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Dr Samuel Chan Nephrology Advanced Trainee

ASSOCIATION OF SOCIO-ECONOMIC POSITION WITH TECHNIQUE FAILURE AND MORTALITY IN AUSTRALIAN NON-INDIGENOUS PERITONEAL DIALYSIS PATIENTS. Dr Samuel Chan Nephrology Advanced Trainee Australian and New Zealand Dialysis and Transplant Registry, Adelaide, South Australia

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Dr Samuel Chan Nephrology Advanced Trainee

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  1. ASSOCIATION OF SOCIO-ECONOMIC POSITION WITH TECHNIQUE FAILURE AND MORTALITY IN AUSTRALIAN NON-INDIGENOUS PERITONEAL DIALYSIS PATIENTS Dr Samuel Chan Nephrology Advanced Trainee Australian and New Zealand Dialysis and Transplant Registry, Adelaide, South Australia Princess Alexandra Hospital, Brisbane, Queensland, Australia The University of Queensland, School of Medicine, Brisbane, Queensland

  2. GLOBAL TECHNIQUE SURVIVAL Jose, Johnson et al Nephrology 16:19-29, 2011

  3. IMPETUS FOR STUDY • Socio-economic position may influence technique survival • Socio-economic position is an important public health issue • Changes in models of health care • Changes to resource allocation

  4. AIM • To investigate the association between socio-economic position with technique failure and mortality in all non-indigenous peritoneal dialysis patients in Australia

  5. METHODOLOGY • All non-indigenous Australian adult patients who commenced PD • 01/01/1994 to 31/12/2014 (ANZDATA Registry) • Outcome measures • Technique failure (30-day and 180-day) • Patient survival • Socio-economic position based on Socio-Economic Index for Areas (SEIFA) • Index of Relative Socio-Economic Advantage and Disadvantage (IRSAD) • Index of Relative Socio-Economic Disadvantage (IRSD) • Index of Education and Occupation (IEO) • Index of Economic Resources (IER)

  6. PATIENT CHARACTERISTICS

  7. TECHNIQUE FAILURE 30 DAYS – IRSAD 30 DAYS - IRSD

  8. TECHNIQUE FAILURE 30 DAYS – IER 30 DAYS – IEO

  9. TECHNIQUE FAILURE 180 DAYS – IRSAD 180 DAYS – IRSD

  10. TECHNIQUE FAILURE 180 DAYS – IER 180 DAYS – IEO

  11. MORTALITY IRSAD IRSD

  12. MORTALITY IER IEO

  13. CONCLUSIONS • Socio-economic position was not associated with technique failure • Higher socio-economic position was associated with better patient survival • Future studies should examine the relationship between socio-economic position and technique failure in indigenous patients

  14. ACKNOWLEDGEMENTS • ANZDATA Registry – Stephen P McDonald and Philip A Clayton • Project supervisors – Prof David W Johnson, A/Prof Carmel M Hawley, Dr Yeoungjee Cho, A/Prof David W Mudge, Dr Ross S Francis • Australian Kidney Trials Network (AKTN) and Elaine Pascoe

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