Rowan Walker – Chairman

Chair: Steve Chadban ANZDATA update (Stephen McDonald) Analgaesic nephropathy – the end of an epidemic? (Sean Chang) Haemodialysis access -- recent changes (Kevan Polkinghorne) Living kidney donor Registry (Steve Chadban) APD vs CAPD (David Johnson) HD vs PD in children (Stephen McDonald)

ANZDATA update Stephen McDonald PhD FRACP Executive Officer, ANZDATA Registry

Summary Real-time data entry –Evolution of Web-based data entry Web-site People Centre reports Potential future developments ESKD trends

Real-time data entry Key development in recent years –Structure remains unchanged –Reporting by web or paper New patients Transplants Transplant failure –Events reported as they occur –Facilitates real-time reporting Monthly interim summaries distributed

Web-based systems Web-based data entry Web-based data interrogation systems

Export options

Website

People Biostatistician Epidemiology Fellow Visitors Opportunities –Working groups –Steering committee

Potential future developments Relocation of ANZDATA Recommendations of National Clinical Taskforce on Organ and Tissue Donation awaited late 2007 –Transplant outcome registries a specific focus

Centre reports Changes planned –Identification of best-performing units –Format –Continue to report relevant outcome against agreed benchmarks / CARI targets Exploration of adjustment for patient characteristics –Presently use restriction as approach to confounding Exploration of cusum graphic approach to presentation of results

What is cusum?

Example

Key ESKD data Barbecue-level information SUMMARY 01-Jan-2006 to 31-Dec-2006 Acknowledgements ANZDATA wishes to thank all Contributors Staff of Renal Units Tissue Typing Laboratories Transplant Coordinators Contents Page Australia twelve month summary 2-3 Australia Centre of Treatment at end of year 4-8 New Zealand twelve month summary 9 New Zealand Centre of Treatment at end of year 9 Primary Renal Disease of New Patients 10 National and State Summary 10 New Patients, Dialysis and Functioning Transplants per million population 11 Number of Renal Transplant Operations 11

Current state of play As at 31 Dec 2006 there were –In Australia people receiving some form of kidney replacement therapy –9180 people receiving dialysis treatment –6861 with a functioning transplant –3 fold increase over past 15 years New patient rate 115 per million per year –In New Zealand 3212 people in New Zealand receiving some form of kidney replacement therapy –1977 people receiving dialysis treatment New patient rate 117 per million per year

New patients Australia new RRT patients. Linear increase 5.4% year on year

New Patient Rates

Age-specific rates Australian RRT incidence rates by age at start

Transplant numbers

Prevalent patients – treatment

Prevalent patients – trends

Prevalent patients (NZ) - trends

Prevalent patients – treatment

Thankyou