Figure 2.6. Treatment modality in prevalent RRT patients on 31/12/2011

UK Renal Registry 15th Annual Report Figure 2.7. Treatment modality distribution by age in prevalent RRT patients on 31/12/2011

MULTISITE PERITONEAL DIALYSIS ACCESS CATHETER AUDIT

UK Renal Registry 15th Annual Report Figure 8.1. Age and gender of PD patients submitted to audit

UK Renal Registry 15th Annual Report Figure Access at first dialysis for centres reporting PD patients, by renal centre Based on 3,867 dialysis patients from centres that reported PD patients. Number of patients at each centre in brackets.

UK Renal Registry 15th Annual Report Figure Referral time from first being seen by renal physician to starting dialysis by type of first access Based on 3,545 patients from centres that reported PD patients, who had data on both referral time and type of first access. Total number of patients contributing data to the chart by access type included in x-axis labels (number with missing data in brackets).

UK Renal Registry 15th Annual Report Figure 9.4. Median time to wait listing for a kidney transplant, by renal centre (centres with <10 patients excluded) ACCESS TO TRANSPLANTATION

Starting dialysis in a non-transplanting centre was associated with being less likely to be registered for transplantation (adjusted OR 0.8, ) After adjustment for age, ethnicity, gender an PRD there were significant centre differences for the probability of being activated on the kidney transplant waiting list and the probability of receiving a renal transplant (all sources) ATTOM ACCESS TO TRANSPLANTATION

UK Renal Registry 15th Annual Report Figure 4.3. Primary renal disease percentage in incident and prevalent paediatric ERF patients in 2011 for whom a causative diagnosis was reported

UK Renal Registry 15th Annual Report Figure 4.4. Treatment modality at start of RRT by 5 year time period

OPPORTUNITIES CKD stage 5 patients to understand conservative and withdrawal issues AKI RADAR Specific need for research focused on improving outcomes in the elderly multi-morbid population (PROMs, PREMs)

VALID REPRODUCIBLE RELIABLE COMPLETE