© anzdata registry method and location of dialysis 1453 (30%) 632 (13%) 1317 (27%) 1335 (27%)...
TRANSCRIPT
© ANZDATA Registry
Method and Location of Dialysis
0
250
500
750
1000
1250
1500
1750
87 88 89 90 91 92 93 94 95 96
0
250
500
750
1000
1250
1500
1750 CAPD
HOSP HD
SAT HD
HOME HD
1453 (30%)
632 (13%)
1317 (27%)1335 (27%)
Number of Patients Australia
31-Dec-96
© ANZDATA Registry
Method and Location of Dialysis
0
100
200
300
400
500
600
87 88 89 90 91 92 93 94 95 96
0
100
200
300
400
500
600 CAPD
HOSP HD
SAT HD
HOME HD
530 (57%)
4 (<1%)
181 (19%)
31-Dec-96
189 (20%)
Number of Patients New Zealand
© ANZDATA Registry
Dialysis Population Per Million 1990 - 1996States: Australia and New Zealand
No. Pats. 1996 729 1915 1226 97 312 127 456 4862 932
0
100
200
300
400
500
QLD NSW VIC TAS SA NT WA AUST NZ
Patients Per Million
© ANZDATA Registry
56 57 62 6674 77 77
90 91 92 93 94 95 96
New Patients (Per Million) Australia 1990 - 1996
951 981 1086 1159 1314 1383No.Pats. 1405
© ANZDATA Registry
6882 76
6371 66
264
QLD NSW VIC TAS SA NT WA
New Patients (Per Million) Australian States 1996
227 535 344 30 105 47No.Pats. 117
© ANZDATA Registry
Age of New Patients - Australia 1996
12 1947
115
170218
301
404
114
5
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94
New Patients (1405)
Median Age 59.4 yrs
Per MillionAge Group 9 7 17 40 61 94 196 312 161 25
Diabetic % 0 0 2 24 24 25 23 15 6 0
Type 1 0 0 2 18 15 5 2 1 0 0
© ANZDATA Registry
0
50
100
150
200
250
300
350
87 88 89 90 91 92 93 94 95 96
0
50
100
150
200
250
300
350
TOTAL
0 - 19 yrs
20-44 yrs
45-64 yrs
65-74 yrs
75-84 yrs
85 + yrs
Acceptance of New Patients 1987 - 1996Age Specific Rates - Australia
Patients Per Million
© ANZDATA Registry
Annual Death Rate Per 100 Dialysis Patient YearsAustralia 1992 - 1996
0
10
20
30
40
50
60
82 442
88505
104620
117765
137 877
Diabetic Non Diabetic
15.7 15.6 15.3 15.0 15.6
All Patients
432 465 493 532 5943907 4177 4514 4837 5161
92 93 94 95 96
Diab
NonDiab
Deaths
Deaths
Pts at risk
Pts at risk
© ANZDATA Registry
0
10
20
30
40
50
60
92 93 94 95 96
CAPD HD
Annual Death Rate Per 100 Patient YearsMode of Dialysis Australia 1992 - 1996
Deaths
Deaths
Pts Risk
Pts Risk 313 365 390 4213227 3815 4119
190 176 199 215 1534 1729 1872 2065
278
4442
2134
431
CAPD
HD 3487
© ANZDATA Registry
Graft Loss in Relation to Grafts at RiskAustralia 1987 - 1996
5.4%5.8%5.5%
6.8%6.5%6.4%6.5%6.9%7.8%7.4%
87 88 89 90 91 92 93 94 95 96
Graft Failure
Death
No. GraftsLost 208 239 228 228 241 261 285 237 263 255
© ANZDATA Registry
Australian Transplantation 1986 - 1996
0
1000
2000
3000
4000
5000
6000
86 87 88 89 90 91 92 93 94 95 96
Operations Functioning Grafts
12 month graft survival CD1
81 83 82 85 86 84 86 85 91 90
© ANZDATA Registry
33%
89%
74%
62%57%
50%
29%
5%0%
0-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84
% of Age Group Patients
Proportion of Patients Awaiting Transplant 31-Mar-97
Australia 31%
1533 Patients
3 17 106 240 362 420 311 74 0
No.Patients
Age Group
© ANZDATA Registry
24 26 2634
39
1717
QLD NSW VIC TAS SA NT WA
Cadaver Living Donor
Transplant Operations (Per Million)Australian States 1996
Australia 26 (n=475)
80 171
118 16 57 3 30No.
Grafts
Tasmanian residents transplanted in VictoriaNorthern Territory residents transplanted in South Australia
© ANZDATA Registry
Transplants Operations PerformedAustralia 1987 - 1996
2428 29
26 27 27 26 25 24 26
87
391
88
466
89
491
90
443
91
469
92
476
93
457
94
440
95
441
96
475
Cadaver
Living Donor
No.Grafts
Operations Per Million
© ANZDATA Registry
Functioning Transplants Per Million 1990 - 1996Transplanting States: Australia and New Zealand
No. Pats 1996
0
50
100
150
200
250
300
350
400
QLD NSW VIC SA WA AUST NZ
839 1545 1158 510 4418362 825
Patients Per Million
© ANZDATA Registry
Functioning Transplants (Per
Million)Australia and New
Zealand
201 210175
193 200 204226242233226218 215
91 92 93 94 95 96
Australia
New Zealand
Years
© ANZDATA Registry
Functioning Transplants (Per
Million)Caring Australian
States 1996
265233 230
196
322
208 214
QLD NSW VIC TAS SA NT WA
Cadaver
Living Donor
© ANZDATA Registry
Primary Cadaver Patient Survival 1987 - 1995 Related to Year of Transplant
60 %
70 %
80 %
90 %
100 %
1 2 3 4 5
Years
60 %
70 %
80 %
90 %
100 %
1987 (273)
1989 (390)
1991 (313)
1993 (323)
1995 (290)
Year
Patient Survival
© ANZDATA Registry
Primary Cadaver Graft Survival 1987 - 1995 Related to Year of Transplant
60 %
70 %
80 %
90 %
100 %
1 2 3 4 5Years
60 %
70 %
80 %
90 %
100 %
1987 (273)
1989 (390)
1991 (313)
1993 (323)
1995 (290)
Graft Survival
Year
© ANZDATA Registry
First C.A.P.D to Peritonitis 1.4.91 - 31.3.97 Australia and New Zealand
0 %
20 %
40 %
60 %
80 %
100 %
3 6 9 12 24Months
0 %
20 %
40 %
60 %
80 %
100 %
AUST 35-54 (1000)
NZ 35-54 (435)
AUST 55-64 (979)
NZ 55-64 (333)
Percentage Survival
Age Group
© ANZDATA Registry
Duration of Dialysis Treatment
Three Sessions Per Week
1 4 47 41 40 2135 178
484
842
58 54 3
679
454
1367
210118
1467
<2.5 2.5-2.9 3.0-3.4 3.5-3.9 4.0-4.4 4.5-4.9 5.0-5.4 5.5-5.9 6.0-6.4 >6.5
Hours
1996 (2925)
1997 (3223)
Number of Patients (31 March) Australia
© ANZDATA Registry
Haemodialysis Surface Area
0.3-0.7
0.8 0.9 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2.0 2.1 2.2
Surface Area (sqm)
1996 (3041) 1997 (3342)
Number of Patients (31 March) Australia
1996
1997
11
7
141 97 193
94 208 181
664 481 424
552 501 444 10
7 516
567
138
276
188
203
12
22
83
97
11
19
68
147
7
14
© ANZDATA Registry
Prevalence and Incidence 1987 - 1996 End Stage Renal Failure - Australia
0
1000
2000
3000
4000
5000
6000
87 88 89 90 91 92 93 94 95 96
0
1000
2000
3000
4000
5000
6000 ( ) Per Million
FunctioningTransplant
(242)
New Pts (77)
Deaths (40)Transplant
Ops (26)
Dialysis (266)
Number of Patients
© ANZDATA Registry
Prevalence and Incidence 1987 - 1996End Stage Renal Failure - New Zealand
0
200
400
600
800
1000
87 88 89 90 91 92 93 94 95 96
0
200
400
600
800
1000( ) Per Million
FunctioningTransplant
(226)
New Pts (78)
Deaths (44)
TransplantOps (26)
Dialysis (256)
Number of Patients