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  1. Demography and survival of patients receiving treatment for chronic renal failure in Australia and New Zealand : report on dialysis and renal transplantation treatment from the Australia and New Zealand dialysis and transplant registry.

    Article, Communication - En anglais

    Symposium on renal replacement therapy throughout the world : the registries. Milan ITA, 1993/12/09.

    There were 7,059 (403 per million) Australian patients and 1,341 (388 per million) New Zealand patients receiving renal replacement treatment at the end of 1992. 53% and 50%, respectively, were dependent on a functioning transplant, 87% and 80%, respectively, from a cadaver donor.

    Universal health care has been available for renal replacement treatment for 20 years.

    The annual incidence of new patients increased steadily during the past 10 years, to 61 per million (Australia) and 69 per million (New Zealand) in 1992.

    The renal transplantation rate has remained unchanged since 1983 at 27 per million in Australia, but has increased markedly from 20 to 33 per million in New Zealand.

    The annual transplantation rate was 20% to 30% of those patients aged 15 to 64 years who were likely to be transplanted.

    The multifactorial analysis of risk factors for survival of dialysis patients showed age, male gender, CAPD treatment, Aboriginal race, and diabetic or analgesic nephropathy to be associated with lower rates of survival.

    Deaths were commonly due to a cardiac cause (43%), mostly myocardial infarction, or to infection (17%) or withdrawal from treatment (14%). The overall death rate was 12% of patients at risk in 1 992.

    Multifactorial analysis of risk factors for graft survival in transplanted patients showed patient age, diabetic nephropathy, donor age, single-drug regimen, and low transplant activity (operations) at a center to be associated with lower rates of survival.

    Mots-clés Pascal : Insuffisance rénale, Homotransplantation, Rein, Hémodialyse, Traitement, Epidémiologie, Survie, Homme, Australie, Océanie, Nouvelle Zélande, Registre, Appareil urinaire pathologie, Rein pathologie, Transplantation, Chirurgie, Epuration extrarénale

    Mots-clés Pascal anglais : Renal failure, Homotransplantation, Kidney, Hemodialysis, Treatment, Epidemiology, Survival, Human, Australia, Oceania, New Zealand, Register, Urinary system disease, Renal disease, Transplantation, Surgery, Extrarenal dialysis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0133342

    Code Inist : 002B25H. Création : 09/06/1995.