McKercher, C and Jose, MD and Grace, B and Clayton, PA and Walter, M, Gender differences in the dialysis treatment of Indigenous and non-Indigenous Australians, Australian and New Zealand Journal of Public Health, 41, (1) pp. 15-20. ISSN 1753-6405 (2017) [Refereed Article]
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Methods: Using registry data we evaluated 21,832 incident patients (aged ≥18 years) commencing dialysis, 2001-2013. Incidence rates were calculated and multivariate regression modelling used to examine differences in dialysis treatment (modality, location and vascular access creation) by race and gender.
Results: Dialysis incidence was consistently higher in Indigenous women compared to all other groups. Compared to Indigenous women, both non-Indigenous women and men were more likely to receive peritoneal dialysis as their initial treatment (non-Indigenous women RR=1.91, 95%CI 1.55-2.35; non-Indigenous men RR=1.73, 1.40-2.14) and were more likely to commence initial treatment at home (non-Indigenous women RR=2.07, 1.66-2.59; non-Indigenous men RR=1.95, 1.56-2.45). All groups were significantly more likely than Indigenous women to receive their final treatment at home.
Conclusions: Contemporary dialysis treatment in Australia continues to benefit the dominant non-Indigenous population over the Indigenous population, with non-Indigenous men being particularly advantaged.
Implications for Public Health: Treatment guidelines that incorporate a ecognition of genderbased preferences and dialysis treatment options specific to Indigenous Australians may assist in addressing this disparity.
|Item Type:||Refereed Article|
|Keywords:||dialysis, end-stage kidney disease, gender, Indigenous population, inequalities|
|Research Division:||Medical and Health Sciences|
|Research Group:||Clinical Sciences|
|Research Field:||Nephrology and Urology|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Urogenital System and Disorders|
|Author:||McKercher, C (Dr Charlotte McKercher)|
|Author:||Jose, MD (Professor Matthew Jose)|
|Author:||Walter, M (Professor Maggie Walter)|
|Year Published:||2017 (online first 2016)|
|Deposited By:||Menzies Institute for Medical Research|
|Downloads:||24 View Download Statistics|
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