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Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency.

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Presentation on theme: "Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency."— Presentation transcript:

1 Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency for NHSScotland, 1 South Gyle Crescent, Edinburgh EH12 9EB on behalf of the Scottish Renal Registry © Common Services Agency 2009 Suggested citation : Scottish Renal Association (2009). Scottish Renal Registry Report, 2008. Edinburgh : Information Services Division. ISBN: 978-1-84134-016-6 These charts may be reproduced without permission provided the source is acknowledged. The full report is available on the Scottish Renal Registry website. ISBN: 978-1-84134-016-6 The Scottish Renal Registry 4th Floor Walton Building Glasgow Royal Infirmary GLASGOW G4 0SF Scotland, UK Phone +00 44 141 211 5171 Fax +00 44 141 211 4843 Email gg-uhb.srr@nhs.net Website http://www.srr.scot.nhs.ukgg-uhb.srr@nhs.nethttp://www.srr.scot.nhs.uk

2 Section G – Special Projects Scottish Renal Registry Report 2008 Section G1 Survey of staffing levels and facilities in renal units in August 2007

3 Section G – Special Projects Scottish Renal Registry Report 2008 G1.1 Proportion of the adult population served by each renal unit in Scotland on 30 August 2007

4 Section G – Special Projects Scottish Renal Registry Report 2008 G1.2 Number of consultant and non-consultant medical staff (WTE) per 100000 general population by renal unit in Scotland on 30 August 2007

5 Section G – Special Projects Scottish Renal Registry Report 2008 G1.3 Number of in-patient beds available per 100000 population by renal unit in Scotland on 30 August 2007

6 Section G – Special Projects Scottish Renal Registry Report 2008 G1.4 Number of renal ward nursing staff per inpatient bed by renal unit in Scotland on 30 August 2007

7 Section G – Special Projects Scottish Renal Registry Report 2008 G1.5 Percentage inpatient beds plumbed for haemodialysis by renal unit in Scotland on 30 August 2007

8 Section G – Special Projects Scottish Renal Registry Report 2008 G1.6 Number of HD sessions available per 100000 population per week by renal unit in Scotland on 30 August 2007

9 Section G – Special Projects Scottish Renal Registry Report 2008 G1.7 Number of HD sessions per HD station per week by parent unit and satellite unit in Scotland on 30 August 2007

10 Section G – Special Projects Scottish Renal Registry Report 2008 G1.8 Maximum duration and number of HD session offered by renal units in Scotland on 30 August 2007

11 Section G – Special Projects Scottish Renal Registry Report 2008 G1.9 Proportion of HD sessions provided in satellite units by parent renal unit in Scotland on 30 August 2007

12 Section G – Special Projects Scottish Renal Registry Report 2008 G1.10 Percentage HD station segregated for infection control by renal unit in Scotland on 30 August 2007

13 Section G – Special Projects Scottish Renal Registry Report 2008 G1.11 Number of HD nurses per HD session by renal unit in Scotland on 30 August 2007

14 Section G – Special Projects Scottish Renal Registry Report 2008 G1.12 Number of PD nurses (WTE) per prevalent PD patient by renal unit in Scotland on 30 August 2007

15 Section G – Special Projects Scottish Renal Registry Report 2008 G1.13 Number of other staff per 100000 population by renal unit in Scotland on 30 August 2007

16 Section G – Special Projects Scottish Renal Registry Report 2008 G2 Incidence of native renal biopsy in Scotland

17 Section G – Special Projects Scottish Renal Registry Report 2008 G2.1 Number of native renal biopsies PMP/year, all renal units combined

18 Section G – Special Projects Scottish Renal Registry Report 2008 G2.2 Number of biopsies performed per million population per year in each renal unit

19 Section G – Special Projects Scottish Renal Registry Report 2008 G2.3 Number of biopsies performed per million population per year in each renal unit between 2002 and 2006

20 Section G – Special Projects Scottish Renal Registry Report 2008 G2.4 Mean age at time of biopsy by renal unit

21 Section G – Special Projects Scottish Renal Registry Report 2008 G2.5 Percentage of males biopsied in each renal unit by year

22 Section G – Special Projects Scottish Renal Registry Report 2008 G2.6 Reported rates of native renal biopsies from national and regional

23 Section G – Special Projects Scottish Renal Registry Report 2008 G3B Achieved blood pressure of haemodialysis patients: Spring 2007

24 Section G – Special Projects Scottish Renal Registry Report 2008 G3B.1 Distribution of mean pre HD systolic BP in HD patients by renal unit: spring 2007

25 Section G – Special Projects Scottish Renal Registry Report 2008 G3B.2 Distribution of mean pre HD systolic BP in HD patients by renal units: spring 2007

26 Section G – Special Projects Scottish Renal Registry Report 2008 G3B.3 Distribution of mean pre HD diastolic BP in HD patients by renal unit: Spring 2007

27 Section G – Special Projects Scottish Renal Registry Report 2008 G3B.4 Distribution of mean pre HD diastolic BP in HD patients by renal unit: spring 2007

28 Section G – Special Projects Scottish Renal Registry Report 2008 G3B.5 Pre haemodialysis systolic and diastolic BP by PRD group: spring 2007

29 Section G – Special Projects Scottish Renal Registry Report 2008 G4 A Collaborative Study between the Scottish Renal Registry and the Scottish Cancer Registry

30 Section G – Special Projects Scottish Renal Registry Report 2008 G4.1 Number of patients developing malignancy

31 Section G – Special Projects Scottish Renal Registry Report 2008 G4.2 Proportions of patients developing malignancy according to diagnosis group

32 Section G – Special Projects Scottish Renal Registry Report 2008 G5 A novel method for removing lead-time bias from registry data.

33 Section G – Special Projects Scottish Renal Registry Report 2008 G5.1 Cox plot of patient survival by renal unit adjusted for age, sex and PRD 1995-2004

34 Section G – Special Projects Scottish Renal Registry Report 2008 G5.2 Calculated rates of decline in EGFR (mL/min/month) for each of the 5 primary renal diagnosis groups. Data are based on 989 patients starting dialysis at Glasgow Royal Infirmary

35 Section G – Special Projects Scottish Renal Registry Report 2008 G5.3 Box whisker plot of EGFR at start of RRT in Scotland for the 10-year period from 01 January 1995-31 December 2004

36 Section G – Special Projects Scottish Renal Registry Report 2008 G5.4 Hazard ratios of death before and after allowing for lead-time bias. Survival was adjusted for primary renal diagnosis, patient sex and age

37 Section G – Special Projects Scottish Renal Registry Report 2008 G5.5 Cox regression plot of patient survival by adult renal unit adjusted for age, sex and PRD: but not for lead time bias 1995-2004

38 Section G – Special Projects Scottish Renal Registry Report 2008 G5.6 Cox regression plot of patient survival by adult renal unit adjusted for age, sex and PRD: after lead time bias 1995-2004

39 Section G – Special Projects Scottish Renal Registry Report 2008 G6 Vascular access for haemodialysis 2007

40 Section G – Special Projects Scottish Renal Registry Report 2008 G6.1 Types of vascular access for haemodialysis patients in spring 2007

41 Section G – Special Projects Scottish Renal Registry Report 2008 G6.2 Determinants of AV access

42 Section G – Special Projects Scottish Renal Registry Report 2008 G6.3 Percentage of patients with AV access in spring 2007, by time period of starting RRT

43 Section G – Special Projects Scottish Renal Registry Report 2008 G6.4 Percentage of patients with AV access in Spring 2007 by renal unit

44 Section G – Special Projects Scottish Renal Registry Report 2008 G6.5 AV access in spring 2007 by renal unit

45 Section G – Special Projects Scottish Renal Registry Report 2008 G7 Haemodialysis water sampling: current procedures in Scottish renal units

46 Section G – Special Projects Scottish Renal Registry Report 2008 G7.1 Frequency of sampling of haemodialysis water for chemical contaminants

47 Section G – Special Projects Scottish Renal Registry Report 2008 G7.2 Frequency of sampling of haemodialysis water for endotoxins

48 Section G – Special Projects Scottish Renal Registry Report 2008 G7.3 Frequency of sampling of haemodialysis water for bacteria

49 Section G – Special Projects Scottish Renal Registry Report 2008 G7.4 Frequency of sampling of haemodialysis water for chlorines

50 Section G – Special Projects Scottish Renal Registry Report 2008 G7.5 Frequency of sampling of haemodialysis water

51 Section G – Special Projects Scottish Renal Registry Report 2008 G7.6 Place of analysis of haemodialysis water for contaminants

52 Section G – Special Projects Scottish Renal Registry Report 2008 G7.7 Location and method of analysis of haemodialysis water samples

53 Section G – Special Projects Scottish Renal Registry Report 2008 G7.8 Renal unit protocols for response to chemical contaminants

54 Section G – Special Projects Scottish Renal Registry Report 2008 G7.9 Response from renal units to an abnormal haemodialysis water analysis result

55 Section G – Special Projects Scottish Renal Registry Report 2008 G7.9 Response from renal units to an abnormal haemodialysis water analysis result (continued)

56 Section G – Special Projects Scottish Renal Registry Report 2008 G8 Aluminium and other trace metals in haemodialysis water in Scottish renal units 1999-2008

57 Section G – Special Projects Scottish Renal Registry Report 2008 G8.1 Standards for mandatory testing of trace metals in water for dialysis

58 Section G – Special Projects Scottish Renal Registry Report 2008 G8.2 Summary of discretionary testing of trace metals in water for dialysis

59 Section G – Special Projects Scottish Renal Registry Report 2008 G8.3 High trace metal concentrations in treated dialysis water

60 Section G – Special Projects Scottish Renal Registry Report 2008 G8.4a Total number of treated water aluminium samples per year

61 Section G – Special Projects Scottish Renal Registry Report 2008 G8.4b Number of samples with aluminium concentration > 10 microg / L by year

62 Section G – Special Projects Scottish Renal Registry Report 2008 G8.5 Number of treated water samples tested for aluminium by renal unit

63 Section G – Special Projects Scottish Renal Registry Report 2008 G8.6 Number of samples and ROs by renal unit

64 Section G – Special Projects Scottish Renal Registry Report 2008 G8.7 Proportion of treated water samples with aluminium concentration > 10microg/L by renal unit

65 Section G – Special Projects Scottish Renal Registry Report 2008 G8.8 Aluminium concentrations > 10 microg /L in treated dialysis water from QMH Dunfermline by year

66 Section G – Special Projects Scottish Renal Registry Report 2008 G8.9 Aluminium concentrations > 10 microg /L in treated L in treated dialysis water from Monklands Hospital Airdrie by year

67 Section G – Special Projects Scottish Renal Registry Report 2008 G8.10 Repeat testing of initially high treated water aluminium concentration

68 Section G – Special Projects Scottish Renal Registry Report 2008 G8.11 Delay before repeat testing of samples of treated water with aluminium concentration > 10 microg /L

69 Section G – Special Projects Scottish Renal Registry Report 2008 G9 Encapsulating Peritoneal Sclerosis in Scotland

70 Section G – Special Projects Scottish Renal Registry Report 2008 G9.1 Rate of EPS according to duration of PD exposure

71 Section G – Special Projects Scottish Renal Registry Report 2008 G9.2 Cumulative risk of developing EPS from day 1 on PD therapy (censored for death but not change in modality of renal replacement therapy)

72 Section G – Special Projects Scottish Renal Registry Report 2008 G9.3 Number of EPS cases by renal unit

73 Section G – Special Projects Scottish Renal Registry Report 2008 G9.4 EPS cases by year of diagnosis

74 Section G – Special Projects Scottish Renal Registry Report 2008 G9.5a Duration of PD in patients who did not develop EPS

75 Section G – Special Projects Scottish Renal Registry Report 2008 G9.5b Duration of PD in patients who developed EPS

76 Section G – Special Projects Scottish Renal Registry Report 2008 G9.6 Timing of EPS diagnosis in relation to PD therapy

77 Section G – Special Projects Scottish Renal Registry Report 2008 G9.7 Most common presenting clinical features in the EPS cases

78 Section G – Special Projects Scottish Renal Registry Report 2008 G9.8 Drug therapy prescribed to treat EPS or as part of transplant immunosuppression


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