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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0133342
Code Inist : 002B25H. Création : 09/06/1995.