ukrr annual informatics meeting, september 2013 highlights from the 15 th annual report rishi pruthi...
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UKRR Annual Informatics Meeting, September 2013
Highlights from the 15th Annual Report
Rishi Pruthi
Research Fellow
UK Renal Registry
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The Fifth Edition of the Clinical Practice Guidelines
http://www.renal.org/Clinical/GuidelinesSection/Guidelines.aspx
Module
Blood-borne viruses Haemodialysis
Vascular Access For Haemodialysis Peritoneal dialysisPeritoneal 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
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RRT incidence rates between 1980 and 2011
DEMOGRAPHY
UK Renal Registry 15th Annual Report
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UK Renal Registry 15th Annual Report
Figure 1.6. Median age of incident RRT patients by centre in 2011White points indicate transplant centres
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Population aged 65 and over, 2011England and Wales local and unitary authorities
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UK Renal Registry 15th Annual Report
Figure 1.2. Age/gender standardised incidence ratio(2006–2011) by percentage non-White
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RRT incidence rates in the countriesof the UK 1990–2011
UK Renal Registry 15th Annual Report
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UK Renal Registry 15th Annual Report
Figure 1.14. International comparison of RRT incidence rates in 2010Non UK data from USRDS
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Prevalence rate of RRT patients per million populationby age and gender on 31/12/2010
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Growth in prevalent patients by treatmentmodality at the end of each year 1997–2011
UK Renal Registry 15th Annual Report
MODALITY
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UK Renal Registry 15th Annual Report
RRT modality at 90 days(incident cohort 1/10/2010 to 30/09/2011)
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UK Renal Registry 15th Annual Report
Figure 2.6. Treatment modality in prevalent RRT patients on31/12/2011
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UK Renal Registry 15th Annual Report
Figure 2.7. Treatment modality distribution by age in prevalentRRT patients on 31/12/2011
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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 TRANSPANTATION
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• Patients starting dialysis in a non-transplanting centre was associated with being less likely to be registered for transplantation (adjusted OR 0.8, 0.74-87)
• After adjustment for age, ethnicity, gender an PRD there were significant centre differences for the probability of being activated on the kidney tx waiting list and the probability of receiving a renal transplant (all sources)
ACCESS TO TRANSPANTATION
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UK Renal Registry 15th Annual Report
Figure 4.3. Primary renal disease percentage in incident and prevalent paediatricERF patients in 2011 for whom a causative diagnosis was reported
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UK Renal Registry 15th Annual Report
Figure 4.4. Treatment modality at start of RRT by 5 year time period
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OPPORTUNITIES & THE FUTURE
• CKD stage 5 patients to understand conservative and withdrawal issues to allow adjustment for survival and other outcomes (quality of life)
• AKI• RADAR• Improving data returns and New Renal Dataset• Specific need for research focused on improving
outcomes in the elderly multi-morbid population
20
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VALID REPRODUCIBLE
RELIABLE COMPLETE