Regional variation in the incidence of end‐stage renal disease in Indigenous Australians

• DOI: 10.5694/j.1326-5377.2001.tb143507.x
• Publication Date: 2019-09-24T20:41:07Z
• Authors: Alan Cass; Joan Cunningham; Zhiqiang Wang; Wendy Hoy
• Keywords: Renal replacement therapy

Objective To evaluate regional variation in the incidence of end-stage renal disease (ESRD) Indigenous Australians, and to examine proximity ESRD treatment facilities patients. Design Secondary data review, with collection primary regarding patients' place residence before beginning treatment. Participants patients who commenced Australia during 1993–1998. Methods We obtained from Australian New Zealand Dialysis Transplant Registry 719 started between 1 January 1993 31 December 1998. treating units determine replacement therapy. calculated average annual for each 36 Aboriginal Torres Strait Islander Commission regions using population estimates based on 1996 Census, standardised ratios 95% confidence intervals region. compared number cases available Main outcome measure Regional Australians referenced total resident Australia. Results Standardised among is highest remote regions, where it up 30 times national all Australians. In urban much lower, but remains significantly higher than incidence. Forty-eight per cent come without dialysis or transplant 16.3% only satellite facilities. Conclusions There marked Because location centres, there inequitable access services a significant proportion