1. CHAPTER 3 DEATHS Stephen McDonald 2012 Annual Report—35th Edition
ANZDATA Registry Annual Report 2012

2. Survival among People who Commenced
Figure 3.1
Survival among People who Commenced
Dialysis 2002—2011 (Non-Indigenous) % (95% CI)
Age at Start
Time Point
(Number of Years from dialysis start)
Proportion Surviving Aust (95 % CI)
Proportion Surviving
NZ (95 % CI)
0– 24 1
97 (95-98)
96 (90-98) 2
93 (90-96)
94 (86-97) 5
90 (85-93)
78 (56-90)
25—44
97 (96-97)
99 (97-100)
91 (90-92)
94 (90-96)
80 (78-83)
73 (64-80)
45—64
92 (91-92)
91 (89-92)
84 (83-85)
81 (78-83)
60 (58-61)
53 (49-58)
65—74
85 (84-86)
84 (81-87)
72 (71-74)
71 (67-75)
41 (39-42)
34 (29-38)
75—84
80 (79-81)
76 (72-80)
64 (62-65)
55 (50-60)
27 (25-28)
19 (14-24)
85 +
69 (65-73)
65 (46-78)
51 (46-55)
43 (26-59)
17 (13-22)
13 (3-31)
ANZDATA Registry Annual Report 2012

3. (per 100 patient years, 95% CI)
Figure 3.2
Death Rates During Renal Replacement Therapy
All Patients Included who Received Treatment During 2011
Group
Dialysis
Mortality Rate
(per 100 patient years, 95% CI)
Transplant
Overall
Rate
Confidence Intervals
Confidence Intervals
Per 100 patient years
Lower
Upper
Australia
13.7
13.0
14.4
2.4
2.1
2.7
New Zealand
15.5
14.0
17.2
2.8
3.8
Ages (Years)
< 25
1.9
0.8
4.7
0.4
0.1
1.6
25—44
4.9
3.9
6.1
0.6
1.0
45—64
9.5
8.7
10.4
1.8
2.6
65—84
19.2
18.1
20.4
6.2
5.2
7.5
≥ 85
35.8
30.8
41.6
48.7 20 ~
Diabetes (at RRT start)
Non-diabetic
12.1
11.3
18.9
2.3
2.0
Type 1
16.9
13.1
21.9
1.7
4.5
Type 2
1.5
15.4
17.6
3.4
7.1
Coronary artery disease (at RRT start) No
10.7
10.0
11.4
2.2
Yes
20.1
21.4
3.5
6.8
Indigenous
Non-Indigenous (Australia)
14.3
13.5
15.0
Non-Indigenous (New Zealand)
16.8
14.5
19.4
2.9
4.0
Aboriginal /Torres Strait Islanders
13.3
1.1
6.5
Maori (in Australia)
11.1
6.3
19.5
No events
Maori (in New Zealand)
14.1
3.3
1.4
8.0
Pacific People (in Australia)
4.8
8.4
0.7
Pacific People (in New Zealand)
ANZDATA Registry Annual Report 2012

4. ANZDATA Registry Annual Report 2012
Figure 3.3
ANZDATA Registry Annual Report 2012

5. ANZDATA Registry Annual Report 2012
Figure 3.4
ANZDATA Registry Annual Report 2012

6. Age Groups at start of treatment
Figure 3.5
Survival of Dialysis Patients by age
Age Groups at start of treatment
Median (25th and 75th centiles), years
Australia
0-24 years *
25-44 years
9.26 (5.37-*)
45-64 years
6.26 ( )
65-74 years
4.10 ( )
75-84 years
2.97 ( )
85+ years
2.03 ( )
New Zealand
9.64 (7.92-*)
7.28 (4.12-*)
4.97 ( )
3.59 ( )
2.51 ( )
1.69 ( )
ANZDATA Registry Annual Report 2012

7. Survival by Age & Comorbidity amongst older age groups
Figure 3.6
Survival by Age & Comorbidity
amongst older age groups
Median (25th and 75th centiles), years
Age Groups
Any Vascular Disease
Diabetes
Australia
New Zealand
65-69 years No
5.32 (2.04 -)
6.01 ( )
Yes
3.95 ( )
5.23 ( )
4.30 ( )
2.36 ( )
4.31 ( )
4.03 ( )
70-74 years
5.89 ( )
3.33 ( )
5.59 (2.39- )
3.92 ( )*
3,46 ( )
2.55 ( )
3.65 ( )
3.33 ( )
75-79 years
5.47 ( )
3.43 ( )*
4.00 ( )
1.42 ( )
3.08 ( )
2.97 ( )
80-84 years
3.41 ( )
2.69 ( )
4.34 ( )
0.67 ( )*
2.28( )
2.82 ( )*
2.37 ( )
2.82 ) )*
85-89 years
2.25 ( ) *
2.39 (0.63-)
2.17 ( )
1.38 ( )*
1.57 ( )
ANZDATA Registry Annual Report 2012

8. ANZDATA Registry Annual Report 2012
Figure 3.7 Australia
ANZDATA Registry Annual Report 2012

9. ANZDATA Registry Annual Report 2012
Figure 3.8 New Zealand
ANZDATA Registry Annual Report 2012

10. ANZDATA Registry Annual Report 2012
Figure 3.9
ANZDATA Registry Annual Report 2012

11. ANZDATA Registry Annual Report 2012
Figure 3.10
ANZDATA Registry Annual Report 2012

12. Modality at time of death and age at death –2011
Figure 3.11
Modality at time of death and age at death –2011
Cause of Death
Haemodialysis
Peritoneal Dialysis
Transplant
0 - 44
≥75
Australia
Cardiovascular 16
117 92
159 2 24 39 32 5 19 7
Withdrawal 15 61
110
229 3 13 18 36 4
Cancer 30 29 6 31 27 8
Infection 40 44 54 20 9
Other 17 56 53 74 12 21 10
New Zealand 45 26 1 11 14
ANZDATA Registry Annual Report 2012

13. Country at time of death and Modality at death among those
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
AUSTRALIA
NEW ZEALAND HD PD
GRAFT
Cardiovascular
384 97 42 84 49 9
Withdrawal
415 70 10 66 36 5
Cancer 76 16 6
Infection
144 24 38 35 18 7
Other
200 50 40 39 30 13
ANZDATA Registry Annual Report 2012

14. Death due to withdrawal-2011 (Modality at time of death)
Figure 3.13
Death due to withdrawal-2011
(Modality at time of death)
Withdrawal
Haemodialysis
Peritoneal Dialysis
Transplant
Total
Australia
Psychosocial
177 31 6
214
Patient refused further 2
Suicide 1
Cardiovascular comorbidity 75 13 89
Cerebrovascular comorbidity 36 42
Peripheral vascular comorbidity 24 8 33
Malignancy related withdrawal 82 7 91
Withdrawal due to dialysis 19 4 23
415 70 10
495
New Zealand 11 37 17 9 27 5 3 18 15 66
107
ANZDATA Registry Annual Report 2012

15. Dialysis patients who withdrew by age at death
Figure 3.14
Dialysis patients who withdrew by age at death
time from first RRT-2011
Time from first RRT
AUSTRALIA
NEW ZEALAND
0 - 44
≥75
Total 3 13 31 30 77 0 
1   
8   12 1 7 34 57
4   
4   2 10 6 25 45 96
172
5   
17   16 38 5 32 42
109
189
2  
12  
14   19 47 18
131
269
495 2 
22  
43   40
107
ANZDATA Registry Annual Report 2012

16. ANZDATA Registry Annual Report 2012
Figure 3.15
ANZDATA Registry Annual Report 2012

17. ANZDATA Registry Annual Report 2012
Figure 3.16
ANZDATA Registry Annual Report 2012