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Impending challenges of the burden of end-stage kidney disease in Australia
journal contribution
posted on 2023-05-20, 07:48 authored by Lim, WH, Johnson, DW, McDonald, SP, Hawley, C, Clayton, PA, Matthew JoseMatthew Jose, Wong, GSex and age-specific incidence rates of patients with treated end-stage kidney disease (ESKD) in Australia are comparable to those in European countries, but substantially lower compared with those in the United States, Canada and many Asian countries. The incidence rates of treated ESKD in Australia increase with advancing age; however, the incidence of ESKD is likely to be underestimated because a proportion of patients with ESKD (about 50%) remain untreated. Late referral to nephrologists has reduced over the past decade, temporally associated with improved ESKD recognition. However, late referral still occurs in one in five Australians with ESKD. One in two Australians with ESKD has diabetes, with up to 35% of cases directly attributed to diabetes. Mortality rates for patients with ESKD remain substantially higher compared with the age-matched general population, although there has been a significant improvement in survival over time. Cardiovascular disease and cancer are the two most common causes of death in patients with ESKD.
History
Publication title
Medical Journal of AustraliaVolume
211Issue
8Pagination
374-380ISSN
0025-729XDepartment/School
Tasmanian School of MedicinePublisher
Australasian Med Publ Co LtdPlace of publication
Level 1, 76 Berry St, Sydney, Australia, Nsw, 2060Rights statement
Copyright 2019 AMPCo Pty LtdRepository Status
- Restricted