section g – special projects scottish renal registry report 2008 published by the information...

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Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency for NHSScotland, 1 South Gyle Crescent, Edinburgh EH12 9EB on behalf of the Scottish Renal Registry © Common Services Agency 2009 Suggested citation : Scottish Renal Association (2009). Scottish Renal Registry Report, 2008. Edinburgh : Information Services Division. ISBN: 978-1-84134-016-6 These charts may be reproduced without permission provided the source is acknowledged. The full report is available on the Scottish Renal Registry website. ISBN: 978-1-84134-016-6 The Scottish Renal Registry 4th Floor Walton Building Glasgow Royal Infirmary GLASGOW G4 0SF Scotland, UK Phone +00 44 141 211 5171 Fax +00 44 141 211 4843 Email [email protected] Website http://www.srr.scot.nhs.uk

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Page 1: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

Published by the Information Services Division (ISD Scotland), Common Services Agency for NHSScotland, 1 South Gyle Crescent, Edinburgh EH12 9EB on behalf of the Scottish Renal Registry © Common Services Agency 2009

Suggested citation : Scottish Renal Association (2009). Scottish Renal Registry Report, 2008. Edinburgh : Information Services Division.ISBN: 978-1-84134-016-6These charts may be reproduced without permission provided the source is acknowledged.

The full report is available on the Scottish Renal Registry website.ISBN: 978-1-84134-016-6

The Scottish Renal Registry4th FloorWalton BuildingGlasgow Royal InfirmaryGLASGOWG4 0SFScotland, UKPhone +00 44 141 211 5171Fax +00 44 141 211 4843Email [email protected] http://www.srr.scot.nhs.uk

Page 2: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

Section G1 Survey of staffing levels and facilities in renal units in August 2007

Page 3: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.1 Proportion of the adult population served by each renal unit in Scotland on 30 August 2007

Page 4: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.2 Number of consultant and non-consultant medical staff (WTE) per 100000 general population by renal unit in Scotland on 30 August 2007

Page 5: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.3 Number of in-patient beds available per 100000 population by renal unit in Scotland on 30 August 2007

Page 6: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.4 Number of renal ward nursing staff per inpatient bed by renal unit in Scotland on 30 August 2007

Page 7: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.5 Percentage inpatient beds plumbed for haemodialysis by renal unit in Scotland on 30 August 2007

Page 8: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.6 Number of HD sessions available per 100000 population per week by renal unit in Scotland on 30 August 2007

Page 9: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.7 Number of HD sessions per HD station per week by parent unit and satellite unit in Scotland on 30 August 2007

Page 10: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.8 Maximum duration and number of HD session offered by renal units in Scotland on 30 August 2007

Page 11: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.9 Proportion of HD sessions provided in satellite units by parent renal unit in Scotland on 30 August 2007

Page 12: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.10 Percentage HD station segregated for infection control by renal unit in Scotland on 30 August 2007

Page 13: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.11 Number of HD nurses per HD session by renal unit in Scotland on 30 August 2007

Page 14: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.12 Number of PD nurses (WTE) per prevalent PD patient by renal unit in Scotland on 30 August 2007

Page 15: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G1.13 Number of other staff per 100000 population by renal unit in Scotland on 30 August 2007

Page 16: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2 Incidence of native renal biopsy in Scotland

Page 17: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.1 Number of native renal biopsies PMP/year, all renal units combined

Page 18: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.2 Number of biopsies performed per million population per year in each renal unit

Page 19: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.3 Number of biopsies performed per million population per year in each renal unit between 2002 and 2006

Page 20: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.4 Mean age at time of biopsy by renal unit

Page 21: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.5 Percentage of males biopsied in each renal unit by year

Page 22: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G2.6 Reported rates of native renal biopsies from national and regional

Page 23: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B Achieved blood pressure of haemodialysis patients: Spring 2007

Page 24: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B.1 Distribution of mean pre HD systolic BP in HD patients by renal unit: spring 2007

Page 25: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B.2 Distribution of mean pre HD systolic BP in HD patients by renal units: spring 2007

Page 26: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B.3 Distribution of mean pre HD diastolic BP in HD patients by renal unit: Spring 2007

Page 27: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B.4 Distribution of mean pre HD diastolic BP in HD patients by renal unit: spring 2007

Page 28: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G3B.5 Pre haemodialysis systolic and diastolic BP by PRD group: spring 2007

Page 29: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G4 A Collaborative Study between the Scottish Renal Registry and the Scottish Cancer Registry

Page 30: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G4.1 Number of patients developing malignancy

Page 31: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G4.2 Proportions of patients developing malignancy according to diagnosis group

Page 32: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5 A novel method for removing lead-time bias from registry data.

Page 33: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.1 Cox plot of patient survival by renal unit adjusted for age, sex and PRD 1995-2004

Page 34: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.2 Calculated rates of decline in EGFR (mL/min/month) for each of the 5 primary renal diagnosis groups. Data are based on 989 patients starting dialysis at Glasgow Royal Infirmary

Page 35: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.3 Box whisker plot of EGFR at start of RRT in Scotland for the 10-year period from 01 January 1995-31 December 2004

Page 36: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.4 Hazard ratios of death before and after allowing for lead-time bias. Survival was adjusted for primary renal diagnosis, patient sex and age

Page 37: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.5 Cox regression plot of patient survival by adult renal unit adjusted for age, sex and PRD: but not for lead time bias 1995-2004

Page 38: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G5.6 Cox regression plot of patient survival by adult renal unit adjusted for age, sex and PRD: after lead time bias 1995-2004

Page 39: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6 Vascular access for haemodialysis 2007

Page 40: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6.1 Types of vascular access for haemodialysis patients in spring 2007

Page 41: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6.2 Determinants of AV access

Page 42: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6.3 Percentage of patients with AV access in spring 2007, by time period of starting RRT

Page 43: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6.4 Percentage of patients with AV access in Spring 2007 by renal unit

Page 44: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G6.5 AV access in spring 2007 by renal unit

Page 45: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7 Haemodialysis water sampling: current procedures in Scottish renal units

Page 46: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.1 Frequency of sampling of haemodialysis water for chemical contaminants

Page 47: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.2 Frequency of sampling of haemodialysis water for endotoxins

Page 48: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.3 Frequency of sampling of haemodialysis water for bacteria

Page 49: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.4 Frequency of sampling of haemodialysis water for chlorines

Page 50: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.5 Frequency of sampling of haemodialysis water

Page 51: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.6 Place of analysis of haemodialysis water for contaminants

Page 52: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

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Scottish Renal Registry Report 2008

G7.7 Location and method of analysis of haemodialysis water samples

Page 53: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

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Scottish Renal Registry Report 2008

G7.8 Renal unit protocols for response to chemical contaminants

Page 54: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.9 Response from renal units to an abnormal haemodialysis water analysis result

Page 55: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G7.9 Response from renal units to an abnormal haemodialysis water analysis result (continued)

Page 56: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8 Aluminium and other trace metals in haemodialysis water in Scottish renal units 1999-2008

Page 57: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.1 Standards for mandatory testing of trace metals in water for dialysis

Page 58: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.2 Summary of discretionary testing of trace metals in water for dialysis

Page 59: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.3 High trace metal concentrations in treated dialysis water

Page 60: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.4a Total number of treated water aluminium samples per year

Page 61: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.4b Number of samples with aluminium concentration > 10 microg / L by year

Page 62: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.5 Number of treated water samples tested for aluminium by renal unit

Page 63: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.6 Number of samples and ROs by renal unit

Page 64: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.7 Proportion of treated water samples with aluminium concentration > 10microg/L by renal unit

Page 65: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.8 Aluminium concentrations > 10 microg /L in treated dialysis water from QMH Dunfermline by year

Page 66: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.9 Aluminium concentrations > 10 microg /L in treated L in treated dialysis water from Monklands Hospital Airdrie by year

Page 67: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.10 Repeat testing of initially high treated water aluminium concentration

Page 68: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G8.11 Delay before repeat testing of samples of treated water with aluminium concentration > 10 microg /L

Page 69: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9 Encapsulating Peritoneal Sclerosis in Scotland

Page 70: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.1 Rate of EPS according to duration of PD exposure

Page 71: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.2 Cumulative risk of developing EPS from day 1 on PD therapy (censored for death but not change in modality of renal replacement therapy)

Page 72: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.3 Number of EPS cases by renal unit

Page 73: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.4 EPS cases by year of diagnosis

Page 74: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.5a Duration of PD in patients who did not develop EPS

Page 75: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.5b Duration of PD in patients who developed EPS

Page 76: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.6 Timing of EPS diagnosis in relation to PD therapy

Page 77: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

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Scottish Renal Registry Report 2008

G9.7 Most common presenting clinical features in the EPS cases

Page 78: Section G – Special Projects Scottish Renal Registry Report 2008 Published by the Information Services Division (ISD Scotland), Common Services Agency

Section G – Special Projects

Scottish Renal Registry Report 2008

G9.8 Drug therapy prescribed to treat EPS or as part of transplant immunosuppression