highlights from the annual report uk renal registry 2013 annual audit meeting dr catriona shaw...
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Highlights from the Annual Report
UK Renal Registry2013 Annual Audit Meeting
Dr Catriona ShawRegistrar, UK Renal Registry
The Fifth Edition of the Clinical Practice Guidelines
Module Blood-borne viruses Haemodialysis Vascular Access For Haemodialysis Peritoneal dialysisPeritoneal access Planning, initiation & withdrawal of RRT Assessment of the Potential Kidney Transplant Recipient Acute Kidney Injury Nutrition in CKD Anaemia in CKD Cardiovascular disease in CKD CKD-Mineral and Bone Disorders (CKD-MBD) Detection, Monitoring and Care of Patients with CKD Post-operative Care of the Kidney Transplant Recipient RA and ART Guideline on Water Treatment Facilities, Dialysis Water and Dialysis Fluid Quality for Haemodialysis and Related Therapies
http://www.renal.org/Clinical/GuidelinesSection/Guidelines.aspx
UK Renal Registry 15th Annual Report
Figure 1.6. Median age of incident RRT patients by centre in 2011White points indicate transplant centres
UK Renal Registry 15th Annual Report
Figure 1.14. International comparison of RRT incidence rates in 2010Non UK data from USRDS
Growth in prevalent patients by treatmentmodality at the end of each year 1997–2011
UK Renal Registry 15th Annual Report
MODALITY
UK Renal Registry 15th Annual Report
RRT modality at 90 days(incident cohort 1/10/2010 to 30/09/2011)
UK Renal Registry 15th Annual Report
Figure 2.6. Treatment modality in prevalent RRT patients on31/12/2011
UK Renal Registry 15th Annual Report
Figure 2.7. Treatment modality distribution by age in prevalentRRT patients on 31/12/2011
UK Renal Registry 15th Annual Report
Figure 8.11. Access at first dialysis for centres reporting PD patients, by renal centreBased on 3,867 dialysis patients from centres that reported PD patients. Number of patients at each centre in brackets.
UK Renal Registry 15th Annual Report
Figure 8.12. Referral time from first being seen by renal physician to starting dialysis by type of first access
Based on 3,545 patients from centres that reported PD patients, who had data on both referral time and type of first access. Total number of patients contributing
data to the chart by access type included in x-axis labels (number with missing data in brackets).
UK Renal Registry 15th Annual Report
Figure 9.4. Median time to wait listing for a kidney transplant,by renal centre (centres with <10 patients excluded)
ACCESS TO TRANSPLANTATION
• Starting dialysis in a non-transplanting centre was associated with being less likely to be registered for transplantation (adjusted OR 0.8, 0.74-87)
• After adjustment for age, ethnicity, gender an PRD there were significant centre differences for the probability of being activated on the kidney transplant waiting list and the probability of receiving a renal transplant (all sources)
• ATTOM
ACCESS TO TRANSPLANTATION
UK Renal Registry 15th Annual Report
Figure 4.3. Primary renal disease percentage in incident and prevalent paediatricERF patients in 2011 for whom a causative diagnosis was reported
UK Renal Registry 15th Annual Report
Figure 4.4. Treatment modality at start of RRT by 5 year time period
OPPORTUNITIES
• CKD stage 5 patients to understand conservative and withdrawal issues
• AKI
• RADAR
• Specific need for research focused on improving outcomes in the elderly multi-morbid population (PROMs, PREMs)
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