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Impending challenges of the burden of end-stage kidney disease in Australia


Lim, WH and Johnson, DW and McDonald, SP and Hawley, C and Clayton, PA and Jose, MD and Wong, G, Impending challenges of the burden of end-stage kidney disease in Australia, Medical Journal of Australia, 211, (8) pp. 374-380. ISSN 0025-729X (2019) [Refereed Article]

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Copyright 2019 AMPCo Pty Ltd

DOI: doi:10.5694/mja2.50354


Sex 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.

Item Details

Item Type:Refereed Article
Keywords:chronic kidney disease, dialysis, end-stage kidney disease
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Nephrology and urology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Jose, MD (Professor Matthew Jose)
ID Code:135433
Year Published:2019
Web of Science® Times Cited:7
Deposited By:Medicine
Deposited On:2019-10-21
Last Modified:2020-03-11

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