Rowan Walker Chairman 2000 -2007 Chair

Rowan Walker – Chairman 2000 -2007

Chair: Steve Chadban • ANZDATA update (Stephen Mc. Donald) • Analgaesic nephropathy – the end of an epidemic? (Sean Chang) • Haemodialysis access -- recent changes (Kevan Polkinghorne) • Living kidney donor Registry (Steve Chadban) • APD vs CAPD (David Johnson) • HD vs PD in children (Stephen Mc. Donald)

ANZDATA update Stephen Mc. Donald Ph. D FRACP Executive Officer, ANZDATA Registry

Summary • Real-time data entry – Evolution of Web-based data entry • • • Web-site People Centre reports Potential future developments ESKD trends

Real-time data entry • Key development in recent years – Structure remains unchanged – Reporting by web or paper • New patients • Transplant failure – Events reported as they occur – Facilitates real-time reporting • Monthly interim summaries distributed

Web-based systems • Web-based data entry • Web-based data interrogation systems

Export options

Website

People • • Biostatistician Epidemiology Fellow Visitors Opportunities – Working groups – Steering committee

Potential future developments • Relocation of ANZDATA • Recommendations of National Clinical Taskforce on Organ and Tissue Donation awaited late 2007 – Transplant outcome registries a specific focus

Centre reports • Changes planned – Identification of best-performing units – Format – Continue to report relevant outcome against agreed benchmarks / CARI targets • Exploration of adjustment for patient characteristics – Presently use restriction as approach to confounding • Exploration of cusum graphic approach to presentation of results

What is cusum?

Example

Key ESKD data • Barbecue-level information

Current state of play • As at 31 Dec 2006 there were – In Australia • 16041 people receiving some form of kidney replacement therapy – 9180 people receiving dialysis treatment – 6861 with a functioning transplant – 3 fold increase over past 15 years • New patient rate 115 per million per year – In New Zealand • 3212 people in New Zealand receiving some form of kidney replacement therapy – 1977 people receiving dialysis treatment • New patient rate 117 per million per year

New patients Australia new RRT patients. Linear increase 5. 4% year on year

New Patient Rates

Age-specific rates Australian RRT incidence rates by age at start

Transplant numbers

Prevalent patients – treatment

Prevalent patients – trends

Prevalent patients (NZ) - trends

Prevalent patients – treatment

Thankyou