Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/52831
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dc.contributor.authorLing R.-
dc.contributor.authorDavies C.E.-
dc.contributor.authorMark T.-M.-
dc.contributor.authorMcDonald S.P.-
dc.contributor.authorGoodman D.J.-
dc.date.accessioned2025-01-06T02:50:45Z-
dc.date.available2025-01-06T02:50:45Z-
dc.date.copyright2024-
dc.date.issued2024-11-13en
dc.identifier.citationJournal 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.urihttps://repository.monashhealth.org/monashhealthjspui/handle/1/52831-
dc.description.abstractBackground: 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.ispartofJournal of the American Society of Nephrology-
dc.subject.meshhemodialysis patient-
dc.subject.meshkidney graft-
dc.subject.meshrenal replacement therapy-
dc.titleImpact of Victorian Quality Indicator (QI) on kidney transplant wait-lists for Indigenous and non-Indigenous Australians.-
dc.typeConference Abstract-
dc.identifier.affiliationNephrology-
dc.description.conferencenameKidney Week 2024-
dc.description.conferencelocationSan Diego, CA, United States-
dc.type.studyortrialObservational study (cohort, case-control, cross sectional, or survey)-
dc.identifier.doihttp://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1681/asn.0000000000000409-
local.date.conferencestart2024-10-23-
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.conferenceend2023-06-06-
dc.identifier.affiliationmh(Mark) Monash Health Kidney, Pancreas Transplant Unit, Melbourne, VIC, Australia-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.cerifentitytypePublications-
item.openairetypeConference Abstract-
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