end stage kidney disease among indigenous peoples of australia and new zealand anzdata registry...
TRANSCRIPT
End Stage Kidney Diseaseamong Indigenous Peoples of
Australia and New Zealand
ANZDATA Registry Annual Report 2014 - Chapter 12
ANZDATA Registry Annual Report
0
20
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100
Pe
rce
nt
2009 2010 2011 2012 2013
Aboriginal/TSINon-indigenous
Australia
Percentage of new patientscommencing on haemodialysis
Figure 12.1 ANZDATA Registry Annual Report
0
20
40
60
80
100
Pe
rce
nt
2009 2010 2011 2012 2013
PacificMaoriNon-indigenous
New Zealand
Percentage of new patientscommencing on haemodialysis
Figure 12.1.2 ANZDATA Registry Annual Report
ANZDATA Registry Annual Report
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500
Inc
ide
nc
e p
er
mill
ion
po
pu
latio
n (
95
% C
I)
1988 1993 1998 2003 2008 2013
Aboriginal/TSI
AustraliaUnadjusted incident RRT rate
Figure 12.2.1 ANZDATA Registry Annual Report
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100
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400
500
Inc
ide
nc
e p
er
mill
ion
po
pu
latio
n (
95
% C
I)
1988 1993 1998 2003 2008 2013
MaoriPacific People
New ZealandUnadjusted incident RRT rate
Figure 12.2.2 ANZDATA Registry Annual Report
0
5
10
15
20
Re
lativ
e r
ate
(9
5%
CI)
0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+Age (years )
Female Male
Australia 2009-2013Relative incidence rate indigenous vs non-indigenous
Figure 12.3 ANZDATA Registry Annual Report
0
5
10
15
Re
lativ
e r
ate
(9
5%
CI)
0-14 15-24 25-34 35-44 45-54 55-64 65-74 75+Age (years )
Pacific People Maori
New Zealand 2009-2013Relative incidence rate indigenous vs non-indigenous
Figure 12.4 ANZDATA Registry Annual Report
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NS
WV
IC SA
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QLD
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IC SA
NT
WA
QLD
NS
WV
IC SA
NT
WA
0-24 years 25-44 years 45-54 years
55-64 years 65-74 years 75+ years
Rate 95% CI
Ra
te (
pm
p)
among Aboriginal and TSI people, by s tate and age at RRT s tart2009-2013
Age-specif ic incidence rates of treated RRT
Figure 12.5 ANZDATA Registry Annual Report
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3
0-24 years 25-44 years 45-54 years
55-64 years 65-74 years 75+ years
Rate 95% CI
Ra
te (
pm
p)
Aboriginal and TSI, Aus traliaAge-specif ic incidence rates of treated RRT
Figure 12..6 ANZDATA Registry Annual Report
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500600700800900
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2010
-201
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0-24 years 25-44 years 45-54 years
55-64 years 65-74 years 75+ years
Rate 95% CI
Ra
te (
pm
p)
Maori, New ZealandAge-specif ic incidence rates of treated RRT
Figure 12.7 ANZDATA Registry Annual Report
0
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2006
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2010
-201
3
0-24 years 25-44 years 45-54 years
55-64 years 65-74 years 75+ years
Rate 95% CI
Ra
te (
pm
p)
Pac ific People, New ZealandAge-specif ic incidence rates of treated RRT
Figure 12.8 ANZDATA Registry Annual Report
ANZDATA Registry Annual Report
Non-indigenous Aboriginal/TSI
Maori Pacific
Deceased Living related Living unrelated
2004-2013Donor source by indigenous status
Figure 12.9 ANZDATA Registry Annual Report
0200400600800
1,000
0
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Non-indigenous Aboriginal/TSI
Maori Pacific
Deceased Living related Living unrelated
Nu
mb
er
of t
ran
sp
lan
tsDonor source
Figure 12.10 ANZDATA Registry Annual Report
0
.05
.1
.15
.2
0 1 2 3 4 5 0 1 2 3 4 5
Graft failure Death with function
Non-indigenous Aboriginal/TSIMaori Pacific
Cu
mu
lativ
e in
cid
en
ce
Years pos t transplant
Primary deceased donor k idney-only transplants 2004-2013Transplant outcomes
Figure 12.11 ANZDATA Registry Annual Report
1 3 %
8 %
2 3 %4 6 %
1 0 % 5 %6 %
1 8 %
6 5 %
6 %
Non-indigenous Aboriginal/TSI
APD CAPD Hospital HDSatellite HD Home HD
Australia, by ethnic ityDialysis modality end 2013
Figure 12.12.1 ANZDATA Registry Annual Report
1 8 %
2 2 %
3 2 %
8 %
2 1 % 1 8 %
1 5 %
3 4 %
1 6 %
1 7 %
5 %1 2 %
4 3 %
2 3 %
1 7 %
Non-indigenous Maori
Pacific
APD CAPD Hospital HDSatellite HD Home HD
New Zealand, by ethnic ityDialysis modality end 2013
Figure 12.12.2 ANZDATA Registry Annual Report
0
2
4
6
8
10
2003 2005 2007 2009 2011 2013 2003 2005 2007 2009 2011 2013
Non-indigenous Aboriginal/TSI
Median Interquartile range
CK
D-E
PI e
GF
R (
mL
/min
/1.7
3m2 )
Aus traliaeGFR at RRT start
Figure 12.13.1 ANZDATA Registry Annual Report
02468
10
02468
10
2003 2005 2007 2009 2011 2013
2003 2005 2007 2009 2011 2013
Non-indigenous Maori
Pacific
Median Interquartile range
CK
D-E
PI e
GF
R (
mL
/min
/1.7
3m2 )
New ZealandeGFR at RRT start
Figure 12.13.2 ANZDATA Registry Annual Report
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1,000
1,200
Ne
w p
atie
nts
pe
r m
illio
n p
op
ula
tion
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
Incidence of new Aboriginal/TSI patients
2009 2010 2011 2012 2013
Figure 12.14 ANZDATA Registry Annual Report
0
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150
Ne
w tr
an
sp
lan
ts p
er
mill
ion
po
pu
latio
n
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
By referring s tateIncidence of new transplants Aboriginal/TSI patients
2009 2010 2011 2012 2013
Figure 12.15 ANZDATA Registry Annual Report
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Ne
w tr
an
sp
lan
ts p
er
mill
ion
po
pu
latio
n
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
By referring s tateIncidence of new transplants Aboriginal/TSI patients
2009 2010 2011 2012 2013
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
HD
pa
tien
ts p
er
mill
ion
po
pu
latio
n
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
Prevalent Aboriginal/TSI haemodialysis patients
2009 2010 2011 2012 2013
Figure 12.16 ANZDATA Registry Annual Report
0
100
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500
PD
pa
tien
ts p
er
mill
ion
po
pu
latio
n
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
Prevalent Aboriginal/TSI peritoneal dialysis patients
2009 2010 2011 2012 2013
Figure 12.7 ANZDATA Registry Annual Report
0
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800
1,000
Tra
ns
pla
nt p
atie
nts
pe
r m
illio
n p
op
ula
tion
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
Prevalent Aboriginal/TSI transplant patients
2009 2010 2011 2012 2013
Figure 12.18 ANZDATA Registry Annual Report
0
100
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600
700
De
ath
s p
er
mill
ion
po
pu
latio
n
QLD
NSW/A
CT
VIC/TA
S SA NTW
A
Austra
lia
By referring s tateDeaths Aboriginal/TSI patients
2009 2010 2011 2012 2013
Figure 12.19 ANZDATA Registry Annual Report
0
100
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400
Ne
w p
atie
nts
pe
r m
illio
n p
op
ula
tion
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeopleIncidence of new patients
Figure 12.20 ANZDATA Registry Annual Report
0
10
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40
Ne
w tr
an
sp
lan
ts p
er
mill
ion
po
pu
latio
n
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeopleIncidence of new transplants
Figure 12.21 ANZDATA Registry Annual Report
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HD
pa
tien
ts p
er
mill
ion
po
pu
latio
n
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeoplePrevalent haemodialysis patients
Figure 12.221 ANZDATA Registry Annual Report
0
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PD
pa
tien
ts p
er
mill
ion
po
pu
latio
n
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeoplePrevalent peritoneal dialysis patients
Figure 12.23 ANZDATA Registry Annual Report
0
75
150
225
300
Tra
ns
pla
nts
pe
r m
illio
n p
op
ula
tion
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeoplePrevalent transplant patients
Figure 12.24 ANZDATA Registry Annual Report
0
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De
ath
s p
er
mill
ion
po
pu
latio
n
2009 2010 2011 2012 2013
MaoriPacific
New Zealand Maori and Pac ific PeopleDeaths
Figure 12.25 ANZDATA Registry Annual Report
Figure 12.26 ANZDATA Registry Annual Report
Figure 12.28 ANZDATA Registry Annual Report
Figure 12.29 ANZDATA Registry Annual Report
ANZDATA Registry Annual ReportANZDATA Registry Annual Report
ANZDATA Registry Annual Report
ANZDATA Registry Annual Report