Kidney Failure due to Diabetic Kidney Disease Among Australians Aged ≤ 45 Years, 2000-2022: A Population-Based Geospatial Analysis

  • 0Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.

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Summary

This summary is machine-generated.

Kidney failure due to diabetes in young Australians (aged ≤45 years) has increased over the past two decades. Risk is strongly linked to social determinants like remote living, socioeconomic disadvantage, and Indigenous status.

Area Of Science

  • Nephrology
  • Public Health
  • Epidemiology

Background

  • Diabetes is a leading cause of kidney failure globally.
  • Understanding the incidence and risk factors for kidney failure in younger populations is crucial for targeted interventions.
  • Area-level disparities in health outcomes are a significant concern in Australia.

Purpose Of The Study

  • To evaluate the area-level incidence of kidney failure due to diabetes among Australians aged 45 years and younger.
  • To identify geographical and socioeconomic factors associated with increased risk.

Main Methods

  • Utilized Australian registry and census data from 2000 to 2022.
  • Calculated incidence rates and prevalence of kidney failure (commencing kidney replacement therapy) due to diabetes.
  • Compared rates across geographical regions, adjusting for age and sex.

Main Results

  • Incidence of kidney failure due to diabetes in Australians aged ≤45 years increased from 0.72 to 1.13 per 100,000/year between 2000-2011 and 2012-2022.
  • Significant disparities observed, with remote areas, socioeconomic disadvantage, and Aboriginal and Torres Strait Islander ethnicity showing substantially higher risks.
  • The Northern Territory had a markedly higher incidence compared to other jurisdictions.

Conclusions

  • There has been a notable increase in kidney failure due to diabetes among young Australians over the last two decades.
  • Social determinants of health, including geographical location, socioeconomic status, and Indigenous status, are strongly associated with the risk of kidney failure.
  • Targeted public health strategies addressing these social determinants are essential to reduce the burden of diabetes-related kidney failure.

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