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End Stage Kidney Disease Treatment Modalities Australia New Zealand Dec 2012. Prepared by Debbie Fortnum Kidney Health Australia Data courtesy of ANZDATA. 2012 update. This short presentation provides the key data for treatment options according to ANZDATA Dec 2012 - PowerPoint PPT Presentation
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End Stage Kidney DiseaseTreatment Modalities Australia New Zealand
Dec 2012
Prepared by Debbie FortnumKidney Health Australia
Data courtesy of ANZDATA
2012 update
• This short presentation provides the key data for treatment options according to ANZDATA Dec 2012
• Trend data has also been included• Slides also include some commentary about
key changes or just interesting facts.
Prevalent Numbers Dec 2012 Increase 6.5%, transplant 10%,
Sat/hosp 3%, PD & HHD 8% each
2008 2009 2010 2011 20120
200
400
600
800
1000
1200
1400
1600
1800
2000
2012 incident HD patients
HD 75-84HD 65-74HD 55-64HD 45-54HD 35-44HD 25-34HD 15-24HD 5-14HD 0-4
2008 2009 2010 2011 20120
100
200
300
400
500
600
700
2012 incident PD patients
PD 75-84PD 65-74PD 55-64PD 45-54PD 35-44PD 25-34PD 15-24PD 5-14PD 0-4
Incident PD patients have increased (mainly 55-75 yr) whilst HD has decreased. Only 1 in 4 start on PD.
2008 2009 2010 2011 20120%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
28 31 25 23 39
62 48 48 56 78
108 78 91101 80
140 127113 116
145
165 152119 113 164
117 105 79 96 112
2012 incident PD patients
PD 75-84PD 65-74PD 55-64PD 45-54PD 35-44PD 25-34PD 15-24PD 5-14PD 0-4
2008 2009 2010 2011 20120%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
79 69 60 66 82
140 143 149 170 150
280 259 255 274 299
392 366 379 425414
446 434 424 451407
362 360 347 364 330
2012 incident HD patients
HD 75-84HD 65-74HD 55-64HD 45-54HD 35-44HD 25-34HD 15-24HD 5-14HD 0-4
Incident HD (includes home) patients are trending younger with 57% under 65 years. PD and HD patients are similar ages.
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
11000
12000
Australia Modality of RRT Treatment 1990-2012 (source ANZDATA)
CAPD APD Total PD HHDSatellite/Hosp Total Dx Transplant
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
70
Australian % of RRT by Treatment Modal-ity 1990-2012
CAPD APD Total PD HHDSatellite/Hosp Total Dx Transplant
QLD NSW ACT VIC TAS SA NT WA Aust NZ0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
55.0
60.0
65.0
2000200120022003200420052006200720082009201020112012
Home Dialysis as a % of all dialysis 2000-2012Australia, QLD, ACT, Vic and SA increased their home dialysis
percentage
QLD NSW ACT VIC TAS SA NT WA Aust NZ0.0
10.0
20.0
30.0
40.0
50.0
60.0
31.2
36.9
21.923.7
22.4 22.2
12.5
22.7
28.6
50.3
Home Dialysis as a % of all Dialysis 2008-2012
20082009201020112012
NZ NSW QLD Aust VIC WA SA TAS ACT NT0
5
10
15
20
25
30
35
40
45
50
Home Dialysis rates, by modality, as a % of Dialysis, by States, Dec 2012
HHDAPDCAPD
NZ NSW ACT QLD Aust VIC NT TAS WA SA0
2
4
6
8
10
12
14
16
18
2019
12 12 12
9
7 7 7
5
3
Percentage of Dialysis on Home Hae-modialysis, by State Dec 2012
NZ NSW QLD Aust SA WA VIC TAS ACT NT0
5
10
15
20
25
30
35
31
25
2019 19
18
1615
10
6
Percentage of Dialysis on Peritoneal Dialysis, by State Dec 2012
QLD NSW ACT VIC TAS SA NT WA Aust NZ0.0
10.0
20.0
30.0
40.0
50.0
60.0
45.0
40.8
46.745.7
51.4
57.5
13.6
44.8 44.3
37.3
46.5
41.6
45.747.1
51.3
56.5
13.3
43.9 44.9
38.2
Transplant as a % of RRT 2010 - 2012
201020112012
QLD NSW ACT VIC TAS SA NT WA Aust NZ0
10
20
30
40
50
60
70
63 63
5860
6266
24
5761
69
Combined Home Dialysis and Transplant as % of all RRT 2008-2012
20082009201020112012
NZ SA QLD NSW TAS Aust VIC ACT WA NT0
10
20
30
40
50
60
70
69
66
63 63 62 6160
58 57
24
Percentage of RRT on Home Dialysis or with a Transplant by State 2012
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
Australia % of People on each Modality of Dialysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
1020304050607080
QLD % people on each Modality Dx
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
QLD % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Total 31% on home dialysis (up 4%)
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10203040506070
NSW % people on each modality of Dia-lysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 201205
1015202530354045
NSW % people by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
High home dialysis rates
but HHD decreasing.
Low transplant
prevalence.
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
ACT % people on each modality Dialysis
PD HHD Sat/Hosp ACT % RRT
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
ACT % people by RRT Modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
PD up by 2%.
Satellite/hosp rates
high
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
Vic % People on each Modality of Dialysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 201205
101520253035404550
Vic % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Increase in PD and
transplant prevalence
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
Tas % People on each Modality Dialysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
Tas % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Decrease in PD with increase in
satellite. High
transplant % overall
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
S.A. % people on each Modality of Dia-lysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
10
20
30
40
50
60
70
S.A. % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Increase in PD. Highest transplant %. HHD up
slightly.
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
100
NT % People on each modality of Dialysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
NT % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Increase in HHD but
decrease in PD.
Transplant prevalence
low.
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
102030405060708090
WA % People on each Modality of Dia-lysis
PD HHD Sat/Hosp
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 201205
101520253035404550
WA % People by RRT modality
Peritoneal DX Home HaemoDx Satellite/hosp Transplant
Decrease in PD but trend
increase in HHD.
QLD NSW ACT VIC TAS SA NT WA Aust NZ0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
50.0
55.0
60.0
36.5
50.548.1
32.2
21.5
23.8
13.4
34.2
38.4
65.1
31.2
36.9
21.9 23.7 22.422.2
12.5
22.7
28.6
50.3
2000200120022003200420052006200720082009201020112012
.ANZ Home Dialysis as a % of all dialysis
2000-2012
Conclusion
• Changes to prevalence and incidence of treatment options are slow but there are changes occuring. This is more evident in some states than others.
• This data was prepared by Kidney Health Australia utilising data fro the ANZDATA registry. If you would like to use any of these slides please acknowledge ANZDATA and Kidney Health Australia.
