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Variability and trends over time and across centres in haemodialysis weekly duration in Australia and New Zealand
- Source :
- Nephrology (Carlton, Vic.)REFERENCES. 26(2)
- Publication Year :
- 2020
-
Abstract
- Aim Haemodialysis treatment prescription varies widely internationally. This study explored patient- and centre-level characteristics associated with weekly haemodialysis hours. Methods Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry data were analysed. Characteristics associated with weekly duration were evaluated using mixed-effects linear regression models with patient- and centre-level covariates as fixed effects, and dialysis centre and state as random effects using the 2017 prevalent in-centre haemodialysis (ICHD) and home haemodialysis (HHD) cohorts. Evaluation of patterns of weekly duration over time analysed the 2000 to 2017 incident ICHD and HHD cohorts. Results Overall, 12 494 ICHD and 1493 HHD prevalent patients in 2017 were included. Median weekly treatment duration was 13.5 (interquartile range [IQR] 12-15) hours for ICHD and 16 (IQR 15-20) hours for HHD. Male sex, younger age, higher body mass index, arteriovenous fistula/graft use, Aboriginal and Torres Strait Islander ethnicity and longer dialysis vintage were associated with longer weekly duration for both ICHD and HHD. No centre characteristics were associated with duration. Variability in duration across centres was very limited in ICHD compared with HHD, with variation in HHD being associated with state. Duration did not vary significantly over time for ICHD, whereas longer weekly HHD treatments were reported between 2006 and 2012 compared with before and after this period. Conclusion This study in the Australian and New Zealand haemodialysis population showed that weekly duration was primarily associated with patient characteristics. No centre effect was demonstrated. Practice patterns seemed to differ across states/countries, with more variability in HHD than ICHD.
- Subjects :
- Adult
Male
medicine.medical_specialty
Younger age
Native Hawaiian or Other Pacific Islander
Time Factors
medicine.medical_treatment
Population
030232 urology & nephrology
Patient characteristics
Hemodialysis, Home
030204 cardiovascular system & hematology
Ambulatory Care Facilities
Nephrologists
03 medical and health sciences
0302 clinical medicine
Interquartile range
Renal Dialysis
Internal medicine
medicine
Prevalence
Humans
Registries
Healthcare Disparities
Practice Patterns, Physicians'
Renal Insufficiency, Chronic
education
Dialysis
Aged
education.field_of_study
business.industry
Incidence
Australia
General Medicine
Middle Aged
Nephrology
Duration (music)
Registry data
Female
business
Body mass index
New Zealand
Subjects
Details
- ISSN :
- 14401797
- Volume :
- 26
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Nephrology (Carlton, Vic.)REFERENCES
- Accession number :
- edsair.doi.dedup.....38179c0409ff0cb4ed46b6dc44c8ff31