2013-2022年澳大利亚腹膜透析人口统计,腹膜炎和HD转移趋势
Jarrad Hopkins1,2, Annie Conway2,3, David W Johnson4,5,6
1Central and Northern Adelaide Renal and Transplantation Services (CNARTS), Adelaide, SA, Australia.
概括
在澳大利亚,腹膜透析 (PD) 患者的比例正在下降,尽管腹膜炎率有所改善. 这一趋势表明系统因素,而不是患者层面的问题,正在推动PD利用率随着时间的推移而下降.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 近年来,澳大利亚的腹腔透析 (PD) 的使用量有所下降.
- 了解导致这种趋势的因素对于脏健康管理至关重要.
研究的目的:
- 在十年内分析腹膜透析 (PD) 患者人口统计,腹膜炎率和血液透析 (HD) 转移的趋势.
- 确定澳大利亚PD利用率下降背后的原因.
主要方法:
- 一项基于注册的队列研究,利用澳大利亚和新西兰透析和移植 (ANZDATA) 注册数据.
- 纳入标准包括澳大利亚18岁以上的患者,从2013-2022年开始置换疗法 (KRT) 进入90天内开始PD.
- 统计分析包括围炎率的Poisson回归和HD转移的Cox比例危险/竞争风险回归.
主要成果:
- 在2013年至2022年期间,炎的发病率从每年0.40例减少到每年0.33例.
- 腹膜炎相关的血液透析 (HD) 转移率有所下降 (HR 0.96).
- 整体HD传输恶化 (HR 1.03),非传染性HD传输显著增加 (HR 1.02).
结论:
- 尽管腹膜炎的控制得到了改善,但澳大利亚的腹膜透析 (PD) 使用率下降.
- 稳定的患者人口统计数据表明,系统因素正在影响PD趋势.
- 非传染性原因,包括访问和心理社会因素,在PD患者管理中越来越重要.
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