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Stephen McDonald

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CHAPTER 3. DEATHS. Stephen McDonald. 2012 Annual Report—35th Edition. Figure 3.3 . Figure 3.4 . Figure 3.7 Australia. Figure 3.8 New Zealand. Figure 3.9. Figure 3.10. Figure 3.15. Figure 3.16. - PowerPoint PPT Presentation
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ANZDATA Report 2012 Chapter 3

Stephen McDonald

CHAPTER 3DEATHS2012 Annual Report35th Edition

ANZDATA Registry Annual Report 2012 Figure 3.1Survival among People who CommencedDialysis 20022011 (Non-Indigenous) % (95% CI)Age at StartTime Point(Number of Years from dialysis start)Proportion Surviving Aust (95 % CI)Proportion Surviving NZ (95 % CI)0 24197 (95-98)96 (90-98)293 (90-96)94 (86-97)590 (85-93)78 (56-90)2544197 (96-97)99 (97-100)291 (90-92)94 (90-96)580 (78-83)73 (64-80)4564192 (91-92)91 (89-92)284 (83-85)81 (78-83)560 (58-61)53 (49-58)6574185 (84-86)84 (81-87)272 (71-74)71 (67-75)541 (39-42)34 (29-38)7584180 (79-81)76 (72-80)264 (62-65)55 (50-60)527 (25-28)19 (14-24)85 +169 (65-73)65 (46-78)251 (46-55)43 (26-59)517 (13-22)13 (3-31)ANZDATA Registry Annual Report 2012Figure 3.2 Death Rates During Renal Replacement TherapyAll Patients Included who Received Treatment During 2011GroupDialysisMortality Rate(per 100 patient years, 95% CI) TransplantMortality Rate(per 100 patient years, 95% CI) OverallRateConfidence IntervalsRateConfidence Intervals Per 100 patient yearsLowerUpperPer 100 patient yearsLowerUpperAustralia13.713.014.42.42.12.7New Zealand15.514.017.22.82.13.8Ages (Years) < 251.90.84.70.40.11.6 25444.93.96.10.60.41.0 45649.58.710.42.11.82.6 658419.218.120.46.25.27.5 8535.830.841.648.720~Diabetes (at RRT start) Non-diabetic12.111.318.92.32.02.6Type 116.913.121.92.81.74.5Type 21.515.417.64.93.47.1Coronary artery disease (at RRT start)No10.710.011.42.22.02.6Yes20.118.921.44.93.56.8Indigenous Non-Indigenous (Australia)14.313.515.02.42.12.7Non-Indigenous (New Zealand)16.814.519.42.92.14.0Aboriginal /Torres Strait Islanders11.39.513.32.71.16.5Maori (in Australia)11.16.319.5No eventsMaori (in New Zealand)16.814.120.13.31.48.0Pacific People (in Australia)4.82.78.42.80.711.3Pacific People (in New Zealand)11.18.714.31.10.17.5ANZDATA Registry Annual Report 2012

Figure 3.3 ANZDATA Registry Annual Report 2012Figure 3.4

ANZDATA Registry Annual Report 2012Figure 3.5Survival of Dialysis Patients by ageAge Groups at start of treatmentMedian (25th and 75th centiles), yearsAustralia 0-24 years*25-44 years9.26 (5.37-*)45-64 years6.26 (3.01-2.65)65-74 years4.10 (1.84-7.01)75-84 years2.97 (1.30-5.27)85+ years2.03 (0.73-3.97)New Zealand 0-24 years9.64 (7.92-*) 25-44 years7.28 (4.12-*)45-64 years4.97 (2.65-8.05)65-74 years3.59 (1.81-5.93)75-84 years2.51 (1.07-4.26)85+ years1.69 (0.96-3.58)ANZDATA Registry Annual Report 2012Figure 3.6Survival by Age & Comorbidityamongst older age groupsMedian (25th and 75th centiles), yearsAge GroupsAny Vascular DiseaseDiabetesAustraliaNew Zealand65-69 yearsNoNo5.32 (2.04 -)6.01 (2.67-7.68)NoYes3.95 (1.93-8.29)5.23 (4.20-8.69)YesNo4.30 (2.08-7.04)2.36 (0.87-4.81)YesYes4.31 (1.41-6.96)4.03 (1.41-4.27)70-74 yearsNoNo5.89 (3.24-8.38)3.33 (2.27-4.41)NoYes5.59 (2.39- )3.92 (3.92-4.39)*YesNo3,46 (0.96-5.81)2.55 (1.63-4.45)YesYes3.65 (1.80-4.97)3.33 (1.78-4.88)75-79 yearsNoNo5.47 (2.14-8.31)3.43 (3.43-3.43)*NoYes5.59 (2.39- )3.92 (3.92-4.39)*YesNo4.00 (1.85-6.35)1.42 (0.57-2.43)YesYes3.08 (1.04-5.48)2.97 (1.49-5.74)80-84 yearsNoNo3.41 (2.02-6.41)2.69 (1.65-3.09)NoYes4.34 (2.70-6.17)0.67 (0.67-0.67)*YesNo2.28(1.09-4.90)2.82 (2.82-2.82)*YesYes2.37 (1.29-4.55)2.82 )2.82-2.82)*85-89 yearsNoNo2.25 (0.63-7.79)*NoYes2.39 (0.63-) *YesNo2.17 (1.32-3.58)1.38 (1.38-4.91)*YesYes1.57 (0.37-6.09)*ANZDATA Registry Annual Report 2012Figure 3.7 Australia

ANZDATA Registry Annual Report 2012Figure 3.8 New Zealand

ANZDATA Registry Annual Report 2012Figure 3.9

ANZDATA Registry Annual Report 2012Figure 3.10

ANZDATA Registry Annual Report 2012 Figure 3.11 Modality at time of death and age at death 2011Cause of DeathHaemodialysisPeritoneal DialysisTransplant0 - 4445 - 6465 - 74750 - 4445 - 6465 - 74750 - 4445 - 6465 - 7475AustraliaCardiovascular16117921592243932516197Withdrawal15611102293131836334Cancer2153029466431278Infection6404454651322097Other175653741217213171010New Zealand Cardiovascular5451915226138711Withdrawal11130248121613Cancer2212452Infection4139946441132Other4141473101072911ANZDATA Registry Annual Report 2012 Figure 3.12 Country at time of death and Modality at death among those who withdrew from dialysis and died in 2011 Cause of Death AUSTRALIANEW ZEALAND HDPDGRAFTHDPDGRAFTCardiovascular384974284499Withdrawal415701066365Cancer7616705610Infection144243835187Other2005040393013ANZDATA Registry Annual Report 2012 Figure 3.13Death due to withdrawal-2011(Modality at time of death)WithdrawalHaemodialysisPeritoneal DialysisTransplantTotalAustraliaPsychosocial177316214Patient refused further2002Suicide0101Cardiovascular comorbidity7513189Cerebrovascular comorbidity366042Peripheral vascular comorbidity248133Malignancy related withdrawal827291Withdrawal due to dialysis194023Total4157010495New Zealand Psychosocial2411237Patient refused further0011Suicide0000Cardiovascular comorbidity179127Cerebrovascular comorbidity5308Peripheral vascular comorbidity810018Malignancy related withdrawal113115Withdrawal due to dialysis1001Total66365107ANZDATA Registry Annual Report 2012 Figure 3.14 Dialysis patients who withdrew by age at death time from first RRT-2011Time from first RRTAUSTRALIANEW ZEALAND 0 - 4445 - 6465 - 7475Total0 - 4445 - 6465 - 7475Total03133130770183121371334570442102625459617205171638563242109189212141947Total18771312694952224340107ANZDATA Registry Annual Report 2012

Figure 3.15ANZDATA Registry Annual Report 2012

Figure 3.16ANZDATA Registry Annual Report 2012

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