CHAPTER 5
HAEMODIALYSIS
Figure 5.1
Stock and Flow of Haemodialysis Patients
2006 - 2010
2006
2007
2008
2009
2010
Patients new to HD
First Dialysis Treatment
Previous Dialysis (PD)
Failed Transplant
Transplanted
Deaths
Never Transplanted
Previous Transplant
Transfer to Peritoneal Dialysis
Patients Dialysing (HD) at 31 December
2062
1777
253
32
427
1036
962
74
534
7216
2021
1730
268
23
405
1163
1084
79
436
7592
2149
1788
321
40
535
1201
1138
63
487
7919
2056
1703
314
39
495
1226
1150
76
428
8232
1986
1676
276
34
548
1138
1070
68
328
8527
Patients Dialysing (HD) at Home at 31 December
894
949
950
972
964
% of all Home Dialysis (HD and PD) Patients
31%
31%
30%
31%
32%
Patients new to HD
First Dialysis Treatment
Previous Dialysis (PD)
Failed Transplant
Transplanted
Deaths
Never Transplanted
Previous Transplant
Transfer to Peritoneal Dialysis
Patients Dialysing (HD) at 31 December
407
327
70
10
51
181
166
15
179
1231
380
311
57
12
60
177
167
10
146
1325
394
320
66
8
69
236
219
17
158
1343
429
360
59
10
61
205
192
13
118
1481
391
326
58
7
47
205
182
23
147
1545
Patients Dialysing (HD) at Home at 31 December
322
327
330
377
422
% of all Home Dialysis (HD and PD) Patients
30%
31%
30%
32%
34%
Australia
New Zealand
© ANZDATA Registry
Figure 5.2
Stock and Flow of Haemodialysis Patients
Australia 2006-2010
10000
9000
8527 Patients
8000
7000
6000
5000
4000
New Patients
Transplants
Perm. Transfer
Deaths
No. Dialysing
3000
2000
1000
0
2006
2007
2008
2009
2010
© ANZDATA Registry
Figure 5.3
Stock and Flow of Haemodialysis Patients
Australia 2006 - 2010
Number (%)
Age Groups
2006
2007
2008
2009
2010
13 (1%)
34 (2%)
77 (4%)
198 (10%)
296 (14%)
454 (22%)
532 (26%)
413 (20%)
45 (2%)
2062 (100%)
9 (0%)
45 (2%)
94 (5%)
187 (9%)
315 (16%)
437 (22%)
485 (24%)
405 (20%)
44 (2%)
2021 (100%)
13 (1%)
42 (2%)
101 (5%)
172 (8%)
345 (16%)
447 (21%)
541 (25%)
431 (20%)
57 (3%)
2149 (100%)
9 (0%)
45 (2%)
89 (4%)
176 (9%)
312 (15%)
442 (21%)
513 (25%)
411 (20%)
59 (3%)
2056 (100%)
13 (1%)
42 (2%)
75 (4%)
166 (8%)
308 (16%)
430 (22%)
472 (24%)
397 (20%)
83 (4%)
1986 (100%)
7 (0%)
94 (1%)
301 (4%)
697 (10%)
1142 (16%)
1568 (22%)
1753 (24%)
1469 (20%)
185 (3%)
7216 (100%)
5 (0%)
98 (1%)
305 (4%)
737 (10%)
1210 (16%)
1618 (21%)
1804 (24%)
1602 (21%)
213 (3%)
7592 (100%)
10 (0%)
88 (1%)
290 (4%)
692 (9%)
1274 (16%)
1719 (22%)
1894 (24%)
1685 (21%)
267 (3%)
7919 (100%)
9 (0%)
91 (1%)
293 (4%)
692 (8%)
1314 (16%)
1775 (22%)
1980 (24%)
1766 (21%)
312 (4%)
8232 (100%)
10 (0%)
98 (1%)
286 (3%)
684 (8%)
1310 (15%)
1841 (22%)
2052 (24%)
1854 (22%)
392 (5%)
8527 (100%)
463 (22%)
48 (2%)
307 (15%)
134 (6%)
62 (3%)
681 (33%)
252 (12%)
115 (6%)
482 (24%)
46 (2%)
319 (16%)
127 (6%)
56 (3%)
642 (32%)
217 (11%)
132 (7%)
462 (21%)
45 (2%)
322 (15%)
125 (6%)
59 (3%)
746 (35%)
233 (11%)
157 (7%)
504 (25%)
39 (2%)
285 (14%)
123 (6%)
61 (3%)
680 (33%)
230 (11%)
134 (7%)
417 (21%)
38 (2%)
278 (14%)
130 (7%)
42 (2%)
722 (36%)
240 (12%)
119 (6%)
2021 (100%)
2149 (100%)
2056 (100%)
1986 (100%)
New Patients *
00-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75-84 years
>=85 years
Total
Patients Dialysing
00-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75-84 years
>=85 years
Total
Primary Renal Disease *
Glomerulonephritis
Analgesic Nephropathy
Hypertension
Polycystic Disease
Reflux Nephropathy
Diabetic Nephropathy
Miscellaneous
Uncertain
Total
2062 (100%)
* New patients receiving first haemodialysis treatment
© ANZDATA Registry
Figure 5.4
Stock and Flow of Haemodialysis Patients
New Zealand 2006-2010
1800
1600
1545 Patients
1400
1200
1000
800
New Patients
Transplants
Perm. Transfer
Deaths
No. Dialysing
600
400
200
0
2006
2007
2008
2009
2010
© ANZDATA Registry
Figure 5.5
Stock and Flow of Haemodialysis Patients
New Zealand 2006 - 2010
Number (%)
Age Groups
2006
2007
2008
2009
2010
New Patients *
00-14 years
3 (1%)
3 (1%)
5 (1%)
2 (0%)
1 (0%)
15-24 years
15 (4%)
21 (6%)
19 (5%)
10 (2%)
12 (3%)
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75-84 years
>=85 years
Total
30 (7%)
33 (8%)
92 (23%)
96 (24%)
94 (23%)
40 (10%)
4 (1%)
407 (100%)
17 (4%)
45 (12%)
63 (17%)
100 (26%)
88 (23%)
39 (10%)
4 (1%)
380 (100%)
15 (4%)
34 (9%)
84 (21%)
117 (30%)
89 (23%)
30 (8%)
1 (0%)
394 (100%)
24 (6%)
54 (13%)
89 (21%)
103 (24%)
92 (21%)
52 (12%)
3 (1%)
429 (100%)
12 (3%)
39 (10%)
96 (25%)
108 (28%)
82 (21%)
38 (10%)
3 (1%)
391 (100%)
Patients Dialysing
00-14 years
15-24 years
25-34 years
35-44 years
45-54 years
55-64 years
65-74 years
75-84 years
>=85 years
Total
2 (0%)
32 (3%)
88 (7%)
150 (12%)
247 (20%)
347 (28%)
269 (22%)
87 (7%)
9 (1%)
1231 (100%)
3 (0%)
39 (3%)
80 (6%)
160 (12%)
261 (20%)
364 (27%)
297 (22%)
108 (8%)
13 (1%)
1325 (100%)
3 (0%)
38 (3%)
76 (6%)
149 (11%)
275 (20%)
373 (28%)
293 (22%)
126 (9%)
10 (1%)
1343 (100%)
3 (0%)
41 (3%)
90 (6%)
162 (11%)
309 (21%)
403 (27%)
315 (21%)
147 (10%)
11 (1%)
1481 (100%)
4 (0%)
45 (3%)
89 (6%)
164 (11%)
328 (21%)
427 (28%)
322 (21%)
152 (10%)
14 (1%)
1545 (100%)
92 (23%)
1 (0%)
39 (10%)
23 (6%)
7 (2%)
184 (45%)
32 (8%)
29 (7%)
407 (100%)
89 (23%)
3 (1%)
43 (11%)
15 (4%)
8 (2%)
163 (43%)
47 (12%)
12 (3%)
380 (100%)
72 (18%)
1 (0%)
33 (8%)
14 (4%)
9 (2%)
204 (52%)
46 (12%)
15 (4%)
394 (100%)
96 (22%)
1 (0%)
44 (10%)
18 (4%)
3 (1%)
212 (49%)
41 (10%)
14 (3%)
429 (100%)
88 (23%)
Primary Renal Disease *
Glomerulonephritis
Analgesic Nephropathy
Hypertension
Polycystic Disease
Reflux Nephropathy
Diabetic Nephropathy
Miscellaneous
Uncertain
Total
38 (10%)
11 (3%)
6 (2%)
202 (52%)
35 (9%)
11 (3%)
391 (100%)
* New patients receiving first haemodialysis treatment
© ANZDATA Registry
Figure 5.6
Age (%) of New Haemodialysis Patients 2010
Australia
24
Number of Patients = 1981
25
22
20
Percent
20
15
15
8.3
10
5
.7
0
0-14
2.2
15-24
4.1
3.8
25-34
35-44
45-54
55-64
65-74
75-84
>=85
© ANZDATA Registry
Figure 5.7
Age (%) of Current Haemodialysis Patients
Australia 31-Dec-2010
24
Number of Patients = 8541
25
22
22
Percent
20
15
15
8
10
5
.1
0
4.6
3.4
0-14
1.2
15-24
25-34
35-44
45-54
55-64
65-74
75-84
>=85
© ANZDATA Registry
Figure 5.8
Age (%) of New Haemodialysis Patients 2010
New Zealand
28
30
Number of Patients = 391
25
21
Percent
20
10
9.7
10
3.1
3.1
.8
.3
0
0-14
15-24
25-34
35-44
45-54
55-64
65-74
75-84
>=85
© ANZDATA Registry
Figure 5.9
Age (%) of Current Haemodialysis Patients
New Zealand 31-Dec-2010
28
30
Number of Patients = 1545
21
21
Percent
20
11
9.8
10
5.8
2.9
.9
.3
0
0-14
15-24
25-34
35-44
45-54
55-64
65-74
75-84
>=85
© ANZDATA Registry
Figure 5.10
Blood Flow Rates (mls/minute) 2006 - 2010
*
December 2010
8524
3
0.50%
3.50%
14.30%
57.90%
20.10%
3.70%
December 2009
8231
1
0.60%
3.50%
14.60%
57.50%
19.80%
4%
December 2008
7919
0.70%
4.40%
16.20%
54.80%
20%
3.90%
December 2007
7590
2
0.50%
4.50%
18.40%
53.20%
19.50%
3.90%
December 2006
7215
1
0.40%
4.50%
19.30%
52.30%
19.10%
4.40%
Country
Aust
NZ
Mls/Minute
No.
Pts
December 2010
1545
December 2009
1480
December 2008
<200
200-249 250-299 300-349 350-399
>400
0.30%
6.20%
25.40%
49.30%
16.70%
2.10%
0.30%
6.40%
24.90%
45.90%
20.20%
2.30%
1343
0.40%
7.50%
31.70%
41.20%
17.30%
1.90%
December 2007
1325
0.50%
6.60%
28.80%
41.10%
21%
2.10%
December 2006
1231
0.40%
6.90%
26.30%
44.80%
19.50%
2.10%
1
© ANZDATA Registry
Figure 5.11
Blood Flow Rate by Type of Access
December 2010
Blood
Flow Rate
Australia
New Zealand
AVF
AVG
CVC *
AVF
AVG
CVC
22 (.3%)
-
17 (1.5%)
2 (.2%)
1 (1.3%)
2 (.6%)
200-249
204 (3.1%)
26 (3.5%)
67 (5.7%)
73 (6.5%)
2 (2.6%)
21 (6.1%)
250-299
805 (12.2%)
119 (15.9%)
298 (25.6%)
199 (17.7%)
24 (30.8%)
169 (49.4%)
300-349
3793 (57.4%)
467 (62.5%)
679 (58.2%)
582 (51.7%)
48 (61.5%)
132 (38.6%)
350-399
1498 (22.7%)
115 (15.4%)
101 (8.7%)
238 (21.2%)
3 (3.8%)
17 (5%)
>=400
289 (4.4%)
20 (2.7%)
4 (.3%)
31 (2.8%)
-
1 (.3%)
Total
6611 (100%)
747 (100%)
1166 (100%)
1125 (100%)
78 (100%)
342 (100%)
<200
© ANZDATA Registry
Figure 5.12
Distribution of Blood Flow Rates
Prevalent Haemodialysis
Australia
5,000
4,000
3,000
2,000
At 31 Dec
2010 (8485)
2009 (8181)
2008 (7866)
1,000
0
200-249
250-299
300-349
350-399
>=400
© ANZDATA Registry
Figure 5.13
Distribution of Blood Flow Rates
Prevalent Haemodialysis
New Zealand
800
600
400
At 31 Dec
200
0
2010 (1540)
2009 (1476)
2008 (1337)
200-249
250-299
300-349
350-399
>=400
© ANZDATA Registry
Figure 5.14
Duration and Number of Sessions Per Week
December 2010
Sessions
Per
week
Hours of Each Treatment
Total
<4
4
4>4-4.5
>4.5-5
>5-5.5
>5.5
<=3
343 (4.4%)
3240 (41.8%)
1638 (21.1%)
2198 (28.4%)
138 (1.8%)
192 (2.5%)
7749 (100%)
>3-<5
42 (7.8%)
88 (16.3%)
51 (9.4%)
105 (19.4%)
9 (1.7%)
245 (45.4%)
540 (100%)
>=5
71 (45.8%)
33 (21.3%)
2 (1.3%)
9 (5.8%)
1 (.6%)
39 (25.2%)
155 (100%)
Total
456 (5.4%)
3361 (39.8%)
1691 (20%)
2312 (27.4%)
148 (1.8%)
476 (5.6%)
8444 (100%)
Australia
New Zealand
<=3
22 (1.6%)
510 (37.7%)
272 (20.1%)
448 (33.1%)
30 (2.2%)
71 (5.2%)
1353 (100%)
>3-<5
8 (5.3%)
33 (22%)
10 (6.7%)
54 (36%)
10 (6.7%)
35 (23.3%)
150 (100%)
>=5
14 (50%)
8 (28.6%)
2 (7.1%)
3 (10.7%)
-
1 (3.6%)
28 (100%)
Total
44 (2.9%)
551 (36%)
284 (18.5%)
505 (33%)
40 (2.6%)
107 (7%)
1531 (100%)
© ANZDATA Registry
Figure 5.15
Haemodialysis Frequency (per Week)
December 2008 - 2010
100
2
6
2
7
2
6
3
7
2
9
2
10
92
91
92
90
89
88
Percent
80
60
40
5
>3-<5
3
20
0
Dec 08 Dec 09 Dec 10
Dec 08 Dec 09 Dec 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.16
Percent
Haemodialysis Session Length (Hours)
December 2008 - 2010
100
6
2
6
2
6
2
6
2
6
2
7
3
80
28
27
27
28
31
33
19
20
20
19
19
19
60
40
40
41
40
41
38
36
6
5
5
4
3
3
20
0
Dec 08 Dec 09 Dec 10
Dec 08 Dec 09 Dec 10
Australia
New Zealand
>5.5
>5-5.5
>4.5-5
>4-4.5
4
<4
© ANZDATA Registry
Figure 5.17
Percent
Haemodialysis Duration (Hours per Week)
December 2008 - 2010
100
6
6
5
6
6
7
80
31
31
31
33
37
38
18
19
19
19
18
19
60
40
39
39
20
0
6
5
38
5
38
36
33
4
3
2
Dec 08 Dec 09 Dec 10
Dec 08 Dec 09 Dec 10
Australia
New Zealand
20
15-19.9
13.5-14.9
12-13.4
<12
© ANZDATA Registry
Figure 5.18
Percentage of Patients
Dialysing Five or More Days per Week
Australia
New Zealand
3.5
3
Percent
2.5
2
1.5
1
.5
0
Mar 04
Dec 05
Dec 07
Dec 09
Mar 04
Dec 05
Dec 07
Dec 09
Dec 04
Dec 06
Dec 08
Dec 10
Dec 04
Dec 06
Dec 08
Dec 10
Survey Period
© ANZDATA Registry
Figure 5.19
Percentage of Patients - Dialysing 3 Days per Week
Dialysing 4.5 Hours per Session or Longer
Australia
New Zealand
65
Percent
60
55
50
45
Mar 04
Dec 05
Dec 07
Dec 09
Mar 04
Dec 05
Dec 07
Dec 09
Dec 04
Dec 06
Dec 08
Dec 10
Dec 04
Dec 06
Dec 08
Dec 10
Survey Period
© ANZDATA Registry
Figure 5.20
Percentage of Patients
Dialysing >12 Hours per Week
Australia
New Zealand
65
Percent
60
55
50
45
Mar 04
Dec 05
Dec 07
Dec 09
Mar 04
Dec 05
Dec 07
Dec 09
Dec 04
Dec 06
Dec 08
Dec 10
Dec 04
Dec 06
Dec 08
Dec 10
Survey Period
© ANZDATA Registry
Figure 5.21
Haemodialysis Percentage ≥ 5 Sessions per Week
By Australian State and Country
Australia
New
Zealand
Qld
NSW/ACT
Vic
Tas
SA
NT
WA
Dec-10
49 (3.1%)
26 (.9%)
48 (2.2%)
3 (2.1%)
8 (1.4%)
6 (1.5%)
15 (1.9%)
28 (1.8%)
Dec-09
40 (2.6%)
27 (1%)
39 (1.8%)
2 (1.4%)
6 (1.1%)
-
10 (1.3%)
28 (1.9%)
Dec-08
50 (3.4%)
23 (.9%)
45 (2.2%)
2 (1.6%)
8 (1.7%)
1 (.3%)
12 (1.6%)
34 (2.5%)
Dec-07
57 (4.2%)
26 (1%)
53 (2.6%)
1 (.8%)
9 (1.9%)
-
14 (2%)
27 (2.1%)
© ANZDATA Registry
Figure 5.22
Haemodialysis Percentage ≥ 4.5 Hours Per Session
Three Sessions per Week
By Australian State and Country
Australia
New
Zealand
Qld
NSW/ACT
Vic
Tas
SA
NT
WA
Dec-10
809 (50.8%)
1820 (65.9%)
744 (33.7%)
77 (53.8%)
137 (24.4%)
295 (73.9%)
198 (25.2%)
816 (53.2%)
Dec-09
769 (49.9%)
1717 (64.5%)
661 (31.3%)
75 (53.6%)
133 (25%)
304 (79.6%)
191 (24.8%)
748 (51%)
Dec-08
716 (49.4%)
1713 (66.1%)
640 (31%)
52 (41.6%)
105 (21.8%)
276 (76.7%)
177 (23.2%)
650 (48.7%)
Dec-07
678 (49.7%)
1659 (66%)
611 (30.5%)
43 (35%)
121 (25.2%)
278 (83.2%)
186 (26.1%)
724 (55.1%)
© ANZDATA Registry
Figure 5.23
Haemodialysis Percentage >12 Hours per Week
By Australian State and Country
Australia
New
Zealand
Qld
NSW/ACT
Vic
Tas
SA
NT
WA
Dec-10
978 (61.3%)
2034 (73.9%)
954 (43.2%)
89 (62.7%)
166 (29.5%)
308 (77.4%)
252 (32%)
984 (64.5%)
Dec-09
942 (61.2%)
1959 (73.5%)
870 (41.2%)
87 (62.1%)
162 (30.6%)
304 (80.2%)
237 (30.8%)
900 (61.2%)
Dec-08
880 (60.6%)
1930 (74.4%)
837 (40.6%)
59 (46.8%)
129 (26.7%)
285 (78.7%)
216 (28.3%)
780 (58.4%)
Dec-07
841 (62.3%)
1873 (74.5%)
804 (40.1%)
53 (42.7%)
151 (31.5%)
282 (84.7%)
222 (31.1%)
819 (62.5%)
© ANZDATA Registry
Figure 5.24
Haemodialysis at 90 Days Patient Survival
Censored for Transplant
1999 - 2010
% [95% Confidence Interval]
Survival
No. of
Patients
6 months
1 year
3 years
5 years
1999-2001
3966
93 [92, 94]
87 [85, 88]
65 [64, 67]
48 [47, 50]
2002-2004
4234
93 [92, 94]
86 [85, 87]
65 [64, 67]
47 [45, 48]
2005-2007
5255
92 [91, 93]
86 [85, 87]
65 [63, 66]
47 [46, 49]
2008-2010
5170
93 [92, 93]
87 [86, 88]
-
-
1999-2001
726
93 [91, 95]
87 [84, 89]
62 [58, 66]
41 [37, 45]
2002-2004
864
94 [92, 96]
88 [85, 90]
65 [62, 68]
44 [41, 48]
2005-2007
947
94 [92, 95]
89 [86, 90]
65 [62, 68]
44 [39, 48]
2008-2010
1017
93 [91, 95]
90 [87, 91]
-
-
Australia
New Zealand
© ANZDATA Registry
Figure 5.25
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - Australia
1.00
0.75
0.50
1999-2001
2002-2004
2005-2007
2008-2010
0.25
0.00
0
1
(3966)
(4234)
(5255)
(5170)
2
3
4
5
Years
© ANZDATA Registry
Figure 5.26
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - New Zealand
1.00
0.75
0.50
1999-2001
2002-2004
2005-2007
2008-2010
0.25
0.00
0
1
(726)
(864)
(947)
(1017)
2
3
4
5
Years
© ANZDATA Registry
Figure 5.27
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - Australia
Adjusted for Age,Diabetic PRD and Gender
1.00
0.75
0.50
1999-2001
2002-2004
2005-2007
2008-2010
0.25
0.00
0
1
(3966)
(4234)
(5255)
(5170)
2
3
4
5
Years
© ANZDATA Registry
Figure 5.28
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - New Zealand
Adjusted for Age,Diabetic PRD and Gender
1.00
0.75
0.50
1999-2001
2002-2004
2005-2007
2008-2010
0.25
0.00
0
1
(726)
(864)
(947)
(1017)
2
3
4
5
Years
© ANZDATA Registry
Figure 5.29
Haemodialysis at 90 Days
Patient Survival - Diabetic / Non Diabetic
Censored for Transplant
1999 - 2010
% [95% Confidence Interval]
Survival
No. of
Patients
6 months
1 year
3 years
5 years
Non Diabetic (n=10,869)
12939
92 [92, 93]
86 [86, 87]
67 [66, 68]
50 [49, 51]
Diabetic (n=4,806)
5686
93 [92, 94]
87 [86, 87]
62 [61, 64]
43 [41, 44]
Non Diabetic (n=1,436)
1940
93 [92, 94]
88 [86, 89]
67 [65, 69]
48 [45, 51]
Diabetic (n=1,237)
1614
95 [94, 96]
89 [87, 90]
62 [60, 65]
39 [35, 42]
Australia
New Zealand
© ANZDATA Registry
Figure 5.30
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - Australia
1.00
0.75
0.50
0.25
Non-diabetic (12939)
Diabetic (5686)
0.00
0
1
2
3
4
5
Years
© ANZDATA Registry
Figure 5.31
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - New Zealand
1.00
0.75
0.50
0.25
Non-diabetic (1940)
Diabetic (1614)
0.00
0
1
2
3
4
5
Years
© ANZDATA Registry
Figure 5.32
Haemodialysis at 90 Days
Patient Survival - By Age Group
Censored for Transplant
1999 - 2010
% [95% Confidence Interval]
Age Groups
No. of Patients
Survival
6 months
1 year
3 years
5 years
Australia
0-39 years
2143
98 [97, 99]
96 [95, 97]
87 [85, 89]
80 [77, 82]
40-59 years
5824
96 [95, 96]
92 [91, 93]
77 [76, 78]
63 [61, 65]
60-74 years
6668
92 [91, 93]
85 [84, 86]
62 [61, 63]
43 [42, 45]
>=75 years
3990
87 [85, 88]
77 [76, 79]
46 [44, 48]
25 [23, 26]
0-39 years
484
99 [98, 100]
96 [94, 98]
83 [78, 87]
72 [65, 77]
40-59 years
1491
95 [94, 96]
91 [89, 92]
73 [71, 76]
52 [48, 55]
60-74 years
1257
93 [91, 94]
86 [84, 88]
57 [54, 60]
33 [30, 37]
>=75 years
322
84 [79, 87]
71 [66, 76]
33 [27, 39]
17 [12, 23]
New Zealand
© ANZDATA Registry
Figure 5.33
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - Australia
1.00
0.75
0.50
Age
<40 (2143)
40-59 (5824)
60-74 (6668)
>=75 (3990)
0.25
0.00
0
1
2
3
4
5
Years
© ANZDATA Registry
Figure 5.34
Patient Survival - Haemodialysis at 90 Days
1999 - 2010
Censored for Transplant - New Zealand
1.00
0.75
0.50
Age
<40 (484)
40-59 (1491)
60-74 (1257)
>=75 (322)
0.25
0.00
0
1
2
3
4
5
Years
© ANZDATA Registry
Figure 5.35
Haemodialyser Membrane Types
Dialyser Membrane
Type
Square Metres
Flux
<1.0
1.0-1.4
1.5-1.7
1.8-1.9
>1.9
Total
Australia
CELLULOSE ACETATE
LOW
1
.
.
.
1
2
CELLULOSE TRIACETATE
HIGH
.
.
4
14
46
64
DIACETATE
LOW
.
.
4
.
2
6
POLYAMIX
HIGH
1
44
725
.
2002
2772
POLYAMIX
LOW
.
7
44
.
54
105
POLYETHERSULFONE
HIGH
.
.
6
101
252
359
POLYNEPHRON
HIGH
.
.
.
.
46
46
POLYSULPHONE
HIGH
.
15
.
12
11
38
POLYSULPHONE
LOW
5
10
.
95
99
209
POLYSULPHONE-HELIXONE
HIGH
.
718
.
3077
1064
4859
7
794
783
3299
3577
8460
Total
New Zealand
POLYAMIX
HIGH
.
3
57
.
378
438
POLYAMIX
LOW
.
5
70
.
137
212
POLYSULPHONE
HIGH
.
.
.
5
.
5
POLYSULPHONE
LOW
2
.
.
93
114
209
POLYSULPHONE-HELIXONE
HIGH
.
405
.
187
69
661
2
413
127
285
698
1525
Total
© ANZDATA Registry
Figure 5.36
Number of Patients at end of 2010 by HD Modality
NT
NSW/AC
T
Vic
Qld
SA
WA
Tas
NZ
Total
0
288
17
207
89
83
35
284
1,003
Haemodialysis Hollow
405
2,669
2,380
1,490
523
749
128
1,307
9,651
Haemofiltration
0
12
0
25
0
0
0
9
46
405
2,969
2,397
1,722
612
832
163
1,600
10,700
Haemodiafiltration
Total
© ANZDATA Registry
Figure 5.37
2132
3,000
2352
2944
2009 (8130)
2010 (8458)
3186
Haemodialysis Surface Area
Australia
0
<=1.2
1.25
1068
1.3
1.4
1.7
1.8
1.9
2.1
2.2
2.4
1
47
110
115
224
758
785
1053
112
37
22
10
20
8
6
1,000
755
843
2,000
2.5
Australia
© ANZDATA Registry
Figure 5.38
298
400
287
365
500
406
500
2009 (1469)
2010 (1529)
518
Haemodialysis Surface Area
New Zealand
<=1.2
1.25
1.3
5
5
9
0
10
2
2
100
0
115
140
69
200
127
140
300
1.4
1.7
1.8
2.1
2.2
2.4
New Zealand
© ANZDATA Registry
Mean Hb(g/L)
Figure 5.39
Mean Haemoglobin Among Dialysis Patients
By Survey Period
Australia
New Zealand
120
115
110
105
100
Mar 04 Dec 05 Dec 07 Dec 09 Mar 04 Dec 05 Dec 07 Dec 09
Dec 04 Dec 06 Dec 08 Dec 10 Dec 04 Dec 06 Dec 08 Dec 10
Survey Period
PD
HD
© ANZDATA Registry
Figure 5.40
Use of Erythropoietic Agents
By Survey Period
Australia
New Zealand
100
Percent
90
80
70
60
50
Mar 04 Dec 05 Dec 07 Dec 09 Mar 04 Dec 05 Dec 07 Dec 09
Dec 04 Dec 06 Dec 08 Dec 10 Dec 04 Dec 06 Dec 08 Dec 10
Survey Period
PD
HD
© ANZDATA Registry
Figure 5.41
Haemoglobin - Haemodialysis
December 2008-2010
Percent
Hb(g/L)
<110
110-119
4
10
4
10
3
8
23
22
21
29
30
30
35
34
38
Dec 08
Dec 09
Dec 10
Australia
120-129
140
130-139
6
13
5
10
4
8
22
22
21
25
26
34
38
41
Dec 08
Dec 09
Dec 10
25
New Zealand
© ANZDATA Registry
Figure 5.42 - Australia
Haemoglobin - Haemodialysis
By Coronary Artery Disease Status
Australia - December 2008-2010
Percent
Hb(g/L)
<110
110-120
>120
33
33
29
32
33
29
32
32
31
33
32
33
34
34
39
35
35
38
Dec 08
Dec 09
Dec 10
Dec 08
Dec 09
Dec 10
No CAD
CAD
© ANZDATA Registry
Figure 5.42 – New Zealand
Haemoglobin - Haemodialysis
By Coronary Artery Disease Status
New Zealand - December 2008-2010
Percent
Hb(g/L)
<110
36
32
29
29
27
28
35
41
43
Dec 08
Dec 09
Dec 10
No CAD
110-120
>120
41
36
32
27
28
30
32
36
39
Dec 08
Dec 09
Dec 10
CAD
© ANZDATA Registry
Figure 5.43
Haemoglobin in Haemodialysis Patients
Australia 31 December 2010
140
130
120
110
100
90
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Median Hb (g/L)
Figure 5.44
Haemoglobin in Haemodialysis Patients
New Zealand 31 December 2010
140
130
120
110
100
90
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.45
% Haemodialysis Patients with Hb 110-129 g/L
Australia 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.46
% Haemodialysis Patients with Hb 110-129 g/L
New Zealand 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.47
Percent
Ferritin - Haemodialysis
December 2008-2010
g/L
<100
17
17
19
17
17
15
21
24
23
22
23
23
38
37
37
34
36
34
12
11
12
10
12
10
13
14
15
11
13
Dec 08
Dec 09
Dec 10
Dec 08
Dec 09
Dec 10
Australia
100-199
200-499
800
500-799
14
New Zealand
© ANZDATA Registry
Figure 5.48
Transferrin Saturation - Haemodialysis
December 2008-2010
Percent
T/Sat(%)
<20
20-29
40
30-39
14
14
13
10
14
12
19
19
19
19
19
18
38
37
37
37
37
39
29
30
31
34
30
31
Dec 08
Dec 09
Dec 10
Dec 08
Dec 09
Dec 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.49
% Haemodialysis Patients
with Ferritin 200-500 g/L
Percent
Australia 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.50
% Haemodialysis Patients
with Ferritin 200-500 g/L
Percent
New Zealand 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.51
% Haemodialysis Patients with TSat >20%
Australia 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.52
% Haemodialysis Patients with TSat >20%
New Zealand 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.53
Serum Calcium - Haemodialysis
December 2008-2010
Calcium
(mmol/L)
6
Percent
21
<2.0
5
20
2.0-2.1
4
18
2.2-2.3
12
11
28
28
33
38
37
17
5
18
6
Dec 09
Dec 10
14
32
42
41
42
27
24
27
7
8
8
16
5
Dec 08
Dec 09
Dec 10
Dec 08
Australia
2.6
2.4-2.5
New Zealand
© ANZDATA Registry
Figure 5.54
% Haemodialysis Patients
with Calcium 2.1-2.4 mmol/L
Percent
Australia 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.55
% Haemodialysis Patients with
Calcium 2.1-2.4 mmol/L
Percent
New Zealand 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.56
Serum Phosphate - Haemodialysis
December 2008-2010
Phosphate (mmol/L)
Percent
33
33
<1.4
14
14
16
16
16
36
37
38
Dec 08
Dec 09
Dec 10
1.8
1.6-1.7
32
15
Australia
1.4-1.5
50
47
46
14
16
15
13
13
16
23
25
23
Dec 08
Dec 09
Dec 10
New Zealand
© ANZDATA Registry
Figure 5.57
% Haemodialysis Patients with
Phosphate 0.8-1.6 mmol/L
Percent
Australia 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.58
% Haemodialysis Patients with
Phosphate 0.8-1.6 mmol/L
Percent
New Zealand 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.59
Calcium Phosphate Product - Haemodialysis
December 2008-2010
2
2
Percent
Ca X PO4 (mmol /L )
<3.5
15
8
12
14
9
12
13
8
12
16
16
16
49
Dec 08
50
Dec 09
Australia
3.5-3.9
4.0-4.4
4.5-4.9
5.0
27
26
24
13
11
12
14
15
15
16
14
17
30
34
32
Dec 08
Dec 09
Dec 10
51
Dec 10
New Zealand
© ANZDATA Registry
Figure 5.60
with
% Haemodialysis Patients
2
2
Ca X PO4 < 4.0 mmol /L
Percent
Australia 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.61
with
% Haemodialysis Patients
2
2
Ca X PO4 < 4.0 mmol /L
Percent
New Zealand 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.62
Urea Reduction Ratio
Percent
HD Three Sessions per Week
URR (%)
<60
26
26
60-64
28
65-69
70-74
75-79
80-100
12
13
12
13
15
16
24
21
23
20
21
19
16
16
15
27
26
25
25
13
6
3
14
6
3
12
5
3
15
15
15
Dec 08
Dec 09
Dec 10
Dec 08
Dec 09
Dec 10
Australia
28
24
New Zealand
© ANZDATA Registry
Figure 5.63
Urea Reduction Ratio
Related to Type of Access
HD Three Sessions per Week - December 2010
URR (%)
Percent
28
<60
40
23
28
65-69
70-74
75-79
15
7
17
12
15
32
19
15
23
28
25
60-64
21
23
18
19
18
12
5
2
18
8
3
3
14
9
9
14
13
12
15
AVF
AVG
CVC
AVF
AVG
Australia
80-100
16
20
CVC
New Zealand
© ANZDATA Registry
Figure 5.64
Urea Reduction Ratio - Prevalent Patients
Three Sessions per Week - December 2010
Urea Reduction Ratio %
Hours per Session
< 65
>=65
Total
<4 hours
53 (18.1%)
240 (81.9%)
293
4 hours
246 (8.3%)
2715 (91.7%)
2961
>4-5 hours
262 (7.4%)
3265 (92.6%)
3527
>5 hours
27 (11.7%)
204 (88.3%)
231
Total
588 (8.4%)
6424 (91.6%)
7012
<4 hours
6 (40.0%)
9 (60.0%)
15
4 hours
149 (32.3%)
313 (67.7%)
462
>4-5 hours
178 (28.2%)
453 (71.8%)
631
>5 hours
11 (15.5%)
60 (84.5%)
71
Total
344 (29.2%)
835 (70.8%)
1179
Australia
New Zealand
© ANZDATA Registry
Figure 5.65
Median URR in Haemodialysis Patients
(Three Sessions per Week)
Australia 31 December 2010
Median URR(%)
100
90
80
70
60
50
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.66
Median URR in Haemodialysis Patients
(Three Sessions per Week)
New Zealand 31 December 2010
Median URR(%)
100
90
80
70
60
Excludes hospitals with <10 patients
50
0
1
2
3
4
5
6
7
Caring Hospital
© ANZDATA Registry
Figure 5.67
% Haemodialysis Patients with URR>70%
(Three Sessions per Week)
Percent
Australia 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.68
% Haemodialysis Patients with URR>70%
(Three Sessions per Week)
Percent
New Zealand 31 December 2010
100
90
80
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
Caring Hospital
© ANZDATA Registry
Figure 5.69
Vascular Access - Initial RRT
Haemodialysis at Initial Modality
AVF
Percent
22
AVG
22
37
39
3
2
38
2007
Tunnel Catheter
19
18
38
43
2
2
37
41
2008
2009
Australia
Non-Tunnel Catheter
38
2010
41
45
44
30
33
2
23
1
22
29
23
2007
2008
2009
2010
28
2
45
30
2
New Zealand
© ANZDATA Registry
Figure 5.70
Vascular Access - Initial RRT
By Age Group 2010
AVF
Percent
31
49
3
18
<25
AVG
16
Tunnel Catheter
20
14
44
41
44
3
2
2
37
38
25-54 55-74
Australia
Non-Tunnel Catheter
39
75
40
45
35
27
2
2
22
25
53
75
25
0
<25
25-54 55-74
29
0
18
75
New Zealand
© ANZDATA Registry
Figure 5.71
Vascular Access - Initial RRT
By Diabetic Status - Australia
Percent
21
21
19
17
35
39
37
43
3
2
Non-Tunnel Catheter
Tunnel Catheter
AVG
AVF
2
2
18
19
39
42
3
2
2
24
23
40
38
3
42
37
42
38
33
36
40
38
2007
2008
2009
2010
2007
2008
2009
2010
Non Diabetic
Diabetic
© ANZDATA Registry
Figure 5.72
Vascular Access - Initial RRT
By Diabetic Status - New Zealand
AVF
Percent
43
29
AVG
44
Tunnel Catheter
40
27
38
3
3
46
46
45
42
45
29
32
29
29
31
0
1
26
28
22
2008
2009
2010
1
25
2
16
30
24
2
20
2007
2008
2009
2010
2007
Non Diabetic
Non-Tunnel Catheter
3
Diabetic
© ANZDATA Registry
Figure 5.73
Vascular Access - Initial RRT
By Gender - Australia
Percent
Non-Tunnel Catheter
Tunnel Catheter
AVG
AVF
21
21
18
19
23
22
41
42
41
43
36
37
2
1
3
3
19
17
36
42
2
1
5
4
33
33
37
34
40
39
44
40
2007
2008
2009
2010
2007
2008
2009
2010
Female
Male
© ANZDATA Registry
Figure 5.74
Vascular Access - Initial RRT
By Gender - New Zealand
AVF
Percent
48
AVG
46
Tunnel Catheter
36
48
34
31
32
31
5
Non-Tunnel Catheter
43
43
44
43
30
33
25
29
1
0
1
1
31
26
2009
2010
4
17
1
21
26
3
17
26
22
2007
2008
2009
2010
2007
2008
Female
Male
© ANZDATA Registry
Figure 5.75
Vascular Access - Initial RRT
By Referral Time - Australia
AVF
Percent
16
AVG
15
32
35
4
3
49
2007
47
2008
Tunnel Catheter
14
12
32
37
3
3
51
2009
Early
Non-Tunnel Catheter
32
34
55
58
0
10
0
12
0
7
2008
2009
2010
39
40
53
50
0
8
2007
49
2010
Late
© ANZDATA Registry
Figure 5.76
Vascular Access - Initial RRT
By Referral Time - New Zealand
AVF
Percent
37
AVG
35
32
34
3
1
28
30
Tunnel Catheter
33
28
3
2007
2008
36
2009
Early
Non-Tunnel Catheter
38
65
67
67
70
26
29
29
1
8
30
1
3
0
4
0
2007
2008
2009
2010
30
3
30
2010
Late
© ANZDATA Registry
Figure 5.77
Vascular Access - Initial RRT
By Racial Origin - 2010
AVF
Percent
16
43
2
AVG
24
Tunnel Catheter
Non-Tunnel Catheter
20
39
41
1
1
47
45
25
32
1
38
37
38
Caucasian
ATSI
Asian
Australia
5
18
27
Caucasian
38
36
1
24
Maori Pacific People
New Zealand
© ANZDATA Registry
Figure 5.78
Vascular Access - Initial RRT
By BMI - 2010
17
20
id
ly
0
18
7
27
be
se
0
17
33
O
be
se
O
be
se
O
M
or
b
Australia
39
27
0
17
33
24
0
29
id
ly
43
42
33
34
47
48
be
se
2
m
al
2
56
N
or
2
ve
rw
ei
gh
t
m
al
32
N
or
ei
gh
t
39
3
0
27
U
nd
er
w
39
ei
gh
t
47
41
U
nd
er
w
47
O
Percent
50
O
15
Non-Tunnel Catheter
M
or
b
19
27
Tunnel Catheter
ve
rw
ei
gh
t
AVG
O
AVF
New Zealand
© ANZDATA Registry
Figure 5.79
Vascular Access at First Treatment
Haemodialysis as Initial Modality 1-Jan-2007 to 31-Dec-2010
2007
AVF or
AVG
2008
CVC
AVF or
AVG
2009
CVC
AVF or
AVG
2010
CVC
AVF or
AVG
CVC
Australia
QLD
149 (41%) 212 (59%) 139 (36%) 249 (64%) 152 (41%) 220 (59%) 138 (41%) 202 (59%)
NSW/ACT
198 (35%) 367 (65%) 187 (33%) 374 (67%) 177 (36%) 312 (64%) 183 (36%) 331 (64%)
Vic
193 (47%) 217 (53%) 186 (47%) 209 (53%) 213 (50%) 216 (50%) 197 (45%) 243 (55%)
Tas
14 (41%)
20 (59%)
12 (35%)
22 (65%)
16 (43%)
21 (57%)
19 (61%)
12 (39%)
SA
66 (58%)
48 (42%)
71 (54%)
61 (46%)
89 (61%)
57 (39%)
54 (41%)
79 (59%)
NT
20 (31%)
44 (69%)
39 (49%)
41 (51%)
27 (46%)
32 (54%)
25 (46%)
29 (54%)
WA
60 (33%)
122 (67%)
67 (34%)
131 (66%)
66 (39%)
105 (61%)
51 (31%)
113 (69%)
233 (75%)
73 (23%)
247 (77%) 111 (31%) 249 (69%)
81 (25%)
245 (75%)
New Zealand
78 (25%)
© ANZDATA Registry
Figure 5.80
% New HD Patients Staring with AVF/AVG
Australia 1 Jan 2010 - 31 Dec 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
Caring Hospital
© ANZDATA Registry
Figure 5.81
% New HD Patients Staring with AVF/AVG
New Zealand 1 Jan 2010 - 31 Dec 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
Caring Hospital
© ANZDATA Registry
Figure 5.82
Prevalent Haemodialysis Access
AVF
0
13
0
14
10
Tunnel Catheter
0
14
9
0
13
9
Non-Tunnel Catheter
1
1
2
1
24
25
23
21
6
6
5
5
69
67
70
73
Dec 07
Dec 08
Dec 09
Dec 10
Percent
11
AVG
76
76
77
78
Dec 07
Dec 08
Dec 09
Dec 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.83
Prevalent Haemodialysis Access
By Age Group - December 2010
AVF
0
19
7
AVG
0
13
8
Tunnel Catheter
0
13
9
0
13
10
Non-Tunnel Catheter
0
31
1
17
4
Percent
0
74
<25
79
77
25-54 55-74
Australia
77
75
69
<25
1
22
0
31
5
7
78
71
25-54 55-74
62
75
New Zealand
© ANZDATA Registry
Figure 5.84
Prevalent Haemodialysis Access
By Diabetic Status - Australia
Percent
AVF
AVG
0
11
11
0
13
77
Tunnel Catheter
Non-Tunnel Catheter
0
12
9
1
16
0
16
0
15
0
16
11
0
13
10
10
9
9
8
76
77
79
74
75
76
76
Dec 07 Dec 08 Dec 09 Dec 10
Dec 07 Dec 08 Dec 09 Dec 10
Non Diabetic
Diabetic
© ANZDATA Registry
Figure 5.85
Prevalent Haemodialysis Access
By Diabetic Status - New Zealand
AVF
AVG
Tunnel Catheter
1
1
25
24
6
6
6
71
68
68
Dec 07
Dec 08
Dec 09
0
20
1
2
3
2
27
25
22
23
5
5
5
5
67
67
71
71
Dec 07
Dec 08
Dec 09
Dec 10
5
Percent
1
22
Non-Tunnel Catheter
Non Diabetic
75
Dec 10
Diabetic
© ANZDATA Registry
Figure 5.86
Prevalent Haemodialysis Access
By Gender - Australia
AVF
AVG
Tunnel Catheter
0
18
0
17
0
16
15
14
13
13
68
68
69
71
Dec 07
Dec 08
Dec 09
Dec 10
Percent
1
17
Female
Non-Tunnel Catheter
0
11
8
0
12
7
0
11
7
0
12
6
81
81
81
82
Dec 07
Dec 08
Dec 09
Dec 10
Male
© ANZDATA Registry
Figure 5.87
Prevalent Haemodialysis Access
By Gender - New Zealand
Percent
AVF
AVG
Tunnel Catheter
1
2
2
1
32
31
28
28
9
8
8
0
17
3
1
19
3
1
22
2
20
4
4
76
73
74
79
Dec 07
Dec 08
Dec 09
Dec 10
8
58
59
62
63
Dec 07
Dec 08
Dec 09
Dec 10
Female
Non-Tunnel Catheter
Male
© ANZDATA Registry
Figure 5.88
Prevalent Haemodialysis Access
By BMI - 2010
30
3
6
59
63
0
15
6
75
75
79
ve
rw
ei
gh
t
1
20
4
O
be
or
se
bi
dl
y
O
be
se
38
1
20
4
M
M
Australia
1
m
al
75
0
O
79
0
13
12
Non-Tunnel Catheter
N
or
79
ve
rw
ei
gh
t
m
al
N
or
ei
gh
t
U
nd
er
w
0
13
8
0
12
8
ei
gh
t
77
70
Tunnel Catheter
U
nd
er
w
0
14
8
O
Percent
0
17
12
AVG
O
be
or
se
bi
dl
y
O
be
se
AVF
New Zealand
© ANZDATA Registry
Figure 5.89
Prevalent Haemodialysis Access
By Racial Origin - December 2010
AVF
0
13
Percent
10
77
Caucasian
AVG
1
12
4
84
ATSI
Australia
Tunnel Catheter
0
15
7
78
Asian
Non-Tunnel Catheter
0
23
1
19
6
6
1
20
3
70
73
76
Caucasian
Maori Pacific People
New Zealand
© ANZDATA Registry
Figure 5.90
Prevalent Haemodialysis Access
By Facility - December 2010
AVF
0
22
AVG
0
11
9
Tunnel Catheter
0
2
9
Non-Tunnel Catheter
2
33
0
15
4
0
6
6
80
87
8
Percent
5
69
Hosp HD
79
89
61
Sat HD
Australia
Home HD
Hosp HD
Sat HD
Home HD
New Zealand
© ANZDATA Registry
Figure 5.91
Prevalent Vascular Access at 31-Dec-2010
Dec 2007
Dec 2008
Dec 2009
Dec 2010
AVF or
AVG
CVC
AVF or
AVG
CVC
AVF or
AVG
CVC
AVF or
AVG
CVC
QLD
1232 (89%)
148 (11%)
1283 (87%)
192 (13%)
1373 (88%)
195 (12%)
1423 (88%)
195 (12%)
NSW/ACT
2142 (84%)
394 (16%)
2197 (84%)
421 (16%)
2245 (83%)
448 (17%)
2358 (85%)
426 (15%)
Vic
1790 (89%)
221 (11%)
1857 (90%)
215 (10%)
1895 (89%)
227 (11%)
1964 (89%)
255 (11%)
Tas
113 (88%)
16 (12%)
110 (82%)
24 (18%)
118 (80%)
30 (20%)
128 (88%)
18 (12%)
SA
436 (90%)
47 (10%)
430 (88%)
61 (12%)
485 (90%)
55 (10%)
506 (89%)
61 (11%)
NT
297 (89%)
38 (11%)
328 (91%)
34 (9%)
366 (96%)
17 (4%)
367 (92%)
33 (8%)
WA
554 (77%)
164 (23%)
561 (73%)
205 (27%)
592 (76%)
182 (24%)
614 (78%)
178 (22%)
Australia
New Zealand
991 (75%)
334 (25%)
983 (73%)
360 (27%)
1111 (75%) 370 (25%)
1203 (78%) 342 (22%)
© ANZDATA Registry
Figure 5.92
% Prevalent HD Patients Dialysing with AVF/AVG
Australia 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
5
10
15
20
25
30
35
40
45
50
55
60
Caring Hospital
© ANZDATA Registry
Figure 5.93
% Prevalent HD Patients Dialysing with AVF/AVG
New Zealand 31 December 2010
100
90
80
Percent
70
60
50
40
30
20
10
0
Excludes hospitals with <10 patients
0
1
2
3
4
5
6
7
8
9
Caring Hospital
© ANZDATA Registry
Figure 5.94
Obesity in Incident Haemodialysis Patients
By Year
47
50
39 40
40
30
28 29
31
33
44 43 44
44
42
42
37
34
31
25
23 24 22
20
10
0
01 02 03 04 05 06 07 08 09 10
01 02 03 04 05 06 07 08 09 10
Australia
New Zealand
© ANZDATA Registry
Percentage Obese
Figure 5.95
Obesity in Incident Haemodialysis Patients
By State and Country - 2010
47
46
50
40
35
44
35
34
32
31
26
30
25
20
10
0
QLD
NSW
ACT
VIC
TAS
SA
NT
WA
AUS
NZ
© ANZDATA Registry
Figure 5.96
Morbid Obesity in Incident Haemodialysis Patients
By Year
28
30
25
23 23
20
20
9
0
20
21
17
13
10
19 19
9
10
14 14
15
11 11
7
01 02 03 04 05 06 07 08 09 10
01 02 03 04 05 06 07 08 09 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.97
Morbid Obesity in Incident Haemodialysis Patients
By State and Country - 2010
28
30
26
19
20
14
16
15
15
13
8
10
4
0
QLD
NSW
ACT
VIC
TAS
SA
NT
WA
AUS
NZ
© ANZDATA Registry
Figure 5.98
Obesity in Incident Haemodialysis Patients
By Diabetes - 2010
58
60
45
44
40
33
26
20
Australia
ne
ph
ro
pa
th
y
bi
d
D
ia
be
tic
C
om
or
ic
D
ia
be
te
s
N
on
-D
ia
be
t
ne
ph
ro
pa
th
y
D
ia
be
tic
D
ia
be
te
s
C
om
or
ic
bi
d
0
N
on
-D
ia
be
t
Percentage Obese
57
New Zealand
© ANZDATA Registry
Figure 5.99
Morbid Obesity in Incident Haemodialysis Patients
By Diabetes - 2010
35
40
30
35
22
21
18
20
9
10
Australia
ne
ph
ro
pa
th
y
bi
d
D
ia
be
tic
C
om
or
ic
D
ia
be
te
s
N
on
-D
ia
be
t
ne
ph
ro
pa
th
y
D
ia
be
tic
om
or
C
D
ia
be
te
s
N
on
-D
ia
be
t
ic
bi
d
0
New Zealand
© ANZDATA Registry
Figure 5.100
Obesity in Prevalent Haemodialysis Patients
By Year
50
43
47
45 46 46
49
Percentage Obese
40
40
30
24 25
19
20
29
27 28
31 30
21
16 15
10
0
01 02 03 04 06 07 08 09 10
01 02 03 04 06 07 08 09 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.101
Morbid Obesity in Prevalent Haemodialysis Patients
By Year
26
23
25
20
24 24
25
21
20
14
15
10
6
7
8
9
10
11 11
12
11
5
5
0
01 02 03 04 06 07 08 09 10
01 02 03 04 06 07 08 09 10
Australia
New Zealand
© ANZDATA Registry
Figure 5.102
Obesity in Prevalent Haemodialysis Patients
By State and Country - 2010
49
50
36
40
30
32
30
28
30
30
29
WA
AUS
23
22
20
10
0
QLD
NSW
ACT
VIC
TAS
SA
NT
NZ
© ANZDATA Registry
Figure 5.103
Morbid Obesity in Prevalent Haemodialysis Patients
By State and Country - 2010
26
25
19
20
15
15
12
14
13
12
11
9
10
7
5
0
QLD
NSW
ACT
VIC
TAS
SA
NT
WA
AUS
NZ
© ANZDATA Registry
Figure 5.104
Obesity in Prevalent Haemodialysis Patients
By Diabetes - 2010
60
58
60
42
39
33
40
18
20
Australia
ne
ph
ro
pa
th
y
bi
d
D
ia
be
tic
C
om
or
ic
D
ia
be
te
s
N
on
-D
ia
be
t
ne
ph
ro
pa
th
y
or
D
ia
be
tic
om
C
D
ia
be
te
s
N
on
-D
ia
be
t
ic
bi
d
0
New Zealand
© ANZDATA Registry
Figure 5.105
Morbid Obesity in Prevalent Haemodialysis Patients
By Diabetes - 2010
32
32
30
10
18
17
20
16
7
Australia
ne
ph
ro
pa
th
y
bi
d
D
ia
be
tic
C
om
or
ic
D
ia
be
te
s
N
on
-D
ia
be
t
ne
ph
ro
pa
th
y
or
om
D
ia
be
tic
C
D
ia
be
te
s
N
on
-D
ia
be
t
ic
bi
d
0
New Zealand
© ANZDATA Registry
Figure 5.106
Home HD numbers by state
at end 2010
489
500
422
Number
400
300
191
186
200
100
27
0
NT
15
NSW/ACT
Vic
Qld
SA
44
12
WA
Tas
NZ
© ANZDATA Registry
Figure 5.107
Home HD numbers at end year
NT
30
20
10
0
NSW/ACT
Number
220
200
180
160
140
500
450
400
350
300
Qld
200
150
100
50
Vic
SA
40
30
20
10
WA
50
40
30
20
1990 1995 2000 2005 2010
Tas
15
10
5
0
NZ
400
300
200
1990 1995 2000 2005 2010
1990 1995 2000 2005 2010
Year
© ANZDATA Registry
Figure 5.108
Home HD numbers by age group
by state at end 2010
100
Percent
80
60
40
025456575-
20
0
NT NSW/ACT Vic
Qld
SA
WA
Tas
NZ
© ANZDATA Registry
Figure 5.109
Proportion (%) of Prevalent Patients aged ≥ 65 years
Treated with Home Haemodialysis 2006 - 2010
State
2006
2007
2008
2009
2010
Queensland
3.50%
3.60%
4.10%
4%
4.30%
New South Wales
4.90%
5.40%
5.50%
5.40%
5.20%
Australian Capital Territory
4.20%
3.80%
4.40%
5.70%
6.60%
Victoria
2.10%
2.90%
3.50%
3.40%
3.40%
3%
2.60%
2.70%
2.40%
3.30%
-
-
-
-
0.80%
Northern Territory
2.10%
2%
2%
2.30%
1.90%
Western Australia
0.30%
0.90%
1.10%
1.80%
Australia
3.10%
3.40%
3.80%
3.80%
3.90%
New Zealand
6.60%
8.10%
8.20%
8.60%
8.50%
Tasmania
South Australia
© ANZDATA Registry
Figure 5.110
Home HD numbers at end year
Australia - by age group
Number
0110
100
90
80
70
25-
45-
350
500
300
400
250
300
200
200
1990 1995 2000 2005 2010
65-
75-
100
15
80
10
60
5
40
0
1990 1995 2000 2005 2010
1990 1995 2000 2005 2010
Year
© ANZDATA Registry
Figure 5.111
Home HD numbers at end year
NZ - by age group
Number
0-
25140
120
100
80
60
60
50
40
30
20
45200
150
100
50
1990 1995 2000 2005 2010
65-
756
30
4
20
2
10
0
1990 1995 2000 2005 2010
1990 1995 2000 2005 2010
Year
© ANZDATA Registry
Figure 5.112
Technique failure
Home haemodialysis 2001-10
1.00
0.75
0.50
0.25
0.00
0
2
4
6
8
10
Years
Age at RRT start
<25
65-74
25-44
75+
45-64
Censored at transplantation
Australia and NZ combined
© ANZDATA Registry
Figure 5.113
Technique failure
Home haemodialysis 2001-10
1.00
0.75
0.50
0.25
0.00
0
2
4
6
8
10
Years
Age at RRT start
<25
65-74
25-44
75+
45-64
Censored at transplantation
Australia and NZ combined
© ANZDATA Registry
Figure 5.114
Death censored technique failure
Home HD 2001-10
New Zealand
Australia
1.00
1.00
0.75
0.75
0.50
0.50
0.25
0.25
0.00
0.00
0
1
3
2
4
5
0
1
3
2
Years
Years
Age at RRT start
Age at RRT start
<25
25-44
65-74
75+
45-64
<25
25-44
65-74
75+
4
5
45-64
Censored at transplantation and death
ANZDATA Registry
© ANZDATA Registry