Cause of death in patients with end‐stage renal disease: assessing concordance of death certificates with registry reports

Li, Shu Qin; Cass, Alan; Cunningham, Joan

doi:10.1111/j.1467-842x.2003.tb00420.x

Cited by 41 publications

(33 citation statements)

References 7 publications

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“…During the initial decades following the introduction of RRT, it is likely that a significant number of children with ESKD did not enter RRT programs. Ideally, death certificates for those children who have died from renal failure could be checked and compared with the treated numbers from the Registry; however, Li et al [10] showed the recording of renal failure to be extremely unreliable on death certificates. Anecdotally, over the past decade, almost all children with ESKD are now being treated, suggesting that the current data are reasonable estimates of the ESKD population.…”

Section: Discussionmentioning

confidence: 99%

Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand

et al. 2009

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To describe the trends in end-stage kidney disease (ESKD) in children in Australia and New Zealand over time and across different ages, we analyzed data from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA). A total of 1,485 children aged less than 18 years received renal replacement therapy (RRT) during the period from 1963 to 2006, of which children 55.6% were male. The incidence of ESKD increased over the first two decades but has been stable at 8 per million since the mid-1980s. The prevalence of ESKD continues to increase in all age groups, especially among older children, and is currently 50 per million in those aged less than 18 years. The cause of ESKD over the entire cohort was one-third each for glomerulonephritis (32.5%), structural anomalies (hypoplasia/dysplasia, posterior urethral valves or reflux nephropathy, 35.8%), and cystic disease or other conditions (31.7%). Proportionately, glomerulonephritis is becoming less common. Overall, 50% of children were commenced on peritoneal dialysis as the initial RRT modality, 30% were started on hemodialysis, and 20% underwent transplantation pre-emptively. The proportion of children receiving transplants has not increased over time.

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Section: Discussionmentioning

confidence: 99%

Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand

et al. 2009

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“…In common with other registries, ANZDATA is a voluntary registry and there is no external audit of data accuracy (including coding of the cause of death). Consequently, the possibility of coding/classification bias cannot be excluded (47). Although we included all patients who commenced dialysis therapy as their first RRT modality, overall treated ESRD incidence rates in Australia are currently around 100 per million per year, substantially lower than the United States and slightly lower than many European countries, although broadly comparable with rates in other countries, such as Sweden, The Netherlands, and Poland (48).…”

Section: Discussionmentioning

confidence: 99%

Association of Dialysis Modality and Cardiovascular Mortality in Incident Dialysis Patients

Johnson¹,

Dent²,

Hawley³

et al. 2009

Clinical Journal of the American Society of Nephrology

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Background and objectives: The aim of the investigation presented here was to compare the rates, causes, and timing of cardiovascular (CV) death in incident peritoneal dialysis (PD) and hemodialysis (HD) patients.Design, setting, participants, & measurements: The study included all adult Australian and New Zealand patients commencing dialysis between January 1, 1997 and December 31, 2007. Rates of and times to CV death were compared by incident rate ratios, cumulative incidence, and multivariable Cox proportional hazards model analyses. Dialysis modality was included in the model as a time-varying covariate, and a competing risks approach was used to obtain cause-specific hazard ratios.Results: Of the 24,587 patients who commenced dialysis (first treatment PD n ‫؍‬ 6521; HD n ‫؍‬ 18,066) during the study, 5669 (21%) died from CV causes [PD 2044 (28%) versus HD 3625 (21%)]. The incidence rates of CV mortality in PD and HD patients were 9.99 and 7.96 per 100 patient-years, respectively (incidence rate ratio PD versus HD, 1.25; 95% confidence interval 1.12 to 1.32). PD was consistently associated with an increased hazard of CV death compared with HD after 1 yr of treatment. This increased risk in PD patients was largely accounted for by an increased risk of death due to myocardial infarction.Conclusions: Dialysis modality is significantly associated with the risk, causes, and timing of CV death experienced by ESRD patients in Australia and New Zealand.

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“…Two studies have compared the cause of death of patients with kidney failure on death certificates with another source of data about deaths, one from Australia and one from the United States. 31,32 Both of these showed wide disparity in agreement between the data sources being compared, depending on the cause of death, although neither compared death certificate data with clinical records, which would be the preferred approach. The Australian study compared ANZDATA with the National Mortality Database in terms of causes of death; agreement ranged from poor (genitourinary diseases) to good (cancer).…”

Section: 17mentioning

confidence: 99%

Estimating the Total Incidence of Kidney Failure in Australia Including Individuals Who Are Not Treated by Dialysis or Transplantation

Sparke

Moon

Green

et al. 2013

American Journal of Kidney Diseases

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Cause of death in patients with end‐stage renal disease: assessing concordance of death certificates with registry reports

Abstract: Objectives: To assess concordance in reporting, in tw o Australian national

Cited by 41 publications

References 7 publications

Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand

Frequency, etiology and treatment of childhood end-stage kidney disease in Australia and New Zealand

Association of Dialysis Modality and Cardiovascular Mortality in Incident Dialysis Patients

Estimating the Total Incidence of Kidney Failure in Australia Including Individuals Who Are Not Treated by Dialysis or Transplantation

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