uk renal registry 9 th annual report 2006 fig 9.1 percentage of patients with serum phosphate
TRANSCRIPT
UK Renal Registry 9th Annual Report 2006
Fig 9.1 Percentage of patients with serum phosphate <1.8 mmol/L : HD
010
2030
4050
6070
8090
100
Centre
Per
cent
age
of p
atie
nts
Upper 95% Cl
% with phos between <1.8
Lower 95% Cl
UK Renal Registry 9th Annual Report 2006
Fig 9.2 Percentage of patients with serum phosphate <1.8mmol/L : PD
0
10
20
30
40
50
60
70
80
90
100
2 W
olve
0 R
edng
2 L
eeds
0 B
Hea
rt 3
Che
lms
0 B
asld
n 3
Cov
nt 4
Lei
c 4
Car
sh 1
Oxf
ord
0 N
orw
ch 6
Dud
ley
0 C
amb
14 B
right
n 2
Shr
ew 3
Dor
set
11 M
anW
st 0
Bra
dfd
3 C
ardf
f 0
Ban
gor
3 L
Rfr
ee 2
Ips
wi
0 E
xete
r 2
Liv
rpl
12 P
orts
1 S
wan
se 0
Ste
vng
2 L
H&
Cx
5 S
then
d 0
Not
tm 1
L G
uys
6 D
erby
0 L
Kin
gs 0
Tru
ro 0
Bris
tol
1 S
heff
4 Y
ork
3 P
lym
th 6
Bel
fast
4 H
ull
2 N
ewc
6 B
QE
H 0
Pre
stn
3 G
louc
15 W
rexm
9 E
ng 7
NI
4 W
ls 9
UK
Centre
Per
cent
age
of p
atie
nts
Upper 95% Cl
% with phos <1.8
Lower 95% Cl
UK Renal Registry 9th Annual Report 2006
Fig 9.3 Percentage with serum phosphate < 1.8mmol/L 1999 - 2005 UK
40
45
50
55
60
65
70
75
80
1999 20002001 2002 20032004 2005 19992000 2001 20022003 2004 2005
Pe
rce
nta
ge
of p
atie
nts
Upper 95% CI
% with phos < 1.8
Lower 95% CI
Haemodialysis Peritoneal Dialysis
UK Renal Registry 9th Annual Report 2006
Fig 9.4 Median serum phosphate mmol/L: Transplant
0.6
0.7
0.8
0.9
1.0
1.1
1.2
1.3
1.4
7 D
udle
y 2
Glo
uc14
Wol
ve15
Bas
ldn
3 Y
ork
13 P
rest
n14
Car
lis 8
Red
ng17
B H
eart
28 L
Rfr
ee 6
Nor
wch
36 D
orse
t 6
Tru
ro 2
Bris
tol
8 B
radf
d26
Cov
nt16
Man
Wst
2 S
heff
4 M
iddl
br11
Hul
l17
Por
ts11
B Q
EH
7 L
Guy
s 2
Sw
anse
3 N
ewc
8 P
lym
th 5
Ips
wi
3 L
H&
Cx
8 E
xete
r20
Sth
end
7 L
Kin
gs33
Ste
vng
3 S
hrew
12 C
arsh
6 C
amb
10 A
ntrim
19 L
eic
1 S
und
5 C
ardf
f 9
Liv
rpl
3 O
xfor
d12
Not
tm28
Brig
htn
4 B
elfa
st 7
Lee
ds30
New
ry41
Tyr
one
15 E
ng12
NI
4 W
ls14
UK
Centre
Ser
um p
hosp
hate
mm
ol/L
Upper quartileMedian phosphateLower quartile
N = 12626
UK Renal Registry 9th Annual Report 2006
Fig 9.5 Funnel plot for percentage achievement of phosphate <1.8mmol/L:
HD
UK Renal Registry 9th Annual Report 2006
Fig 9.6 Percentage of patients with corrected calcium within 2.2 to 2.6 mmol/L : dialysis
4045
5055
6065
7075
8085
9095
100
6 L
Rfr
ee17
Wre
xm
0 N
orw
ch 2
New
ry 1
Tru
ro
4 B
Hea
rt 1
Glo
uc
6 C
arlis
2 T
yron
e
2 H
ull
0 L
Kin
gs 1
She
ff
0 R
edng
2 L
eeds
0 N
ottm
1 O
xfor
d 0
Bra
dfd
1 B
asld
n 6
Ste
vng
2 C
ovnt
10 L
Guy
s
1 D
orse
t 2
Sw
anse
29 B
right
n
2 C
helm
s 4
Yor
k
3 B
ango
r 3
Ant
rim
2 D
erby
1 P
lym
th 0
Pre
stn
1 E
xete
r 3
Lei
c
2 L
ivrp
l 0
Bris
tol
1 Ip
swi
1 W
olve
3 C
ardf
f
3 B
QE
H 3
Sth
end
6 B
elfa
st 2
Shr
ew24
Cam
b
8 C
lwyd
0 N
ewc
3 P
orts
13 D
udle
y
3 S
und
1 L
H&
Cx
2 M
iddl
br
15 M
anW
st10
Car
sh
0 U
lste
r 9
Eng
4 N
I
5 W
ls 9
UK
Centre
Pe
rce
nta
ge
of
pa
tien
ts
Upper 95% CI
% w ith Corrected calcium in ref range
Low er 95% CI
UK Renal Registry 9th Annual Report 2006
Fig 9.7 Change in percentage of patients achieving serum corrected calcium 2.2-2.6mmol/L 1999 - 2005 UK
UK Renal Registry 9th Annual Report 2006
Fig 9.8 Percentage of patients with corrected calcium within 2.2 to 2.6 mmol/L : transplant
40
45
50
55
60
65
70
75
80
85
90
95
100
41 T
yron
e
1 G
louc
28 L
Rfr
ee
6 L
Kin
gs
3 N
ewc
4 C
ardf
f
2 S
wan
se
7 R
edng
1 S
und
2 S
heff
7 L
Guy
s
5 D
orse
t
34 S
tevn
g
6 T
ruro
3 O
xfor
d
5 Ip
swi
10 A
ntrim
19 L
eic
28 B
right
n
41 Y
ork
6 N
orw
ch
16 B
Hea
rt
4 M
iddl
br
10 B
QE
H
17 C
ovnt
6 C
amb
9 C
arlis
5 B
elfa
st
3 L
H&
Cx
2 B
risto
l
9 L
ivrp
l
8 L
eeds
11 P
rest
n
11 P
orts
18 S
then
d
3 S
hrew
12 N
ottm
4 W
olve
3 B
radf
d
8 E
xete
r
16 M
anW
st
7 D
udle
y
11 C
arsh
30 N
ewry
6 P
lym
th
11 H
ull
8 B
asld
n
14 E
ng
12 N
I
4 W
ls
13 U
K
Centre
Per
cent
age
of p
atie
nts
Upper 95% CI% with Ca_corr in ref rangeLower 95% CI N = 12,759
UK Renal Registry 9th Annual Report 2006
Fig 9.9 Median corrected calcium : transplant
2.102.152.202.252.302.352.402.452.502.552.602.652.70
11 H
ull
8 B
asld
n
12 N
ottm
2 B
risto
l
8 E
xete
r 2
9 L
ivrp
l
30 N
ewry
7 R
edng
41 T
yron
e
10 B
QE
H
28 B
right
n
2 S
heff
19 L
eic
7 L
Guy
s 6
L K
ings
10 A
ntrim
4 M
iddl
br
6 N
orw
ch
34 S
tevn
g
7 D
udle
y
5 Ip
swi
18 S
then
d
16 B
Hea
rt
6 P
lym
th
6 T
ruro
1 S
und
28 L
Rfr
ee
1 G
louc
3 S
hrew
5 D
orse
t
3 N
ewc
9 C
arlis
3 O
xfor
d
4 C
ardf
f
4 W
olve
11 P
orts
5 B
elfa
st
3 B
radf
d
3 L
H&
Cx
11 P
rest
n
8 L
eeds
17 C
ovnt
6 C
amb
11 C
arsh 16
41 Y
ork
14 E
ng
12 N
I
4 W
ls
13 U
K
Centre
Ser
um c
alci
um m
mol
/L
Upper quartileMedian Ca corrLower quartile
N = 12,759
UK Renal Registry 9th Annual Report 2006
Fig 9.10 Calcium phosphate product within KDOQI ref: dialysis
3035404550556065707580859095
100
Centre
Per
cent
age
of p
atie
nts
Upper 95% CI% with Ca corr*Phos in DOQI ref rangeLower 95%CI
UK Renal Registry 9th Annual Report 2006
Fig 9.11 Percentage of patients with calcium phosphate product in KDOQI reference range : haemodialysis
30
40
50
60
70
80
90
100
Centre
Per
cent
age
of p
atie
nts
Upper 95%CI
% with Ca corr*Phos in DOQI ref range
Lower 95% CIN = 11,989
UK Renal Registry 9th Annual Report 2006
Fig 9.12 Percentage of patients with calcium*phosphate product in KDOQI reference range: peritoneal dialysis
30
40
50
60
70
80
90
100
Centre
Per
cent
age
of p
atie
nts
Upper 95%CI
% with Ca corr*Phos in DOQI ref range
Lower 95%Ci
N = 3,362
UK Renal Registry 9th Annual Report 2006
Fig 9.13 Change in percentage of patients achieving serum corrected calcium X phosphate product target 1998 - 2005 UK
50
55
60
65
70
75
80
85
9019
98
1999
2000
2001
2002
2003
2004
2005
1998
1999
2000
2001
2002
2003
2004
2005
Pe
rce
nta
ge
of
pa
tien
ts
Upper 95% CI
% ca P04 < 4.4 mmol/L
Lower 95% CI
HD PD
UK Renal Registry 9th Annual Report 2006
Fig 9.14 Median iPTH in dialysis patients
0
10
20
30
40
50
60
70
80
Centre
iPT
H p
mol
/L
Upper quartileMedian iPTHLower quartile
N = 13,007
UK Renal Registry 9th Annual Report 2006
Fig 9.15 Percentage of patients on dialysis with iPTH < 32 pmol/L
0
10
20
30
40
50
60
70
80
90
100
Centre
Per
cent
age
of p
atie
nts
Upper 95% Cl% with IPTH <32 pmol/L
Lower 95% Cl N = 14,439
UK Renal Registry 9th Annual Report 2006
Fig 9.16 Percentage of patients with cholesterol < 5 mmol/L: HD
404550556065707580859095
100
23 M
anW
st10
Ipsw
i14
Lee
ds 5
Red
ng24
Wre
xm 1
New
ry 6
Glo
uc18
Car
dff
0 P
rest
n33
Der
by 3
Tru
ro 6
L K
ings
3 N
ottm
12 C
arlis
11 L
Rfr
ee 2
Ant
rim 9
Bel
fast
4 B
QE
H19
Lei
c 4
Sun
d 7
L G
uys
34 C
helm
s 2
Tyr
one
8 W
olve
5 S
then
d 0
Nor
wch
7 S
heff
5 N
ewc
46 C
lwyd
8 B
risto
l37
Cam
b 0
Uls
ter
21 B
ango
r 2
Shr
ew 9
Oxf
ord
4 S
wan
se 1
L H
&C
x35
Por
ts27
Car
sh 1
Bas
ldn
8 P
lym
th 2
Mid
dlbr
13 H
ull
13 B
radf
d 8
Dor
set
5 E
xete
r15
Yor
k24
Eng
5 N
I17
Wls
23 U
K
Centre
Per
cent
age
of p
atie
nts
Upper 95% CI% with cholesterol < 5Lower 95% CI N = 10,171
UK Renal Registry 9th Annual Report 2006
Fig 9.17 Percentage of patients with cholesterol <= 5 mmol/L: PD
30
40
50
60
70
80
90
100
0 B
ango
r
11 P
lym
th
1 S
wan
se
25 W
rexm
6 L
Rfr
ee
0 T
ruro
0 C
amb
9 G
louc
5 N
ottm
0 L
Guy
s
17 M
anW
st
2 P
rest
n
32 D
udle
y
14 L
eeds
3 B
QE
H
3 R
edng
5 B
elfa
st
8 L
eic
16 B
risto
l
28 S
heff
6 L
Kin
gs
5 Ip
swi
2 N
ewc
4 Y
ork
6 D
orse
t
13 W
olve
22 S
tevn
g
0 S
hrew
42 B
right
n
0 N
orw
ch
11 O
xfor
d
28 C
arsh
2 L
H&
Cx
2 C
ardf
f
6 B
Hea
rt
0 B
asld
n
3 B
radf
d
16 E
xete
r
24 E
ng
7 N
I
8 W
ls
22 U
K
Centre
Per
cent
age
of p
atie
nts
Upper 95%CI% with cholesterol < 5Lower 95% CI
N = 2,878
UK Renal Registry 9th Annual Report 2006
Fig 9.18 Percentage of patients with cholesterol < 5 mmol/L: transplant
0
10
20
30
40
50
60
70
80
90
100
6 L
eeds
1 S
wan
se 5
Bra
dfd
15 S
then
d13
Man
Wst
11 Y
ork
12 C
ardf
f17
Lei
c 2
New
c16
Not
tm10
L K
ings
34 L
Rfr
ee37
Tru
ro 4
Ply
mth
37 S
tevn
g14
Pre
stn
4 B
asld
n 3
Red
ng 7
L G
uys
3 B
elfa
st44
Car
sh 5
Car
lis 6
Nor
wch
8 B
QE
H10
Wol
ve 1
Sun
d 2
L H
&C
x 7
Ips
wi
37 D
udle
y 9
Dor
set
3 S
heff
20 N
ewry
5 B
risto
l45
Ant
rim23
Oxf
ord
45 B
Hea
rt21
Mid
dlbr
26 G
louc
34 H
ull
36 P
orts
10 C
amb
8 E
xete
r41
Tyr
one
25 S
hrew
25 E
ng14
NI
10 W
ls24
UK
Centre
Per
cent
age
of p
atie
nts
Upper 95% CI% with cholesterol < 5Lower 95% CI N = 11,170
UK Renal Registry 9th Annual Report 2006
Fig 9.19 Serum cholesterol distribution by modality 31/12/2005
UK Renal Registry 9th Annual Report 2006
Fig 9.20 Percentage of patients with cholesterol < 5 mmol/L: HD vs PD vs
Tx 1997 - 2005