Transcript Canadian Organ Replacement Register (CORR)

Canadian Organ
Replacement Register (CORR)
Preliminary Statistics on Renal Replacement
2006 CORR Report
John Gill, M.D., M.S.
Chair CORR Advisory Board
Originally Presented at
CSN Annual Meeting, Quebec City
Friday May 26, 2005
Updated May 20, 2006
Renal Replacement Therapy
Facilities in Canada, 2006
•
•
•
•
91 Dialysis Programs
27 Kidney Transplant Programs
130 Satellites Centres
14 Independent Health Facilities
ESRD Patients Starting Renal Replacement Therapy (RRT) in
Canada, 1981-2004*
2004 N=5,178
6,000
180.0
160.0
5,000
140.0
120.0
100.0
3,000
80.0
2,000
60.0
40.0
1,000
20.0
0.0
19
81
19
82
19
83
19
84
19
85
19
86
19
87
19
88
19
89
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
0
Number
RPMP
*Based on the patient level data . Data from Ontario, Alberta and Manitoba could be underreported
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
RPMP
Number
4,000
Incident ESRD Patients by Age Group, Canada, 1981-2004*
(Age-specific Rates Per Million Population)
900.0
800.0
700.0
600.0
500.0
400.0
300.0
200.0
100.0
0.0
1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
0-9
10-19
20-44
45-64
65-74
75+
*Data are used from Patient Data Base Collected at the CORR. Minor adjustments maid for the Manitoba data in 2004. 2004
*Estimates
are be
used
for yearsby
2002-2004
inclusive to account for underreporting.
data still might
influenced
some underreporting.
Source: Canadian
Canadian Organ
Organ Replacement
Replacement Register,
Register, Canadian
Canadian Institute
Institute for
for Health
Health Information
Information (2006)
(2005)
Source:
Distribution of Incident ESRD Patients by Age Group,
Canada, 1981-2004*
100%
80%
60%
40%
20%
0%
1981 1982
1983 1984 1985 1986
0-9
1987 1988 1989 1990
10-19
1991 1992 1993 1994
20-44
1995 1996 1997 1998
45-64
1999 2000 2001 2002 2003 2004
65-74
75+
*Data are used from Patient Data Base Collected at the CORR. Minor adjustments maid for the Manitoba data in 2004. 2004
data still might be influenced by some underreporting.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Incident RRT Patients RPMP by Province of Treatment,
Canada 2004 (Crude Rate per Million Population)
250.00
200.00
RPMP
150.00
100.00
50.00
0.00
NL
NS+PEI
NB
QC
ON
MB
SK
AB+NWT
BC
CANADA
Provincial variation not entirely due to
distribution of Aboriginal people
Distribution of Incident ESRD Patients by Primary Diagnosis,
Canada, 1993-2004*
100%
Unknown
90%
Other
80%
70%
DM
60%
50%
40%
Vascular
30%
PKD
Drug
Pyelo
GN
20%
10%
*Based
on reported data.
0%
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
2004
Selected Co-morbid conditions
Incident ESRD Patients, Canada, 2004* (Percent)
45.0
42.0
40.0
35.0
30.0
25.0
20.0
15.2
17.6
14.0
12.6
15.0
9.5
10.0
5.0
0.0
Diabetes**
DM
Heart Disease
Cardiac
Peripheral Vascular
Disease
PVD
Cerebrovascular
Disease
CVA
Chronic Lung Disease
*Based on reported data.
**Proportion of diabetic patients is based on primary diagnosis and co-morbid disease.
** Heart disease includes MI and CABG
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Lung
Malignancies
Cancer
Diabetes Incident Patients by Age and Aboriginal status
Canada 2004 (Crude Rate per Million Population)
1500
1250
RPMP
1000
750
500
250
0
0-19
20-44 45-64 65-74
75+
Non aboriginal
0
7.1
79.2
208.1 186.5
Aboriginal
0
22.3
549
1481.7 526.28
*Based on reported data.
**Proportion of diabetic patients is based on primary diagnosis .
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Incident RRT Patients by Initial Treatment Modality ,
Canada 1998-2004
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
1998
1999
Based on reported data , CORR, 2006
2000
2001
2002
HD
PD
TX
2003
2004
Number of Incident Haemodialysis Patients by Treatment
Type, Canada, 2001-2004
Type of
Treatment
2001
2002
2003
2004
Conventional
Hemodialysis
3851
3962
4070
3964
Short daily
4
2
3
3
Slow Nocturnal
0
3
0
6
CAPD
616
596
696
712
APD
347
304
294
247
Based on reported data , CORR, 2006
Proportion of Incident Patients by Peritoneal Dialysis
Modality, Canada, 1998-2004
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
1998
1999
2000
2001
CAPD
Based on reported data , CORR, 2006
2002
APD
2003
2004
Prevalent ESRD Patients at Year-end, Canada,
1990-2004* (Number)
35,000
30,000
Number
25,000
20,000
15,000
10,000
5,000
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
*Based on patient level data reported to the registry.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Prevalent ESRD Patients by Age Group, Canada, 1990-2004*
(Age-specific Rates Per Million Population)
3000.0
RPMP
2500.0
2000.0
1500.0
1000.0
500.0
0-9
10-19
*Based on reported data , CORR, 2006
20-44
45-64
65-74
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
19
92
19
91
19
90
0.0
75+
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0
19
90
19
91
19
92
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
Number
Prevalent ESRD Patients by Year-end Modality, Canada,
1990-2004* (Number)
Functioning Transplant
Haemodialysis
Peritoneal Dialysis
*Based on patient level data reported to CORR. Ontario,Manitoba and Alberta data might be underreported.
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Distribution of Prevalent Patients by Year-end Modality,
Canada, 1981-2004*
100%
80%
60%
40%
20%
0%
1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Functioning Transplant
Haemodialysis
Peritoneal Dialysis
*Based on patient level data reported to CORR
Source: Canadian Organ Replacement Register, Canadian Institute for Health Information (2006)
Prevalent ESRD RRT Patients, Selected Countries, 1998 to
2003 (Crude Rate per Million Population)
2,000
1,750
1,500
1,250
1,000
750
500
250
0
1998
Canada
Japan
1999
2000
Australia
Spain/Catalonia
2001
2002
Belgium
Sweden
2003
Germany
United States
*Source of international data: U.S. Renal Data System, USRDS 2005 Annual Data Report: Atlas of End-Stage Renal Disease in the United States
(Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2005). Source of Canadian data: Canadian
Organ Replacement Register, Canadian Institute for Health Information (2005)
Acknowledgements
• The Canadian Organ Replacement Register is a
register of the Canadian Institute for Health
Information.
• CORR data would not exist without the support of
the 91 Renal Programs in Canada.
• CORR has support and participation from CSN,
CST, The Kidney Foundation of Canada, CANNT
and CAT.
Financial Support
• CORR is funded by the Federal, Provincial and
Territorial Ministries of Health via the Canadian
Institute for Health Information.
• CORR receives support from The Kidney
Foundation of Canada for the printing its national
highlights report.