© ANZDATA Registry

Method and Location of Dialysis 1990-1998Method and Location of Dialysis 1990-1998

0

250

500

750

1000

1250

1500

1750

2000

909192939495969798

0

250

500

750

1000

1250

1500

1750

2000 CAPD HOSP HD SAT HD HOME HD CCPD

1655 (31%)

634 (12%)

1396 (26%)1523 (28%)

Number of Patients Australia

30-Sep-98

METHA.BRIS98

186 (3%)

© ANZDATA Registry

Method and Location of Dialysis 1990-1998Method and Location of Dialysis 1990-1998

0

100

200

300

400

500

600

700

909192939495969798

0

100

200

300

400

500

600

700 CAPD HOSP HD SAT HD HOME HD CCPD

582 (53%)

26 (2.5%)

196 (18%)

30-Sep-98

254 (23%)

Number of Patients New Zealand

METHNZ.BRIS98

37 (3%)

© ANZDATA Registry

Stock and Flow of Haemodialysis PatientsAustralia 1991-1998

0

1000

2000

3000

4000

5000 New Patients Transplants Perm. Transfer Deaths No. Dialysing

Number of Patients

3897 Patients

91 92 93 94 95 96 97 98

*(Data to 30 Sept)

Extrapolated

*

*

STOCKA.BRIS99

© ANZDATA Registry

Stock and Flow of Haemodialysis PatientsNew Zealand 1991-1998

0

100

200

300

400

500

600

700

800 New Patients Transplants Perm. Transfer Deaths No. Dialysing

Number of Patients

634 Patients

90 91 92 93 94 95 96 97

*(Data to 30 Sept)

Extrapolated

*

*

STOCKNZ.BRIS99

© ANZDATA Registry

18 17 15 14 12 12 12

32 2925 22 20 20 18 1819

91 92 93 94 95 96 97 98

Australia New Zealand

Proportion (%) Home Haemodialysisof all Dialysis Patients 1991-1998

*(Data to 30 Sept)

*

HOMEHD.BRIS99

© ANZDATA Registry

Dialyser CharacteristicsDialyser Characteristics

Sept 1998 (Sept 1997)Sept 1998 (Sept 1997)

Material Australia New Zealand

Low Flux (%) 86 (91) 98 (97)Medium Flux (%) 10 (7) 2 (3)High Flux (%) 4 (2) 0 (0)

Surface Area < 1.0 (%) 3 (8) 13 (21) 1 – 1.4 (%) 38 (47) 24 (24) 1.5 – 1.9 (%) 55 (41) 61 (55) > 1.9 (%) 4 (<1) 2 (0)

DIAL.BRIS99

© ANZDATA Registry

Distribution of Blood Flow Rates

0

250

500

750

1000

1250

1500

1750

2000

< 150 150-199 200-249 250-299 300-349 350-399 400-449 > 450

mls/min

1996 (3236)1997 (3458)1998 (3812)

Number of Patients (30 Sept)Australia

FLOWSEPA.BRIS99

© ANZDATA Registry

Distribution of Blood Flow Rates

0

50

100

150

200

250

300

< 150 150-199 200-249 250-299 300-349 350-399 400-449

mls/min

1996 (374)

1997 (434)

1998 (476)

Number of Patients (30 Sept) New Zealand

FLOWSEPZ.BRIS99

© ANZDATA Registry

Dialysis PrescriptionDialysis PrescriptionSept 1998 (Sept 1997)Sept 1998 (Sept 1997)

< 250 250-299 300

AUST (%) 11 (13) 32 (36) 57 (51)

NZ (%) 26 (31) 44 (42) 30 (27)

Blood Flow Rate (ml / min)

FLOW.BRIS98

© ANZDATA Registry

<4 4 4.5 5 5.5

AUST (%) 9 (10) 44 (44) 16 (16) 27 (26) 4 (4)

NZ (%) <1 (1) 30 (28) 11 (8) 40 (42) 19 (21)

Dialysis PrescriptionDialysis Prescription

Sept 1998 (Sept 1997)Sept 1998 (Sept 1997)

Hours of Dialysis / Session

PRES1.BRIS98

© ANZDATA Registry

Duration of Dialysis Treatment

Three Sessions Per Week

6 5 62 64 54 7114

207

614

1020

105 59 11

893

559

1525

199140

1671

<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

1997 (3458)

1998 (3812)

Number of Patients (30 Sept) Australia

DURA.BRIS99

© ANZDATA Registry

Duration of Duration of Dialysis TreatmentDialysis Treatment

Three Sessions Three Sessions Per WeekPer Week

5 0

45

1 0

143

51

1534 42

123

36

180

8

37

190

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

1997 (434)

1998 (476)

Number of Patients (30 Sept) New Zealand

DURZ.BRIS99

© ANZDATA Registry

16351

438

237

677

542

4 Hours 5 Hours

200 mls/min

250 mls/min

300 mls/min

Dialysis PrescriptionDialysis Prescription Hours and Blood Flow Rate Each SessionHours and Blood Flow Rate Each Session

AustraliaNumber of Patients

HRS45.BRIS99

Sept 1998(1278) (830)

© ANZDATA Registry

50

24

72 76

15

56

4 Hours 5 Hours

200 mls/min

250 mls/min

300 mls/min

Dialysis PrescriptionDialysis Prescription Hours and Blood Flow Rate Each SessionHours and Blood Flow Rate Each Session

New ZealandNumber of Patients

HRS45Z.BRIS99

Sept 1998

(137) (156)

© ANZDATA Registry

63%53% 57%

49%62%

37%

66%

QLD NSW VIC TAS SA NT WA

Haemodialysis Patient Blood Flow RateHaemodialysis Patient Blood Flow Rate Australian States 30-Sep-98Australian States 30-Sep-98

BLDFLOW.BRIS99

300 mls/min Australia 57%New Zealand 30%

© ANZDATA Registry

11%

63%

14%

31%

5%

25%13%

QLD NSW VIC TAS SA NT WA

Haemodialysis Hours Per SessionHaemodialysis Hours Per Session Australian States 30-Sep-98Australian States 30-Sep-98

HRSSESS.BRIS99

5 hours Australia 32%New Zealand 59%

© ANZDATA Registry

Urea Reduction Ratio (URR)Urea Reduction Ratio (URR)Patients Alive on HaemodialysisPatients Alive on Haemodialysis

AustraliaReported URR 31-Mar-98 30-Sep-98

0-39% 9 1040-49% 34 4050-59% 283 30860-64% 419 47265-69% 644 77570-79% 912 1201

80-100% 108 177Not Reported 900 829

Total Patients 3309 3812

© ANZDATA Registry

Urea Reduction Ratio (URR)Urea Reduction Ratio (URR)Patients Alive on HaemodialysisPatients Alive on Haemodialysis

New ZealandReported URR 31-Mar-98 30-Sep-98

40-49% 7 250-59% 38 3760-64% 28 5665-69% 34 3970-79% 28 55

80-100% 6 6Not Reported 274 281

Total Patients 415 476

© ANZDATA Registry

Urea Reduction Ratio (URR)Urea Reduction Ratio (URR)

Australia Australia (n=2983)(n=2983)

Mean 68% Minimum 25

Median 69% Maximum 97

Std Deviation 8

25 Percentile 64

75 Percentile 73

© ANZDATA Registry

Urea Reduction Ratio (URR)Urea Reduction Ratio (URR)

New Zealand New Zealand (n=195)(n=195)

Mean 66% Minimum 44

Median 65% Maximum 94

Std Deviation 8

25 Percentile 60

75 Percentile 70

© ANZDATA Registry

3%9% 12%

18% 20%26%

11%

0.5% 0.2%

0-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94

Australia (n=1011)

Age of New Haemodialysis Patients1-Jan-98 to 30-Sep-98

No. Pats. 5 32 88 125 180 200 266 112 2

AGEHD.BRIS99

© ANZDATA Registry

4%10%

14%23%

29%

18%

2% 0%0.5%

0-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94

New Zealand (n=195)

Age of New Haemodialysis Patients1-Jan-98 to 30-Sep-98

No. Pats. 1 7 19 28 44 57 35 4 0

AGEHDZ.BRIS99

© ANZDATA Registry

2%8%

14%18% 21%

26%

10%

0.3%0.3%

0-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94

Australia (n=3812)

Age of Dialysing Haemodialysis Patients30-Sep-98

No. Pats. 10 94 322 519 682 803 991 379 11

AGEDX.BRIS99

© ANZDATA Registry

3%

12%21% 23% 24%

14%

3% 0%0.4%

0-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85-94

New Zealand (n=476)

Age of Dialysing Haemodialysis Patients30-Sep-98

No. Pats. 2 15 55 101 108 117 65 13 0

AGEDXZ.BRIS99