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© ANZDATA Registry Prevalence and Incidence 1990-1998 End Stage Renal Failure - Australia ( ) Per Million Functioning Transplant (259) New Pts (82) Deaths.

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Presentation on theme: "© ANZDATA Registry Prevalence and Incidence 1990-1998 End Stage Renal Failure - Australia ( ) Per Million Functioning Transplant (259) New Pts (82) Deaths."— Presentation transcript:

1 © ANZDATA Registry Prevalence and Incidence 1990-1998 End Stage Renal Failure - Australia ( ) Per Million Functioning Transplant (259) New Pts (82) Deaths (55) Transplant Ops (27) Dialysis (292) Number of Patients * (Data to 30 Sept) PREVA.BRIS98 Extrapolated

2 © ANZDATA Registry Prevalence and Incidence 1990-1998 End Stage Renal Failure - New Zealand ( ) Per Million Functioning Transplant (244) New Pts (93) Deaths (52) Transplant Ops (27) Dialysis (295) Number of Patients * (Data to 30 Sept) PREVZ.BRIS98 Extrapolated

3 © ANZDATA Registry Annual Intake of New Patients 1994-1998 Australia 19941995199619971998 Number13161385143114861537 Per Million7477788082 Diabetic17%20%19%22%23% Aboriginal8% 10%9% 55-64 yrs277314309 311 65-74 yrs341334411398391 75-84 yrs71102117136175 * INTAKEA.BRIS98 (Data to 30 Sept) Extrapolated

4 © ANZDATA Registry Annual Intake of New Patients 1994-1998 New Zealand19941995199619971998 Number248287290319351 Per Million6978 8593 Diabetic38%37%36%39%49% Maori33%32%33%34%36% Pacific Isl.13% 11% 8%14% 55-64 yrs70737279105 65-74 yrs3946556979 75-84 yrs21061113 INTAKEZ.BRIS98 * (Data to 30 Sept) Extrapolated

5 © ANZDATA Registry New Patients (Per Million) 1-Oct-97 to 30-Sep-98 No. Pats. 264 526 419 31 99 51 154 Australia 82 (n=1544) New Zealand 89 (n=336) NEWPTS.BRIS98

6 © ANZDATA Registry New Patients - Australia 1993 -1997 Mean Patients Per Million Age Group Per Year 55-64 Yrs65-74 Yrs QLD NSW VIC TAS SA NT WA Aust = 161Aust = 236 States Excluding Aboriginals and Analgesic Nephropathy

7 © ANZDATA Registry Acceptance of New Patients 1990-1998 * Age Specific Rates - Australia Patients Per Million (Data to 30 Sept) Extrapolated * AGESPECA.BRIS98

8 © ANZDATA Registry Acceptance of New Patients 1990-1998 * Age Specific Rates - New Zealand Patients Per Million (Data to 30 Sept) Extrapolated * AGESPECZ.BRIS98

9 © ANZDATA Registry Prevalence and Incidence 1990-1998 Aboriginals - Australia ( ) Per Million Functioning Transplant (305) New Pts (392) Deaths (218) Transplant Ops (84) Dialysis (1346) Number of Patients * (Data to 30 Sept) ABORIG.BRIS98 Extrapolated

10 © ANZDATA Registry New Acceptances by Race Australia 1990-1998 Patients Per Million RACEA.BRIS98 * * (Data to 30 Sept) Extrapolated

11 © ANZDATA Registry New Acceptances by Race New Zealand 1990-1998 * Patients Per Million * RACEZ.BRIS98 (Data to 30 Sept) Extrapolated

12 © ANZDATA Registry Prevalence and Incidence 1990-1998 Maoris - New Zealand ( ) Per Million Functioning Transplant (158) New Pts (223) Deaths (118) Transplant Ops (26) Dialysis (670) Number of Patients * (Data to 30 Sept) MAORI.BRIS98 Extrapolated

13 © ANZDATA Registry Prevalence and Incidence 1990-1998 Pacific Islanders - New Zealand ( ) Per Million Functioning Transplant (194) New Pts (241) Deaths (111) Transplant Ops (32) Dialysis (866) Number of Patients * (Data to 30 Sept) PACISLAND.BRIS98 Extrapolated

14 © ANZDATA Registry Patient Flow Diagram - Australia 1-Oct-97 to 30-Sep-98 New Patients 1510 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths883 5405 5067 121 4585 4820150 479 34

15 © ANZDATA Registry Patient Flow Diagram - New Zealand 1-Oct-97 to 30-Sep-98 New Patients 326 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths174 1095 993 24 851 900 34 100 10

16 © ANZDATA Registry Patient Flow Diagram - Queensland 1-Oct-97 to 30-Sep-98 New Patients 261 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths165 831 791 24 917 974 23 96 3

17 © ANZDATA Registry Patient Flow Diagram - New South Wales 1-Oct-97 to 30-Sep-98 New Patients 518 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths337 2051 1959 44 1563 1624 47 148 8

18 © ANZDATA Registry Patient Flow Diagram - Victoria 1-Oct-97 to 30-Sep-98 New Patients 399 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths209 1410 1278 21 1096 1157 35 98 20

19 © ANZDATA Registry Patient Flow Diagram - Tasmania 1-Oct-97 to 30-Sep-98 New Patients 31 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths24 106 107 1 97 106 2 14 0

20 © ANZDATA Registry Patient Flow Diagram - South Australia 1-Oct-97 to 30-Sep-98 New Patients 96 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths53 315 312 20 486 506 25 64 3

21 © ANZDATA Registry Patient Flow Diagram - Northern Territory 1-Oct-97 to 30-Sep-98 New Patients 51 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths18 161 142 1 42 51 2 15 0

22 © ANZDATA Registry Patient Flow Diagram - Western Australia 1-Oct-97 to 30-Sep-98 New Patients 154 TRANSPLANT DIALYSIS 1-Oct-97 30-Sep-98 Deaths77 531 478 10 384 402 16 44 0

23 © ANZDATA Registry New Patients Creatinine at Entry April - Sept 1998

24 © ANZDATA Registry Median Creatinine Clearance mls/min April - Sept 1998

25 © ANZDATA Registry Median Creatinine Clearance at Entry April - Sept 1998

26 © ANZDATA Registry % HD New Patients Creatinine Clearance at Entry April - Sept 1998 Australia All Pts % 15 63 16 5 17 59 20 3 Female (n=198) Male (n=337) Female (n=71) Male (n=97) % PD

27 © ANZDATA Registry New Patients Creatinine Clearance at Entry April - Sept 1998 Australia 25-54 Yrs (n=228) 65-74 Yrs (n=129) 25-54 Yrs (n=57) 65-74 Yrs (n=44) % HD % PD

28 © ANZDATA Registry New Patients Creatinine Clearance at Entry April - Sept 1998 Australia Diabetic (n=127) Other-No AN (n=382) Diabetic (n=48) Other-No AN (n=106) % HD % PD

29 © ANZDATA Registry New Patients Creatinine Clearance at Entry April - Sept 1998 Australia % HD (n=535) % PD (n=168)

30 © ANZDATA Registry Early Start Treatment April - Sept 1998 Proportion of New Patients with Creatinine Clearance  10 mls/min % HD % PD HD 127 26 63 319 337 198 228 130 390 145 PD 48 10 18 88 97 71 55 44 145 23 Total Australia

31 © ANZDATA Registry Early Start Treatment April - Sept 1998 Proportion of New Patients with Creatinine Clearance  10 mls/min HD 78 176 164 6 39 19 56 PD 36 60 39 8 9 2 12 Total % HD Australia 22 New Zealand 29 % PD 24 24

32 © ANZDATA Registry Blood Pressure Sept 1998 Australia No gender difference Haemodialysis pts slightly higher Vascular diseases higher Mean arterial pressure decreases with age Higher pressure with “colour”

33 © ANZDATA Registry Cumulative Distribution of Blood Pressure Sept 1998 Australia DiasSys 140 80

34 © ANZDATA Registry Mean Arterial Blood Pressure Dialysis Sept 1998 Australia 103 All PDHD 100

35 © ANZDATA Registry 145 80 150 80 140 All PDHD Sys Dia Median Systolic / Diastolic Blood Pressure Dialysis Sept 1998 Australia

36 © ANZDATA Registry Age, Blood Pressure and Dialysis Method Sept 1998 Australia <120 Syst >160 Syst >100 Diast % Pts

37 © ANZDATA Registry Erythropoietin: Target Haemoglobin Erythropoietin: Target Haemoglobin

38 © ANZDATA Registry Erythropoietin Usage Australia Sept 1998 * Tas 62%

39 © ANZDATA Registry Erythropoietin Usage New Zealand Sept 1998

40 © ANZDATA Registry Erythropoietin Usage Australia Sept 1998 * 115 ) ** 284 ) not included due to lack of data return

41 © ANZDATA Registry Proportion Patients Receiving Erythropoietin Sept 1998 1993 Aust 43% New Zealand 27% 1998 Aust 78% New Zealand 44% % Pts HD

42 © ANZDATA Registry Proportion Patients Receiving Erythropoietin Sept 1998 1993 Aust 21% New Zealand 9% 1998 Aust 61% New Zealand 23% % Pts PD

43 © ANZDATA Registry Erythropoietin Usage Sept 1998 Australia % Pts

44 © ANZDATA Registry Erythropoietin Usage Sept 1998 New Zealand % Pts

45 © ANZDATA Registry Median Haemoglobin Level g/dl Sept 1998 Australia

46 © ANZDATA Registry Erythropoietin Median Dose U/Kg Per Week Sept 1998 Australia

47 © ANZDATA Registry I.V. Iron Frequency

48 © ANZDATA Registry Proportion of Pts NOT Receiving Iron Sept 1998 Australia

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