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DC Field | Value | Language |
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dc.contributor.author | Ling R. | - |
dc.contributor.author | Davies C.E. | - |
dc.contributor.author | Mark T.-M. | - |
dc.contributor.author | McDonald S.P. | - |
dc.contributor.author | Goodman D.J. | - |
dc.date.accessioned | 2025-01-06T02:50:45Z | - |
dc.date.available | 2025-01-06T02:50:45Z | - |
dc.date.copyright | 2024 | - |
dc.date.issued | 2024-11-13 | en |
dc.identifier.citation | Journal of the American Society of Nephrology. Conference: Kidney Week 2024. San Diego, CA United States. 35(pp 1130), 2024. Date of Publication: 2024. | - |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/52831 | - |
dc.description.abstract | Background: In 2012, Victoria introduced a 6monthly reportable renal QI for proportion of patients waitlisted or pre-emptively transplanted by set time points following start of dialysis. In 2019, renal QI was modified to include patients aged 18-70 at 6 and 12 months after commencing dialysis. We aimed to determine if QI influenced timeliness of placement on kidney transplant waiting list for Victorians, including Indigenous (ATSI; Aboriginal and Torres Strait Islander People) Victorians. Method(s): Dialysis start date, date of waitlisting or pre-emptive transplantation, medical co-morbidities, type of kidney replacement therapy (KRT) for patients aged 18-70 commencing KRT between 2007-2020 was extracted from ANZDATA. Data was divided into three eras and four sub-cohorts. Primary outcome was percentage of patients waitlisted or transplanted at 6, 12 and 24 months from starting dialysis. Result(s): Of 25,836 (14.7% ATSI) patients on dialysis, 8,587 (5.7% ATSI) were listed for transplant and 1,103 had pre-emptive transplants by December 2021. A higher proportion of non-ATSI (49%) and ATSI Victorian (31%) patients were waitlisted or had pre-emptive transplants compared to Australians (non-Victorian) (44% and 13% respectively). The proportion of Victorian patients waitlisted or had pre-emptive transplants at all timepoints improved substantially in 2017-2020, compared to 2007-2012. The proportion of Victorian patients waitlisted by 6months improved significantly (aOR 1.85 (1.55-2.21), P<0.001) following QI implementation, but there was no significant change in Australians (non-Victorian). Victorian ATSI patients were three times more likely to be waitlisted or transplanted than ATSI patients in rest of Australia (aOR 3.59 (1.45, 8.87), P = 0.006). Conclusion(s): Following introduction of the Victorian QI, the percentage of dialysis patients on waitlist or had pre-emptive transplants at 6 and 12 months increased. Victorian ATSI patients were more likely to be waitlisted than Australian ATSI patients. | - |
dc.relation.ispartof | Journal of the American Society of Nephrology | - |
dc.subject.mesh | hemodialysis patient | - |
dc.subject.mesh | kidney graft | - |
dc.subject.mesh | renal replacement therapy | - |
dc.title | Impact of Victorian Quality Indicator (QI) on kidney transplant wait-lists for Indigenous and non-Indigenous Australians. | - |
dc.type | Conference Abstract | - |
dc.identifier.affiliation | Nephrology | - |
dc.description.conferencename | Kidney Week 2024 | - |
dc.description.conferencelocation | San Diego, CA, United States | - |
dc.type.studyortrial | Observational study (cohort, case-control, cross sectional, or survey) | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1681/asn.0000000000000409 | - |
local.date.conferencestart | 2024-10-23 | - |
dc.identifier.institution | (Ling, Goodman) Department of Renal Medicine, St Vincent's Hospital, Melbourne, VIC, Australia | - |
dc.identifier.institution | (Davies, McDonald) Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia | - |
dc.identifier.institution | (Davies, McDonald) Adelaide Medical School, University of Adelaide, Adelaide, SA, Australia | - |
dc.identifier.institution | (Goodman) University of Melbourne, Faculty of Medicine, Dentistry and Health Sciences, Melbourne, VIC, Australia | - |
dc.identifier.institution | (Mark) Monash Health Kidney, Pancreas Transplant Unit, Melbourne, VIC, Australia | - |
local.date.conferenceend | 2023-06-06 | - |
dc.identifier.affiliationmh | (Mark) Monash Health Kidney, Pancreas Transplant Unit, Melbourne, VIC, Australia | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.openairetype | Conference Abstract | - |
Appears in Collections: | Conferences |
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