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https://hdl.handle.net/2440/138773
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Type: | Journal article |
Title: | Projecting the future: modelling Australian dialysis prevalence 2021–30 |
Author: | Keuskamp, D. Davies, C.E. Irish, G.L. Jesudason, S. McDonald, S.P. |
Citation: | Australian Health Review, 2023; 47(3):362-368 |
Publisher: | CSIRO Publishing |
Issue Date: | 2023 |
ISSN: | 0156-5788 1449-8944 |
Statement of Responsibility: | Dominic Keuskamp, Christopher E. Davies, Georgina L. Irish, Shilpanjali Jesudason and Stephen P. McDonald |
Abstract: | To project the prevalence of people receiving dialysis in Australia for 2021–30 to inform service planning and health policy. Methods. Estimates were based on data from 2011 to 2020 from the Australia & New Zealand Dialysis & Transplant (ANZDATA) Registry and the Australian Bureau of Statistics. We projected dialysis and functioning kidney transplant recipient populations for the years 2021–30. Discrete-time, non-homogenous Markov models were built on probabilities for transition between three mutually exclusive states (Dialysis, Functioning Transplant, Death), for five age groups. Two scenarios were employed – stable transplant rate vs a continued increase – to assess the impact of these scenarios on the projected prevalences. Results. Models projected a 22.5–30.4% growth in the dialysis population from 14 554 in 2020 to 17 829 (‘transplant growth’) – 18 973 (‘transplant stable’) by 2030. An additional 4983–6484 kidney transplant recipients were also projected by 2030. Dialysis incidence per population increased and dialysis prevalence growth exceeded population ageing in 40–59 and 60–69 year age groups. The greatest dialysis prevalence growth was seen among those aged ≥70 years. Conclusion. Modelling of the future prevalence of dialysis use highlights the increasing demand on services expected overall and especially by people aged ≥70 years. Appropriate funding and healthcare planning must meet this demand. |
Keywords: | ageing; chronic disease management; chronic kidney disease; dialysis; epidemiology; health services research; kidney failure; population health; registry |
Rights: | © 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA. This is an open access article distributed under the Creative Commons AttributionNonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). |
DOI: | 10.1071/ah22291 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1092957 |
Published version: | http://dx.doi.org/10.1071/ah22291 |
Appears in Collections: | Public Health publications |
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hdl_138773.pdf | Published version | 1.01 MB | Adobe PDF | View/Open |
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