Changing ethnic and clinical trends and factors associated with successful home haemodialysis at Auckland District Health Board

• DOI: 10.1111/imj.14240
• Publication Date: 2019-02-05T11:53:54Z
• Authors: Junaid Y. Beig; David J. Semple
• Keywords: Renal replacement therapy

Abstract Background The health and diversity of the population in New Zealand (NZ) is changing under influence many socio‐economic factors. This may have shifted landscape home haemodialysis (HHD) . Aims To examine demographic clinical changes, determinants HHD training technique outcome mortality between 2008 2015 at Auckland District Health Board, NZ. Methods We compared three incident cohorts patients 2015. Relevant factors, including characteristics, failure, failure were recorded. Factors associated with examined by multivariate logistic regression. Results Of 152 patients, 133 completed training, 13 (10%) experienced 15 (11%) died. Significant changes ethnicity (increased: Māori 1.7‐fold, Asian 1.7‐fold Pasifika 1.4‐fold; decreased: NZ European 2.7‐fold, P = 0.001), major comorbidities, ≥2 comorbidities (1.8‐fold increase, 0.03), diabetes (2.1‐fold 0.013) heart ( 0.04) seen. as first renal replacement therapy modality increased 15‐fold 0.0001) time 4.5 weeks 0.004). Death unchanged over time. Shorter time, employment lower C‐reactive protein ‘Successful HHD’. ‘Unsuccessful HHD’ patient characteristics differed ethnicity. Conclusions has become more representative population, but significantly comorbid Patient increased, remain stable. predicted social ‘unsuccessful different mechanisms groups.