fourth hemodialysis training session. esrd epidemiology and hemodialysis anxiety

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ESRD Epidemiology and Complications

Aim:Identify and discuss complication of Hemodialysis.

Improve the ESRD patient condition and lifestyle.

ESRD Epidemiology and ComplicationsJafar Al-Said. M.B.ChB. MD. FASN. FACP.Chair of Internal Medicine.Nephrology and Internal Medicine Consultant. Bahrain Specialist Hospital

SchemeIncidence and prevalence of ESRD in USA.Incidence and prevalence in Bahrain. Mortality and morbidity.The most common complication.

Chapter 1: Incidence, Prevalence, Patient Characteristics, and Treatment Modalities2014 Annual Data ReportVolume 2: End-Stage Renal Disease

Trends in the number of incident cases of ESRD, in thousands, by modality, in the U.S. population, 1980-2012USRDS 2014. Vol 2, ESRD, Ch 1

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ESRDHDPDTranspl.

Trends in the number of prevalent cases of ESRD, in thousands, by modality, in the U.S. population, 1980-20128

HDUSRDS 2014.Vol 2, ESRD, Ch 1ESRDTxPD

Data Source: Reference tables A.2(2) and A.2(3). *Adjusted for age, sex, and race. The standard population was the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease.Trends in the adjusted* incidence rate of ESRD, per million/year (bars; scale on right), and annual percent change in the adjusted* incidence rate of ESRD (lines; scale on left) in the U.S. population, 1980-20129

USRDS 2014. Vol 2, ESRD, Ch 1

Data Source: Reference table: B.2(2), and B.2(3). *Adjusted for age, sex, and race. The standard population was the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease.Trends in the adjusted* ESRD prevalence per million (bars; scale on left), and annual percent change in adjusted* prevalence of ESRD (lines; scale on right), in the U.S. population, 1980-201210

USRDS 2014.Vol 2, ESRD, Ch 1

USRDS 2014.Vol 2, ESRD, Ch 111

Trends in (a) ESRD incident cases, in thousands, and (b) adjusted* ESRD incidence rate, per million/year, by age group, in the U.S. population, 1980-2012Data Source: Reference tables A.1, A.2(2). *Adjusted for sex and race. The standard population is the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease.

(a) Incident Cases(b) Incidence Rates45- 64y> 75y

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Trends in (a) prevalent ESRD cases and (b) the adjusted* prevalence of ESRD, per million, by age group, in the U.S. population, 1980-2012(a) Prevalent Cases(b) Prevalence per millionData Source: Reference tables B.1, B.1(2). *Point prevalence on December 31 of each year; Adjusted for sex and race; The standard population was the U.S. population in 2011 ESRD patients. Abbreviation: ESRD, end-stage renal disease.8393835506302626145-64USRDS 2014.Vol 2, ESRD, Ch 1

13Trends in (a) prevalent ESRD cases and (b) the adjusted* prevalence of ESRD, per million, by race, in the U.S. population, 1980-2012 (a) Prevalent Cases(b) Prevalence per millionData Source: Reference tables B.1, B.1(2). *Point prevalence on December 31 of each year; Adjusted for age and sex; The standard population was the U.S. population in 2011 ESRD patients. Panel b: ~Estimate shown is imprecise due to small sample size and may be unstable over time. The line for Native Americans has a discontinuity because of unreliable data for that year. Abbreviations: Af Am, African American; ESRD, end-stage renal disease; N Am, Native American.

USRDS 2014.Vol 2, ESRD, Ch 1WhiteAfrican American

14

Trends in (a) ESRD incident cases, in thousands, and (b) adjusted* ESRD incidence rate, per million/year, by primary cause of ESRD, in the U.S. population, 1980-2012(a) Incident CasesData Source: Reference tables A.1, A.2(2). *Adjusted for age, sex, and race. The standard population was the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease. USRDS 2014.Vol 2, ESRD, Ch 1DMHTNGN

USRDS 2014.Vol 2, ESRD, Ch 115

Adjusted* ESRD incidence rate, per million/year, by age group, in the U.S. population, 1980-2012Data Source: Reference tables A.1, A.2(2). *Adjusted for sex and race. The standard population is the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease.(b) Incidence Rates> 75y

16

Trends in (a) ESRD incident cases, in thousands, and (b) adjusted* ESRD incidence rate, per million/year, by primary cause of ESRD, in the U.S. population, 1980-2012(a) Incident Cases(b) Incidence RatesData Source: Reference tables A.1, A.2(2). *Adjusted for age, sex, and race. The standard population was the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease. USRDS 2014.Vol 2, ESRD, Ch 1DMDMHTNHTNGNGN

17

Trends in (a) prevalent ESRD cases and (b) adjusted* prevalence of ESRD, per million, by primary cause of ESRD, in the U.S. population, 1980-2012(a) Prevalent Cases(b) Prevalence per millionData Source: Reference tables B.1, B.1(2). *Point prevalence on December 31 of each year; Adjusted for age, sex, and race, The standard population was the U.S. population in 2011 ESRD patients. Abbreviation: ESRD, end-stage renal disease. USRDS 2014.Vol 2, ESRD, Ch 1DMDMHTNGNHTNGN

USRDS 2014.Vol 2, ESRD, Ch 118Trends in (a) ESRD incident cases, in thousands, 1980-2012Data Source: Reference tables A.1, A.2(2). *Adjusted for sex and race. The standard population is the U.S. population in 2011. Abbreviation: ESRD, end-stage renal disease.

(a) Incident Cases45- 64y>75y

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Trends in (a) prevalent ESRD cases 1980-2012(a) Prevalent CasesData Source: Reference tables B.1, B.1(2). *Point prevalence on December 31 of each year; Adjusted for sex and race; The standard population was the U.S. population in 2011 ESRD patients. Abbreviation: ESRD, end-stage renal disease.45-64USRDS 2014.Vol 2, ESRD, Ch 1

Vol 2, ESRD, Ch 1020

2014 ANNUAL DATA REPORTVOLUME 2: END-STAGE RENAL DISEASEChapter 10: International Comparisons

Vol 2, ESRD, Ch 1021

Data presented only for countries from which relevant information was available. All rates are unadjusted. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Japan and Taiwan are dialysis only. Data for Belgium do not include patients younger than 20. Data for Indonesia represent the West Java region. Data for France include 22 regions. Data for Spain include 18 of 19 regions.Incidence rate of ESRD, per million population, by country, in 2012

In Bahrain 322 ESRD patient

Vol 2, ESRD, Ch 1022Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Data for Spain include 18 of 19 regions. Data for France include 22 regions. Data for Indonesia represent the West Java region. Data for Belgium do not include patients younger than 20. There were zero ESRD patients in Iceland with diabetes as the primary ESRD cause in 2012. Abbreviations: ESRD, end-stage renal disease; sp., speaking.Percentage of incident ESRD patients with diabetes as the primary ESRD cause, by country, in 2012

Vol 2, ESRD, Ch 1023vol 2 Figure 10.4 Incidence rate of ESRD, per million population, by age group and country, in 2012

(A) 20-44 years old

Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Data for Belgium do not include patients younger than 20. Data for Spain include 18 of 19 regions. Data for France include 22 regions. Abbreviations: ESRD, end-stage renal disease; sp., speaking.

Vol 2, ESRD, Ch 1024vol 2 Figure 10.4 Incidence rate of ESRD, per million population, by age group and country, in 2012

(B) 45-64 years old

Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Data for Belgium do not include patients younger than 20. Data for Spain include 18 of 19 regions. Data for France include 22 regions. Abbreviations: ESRD, end-stage renal disease; sp., speaking.

Vol 2, ESRD, Ch 1025vol 2 Figure 10.4 Incidence rate of ESRD, per million population, by age group and country, in 2012

(C) 65-74 years old

Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Data for Belgium do not include patients younger than 20. Data for Spain include 18 of 19 regions. Data for France include 22 regions. Abbreviations: ESRD, end-stage renal disease; sp., speaking.

Vol 2, ESRD, Ch 1026vol 2 Figure 10.4 Incidence rate of ESRD, per million population, by age group and country, in 2012

(D) 75 years old

Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. ^UK: England, Wales, & Northern Ireland (Scotland data reported separately). Data for Belgium do not include patients younger than 20. Data for Spain include 18 of 19 regions. Data for France include 22 regions. Abbreviations: ESRD, end-stage renal disease; sp., speaking.

Vol 2, ESRD, Ch 1027Prevalence of ESRD, per million population, by country, in 2012

Data source: Special analyses, USRDS ESRD Database. Data presented only for countries from which relevant information was available. All rates are unadjusted and reflect prevalence at the end of 2012; rates for Colombia and Lebanon reflect prevalence at the end of June 2012. ^U.K: England, Wales, & Northern Ireland (Scotland data reported separately). Japan and Taiwan include dialysis patients only.

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