9 Late 2010 15 19 16 2011 22 18 26 2012 15 17 17 specialist 2013 11 15 22 2014 14 8 21 assessment 10 In this report, a late specialist assessment is defined as a first Transplantation nephrology specialist assessment occurring within 90 days of commencing renal replacement therapy. Information in this report supplements Late specialist assessment may the yearly report from the National necessitate starting dialysis rather than Renal Transplant Service (NRTS) receiving a kidney transplant as first (established in 2014). treatment. Transplantation rates include kidney Overall, 14.1% of patients started transplants from living donors and dialysis within 90 days of their first deceased donors. A small number of specialist assessment (compared with New Zealanders receive a kidney 14.8% in 2013) (Figure 26). transplant together with another The late assessment rate was generally transplanted organ. <20% at all DHBs, ranging from 4.9% at There were 72 living donor kidney Canterbury to 21.5% at Counties transplants in 2014 and 62 deceased Manukau. The late assessment rate is donor kidney transplants. Two patients likely to be multifactorial related to received a combined kidney and liver demography, clinical comorbidity and transplant and 2 patients received a DHB primary and secondary care referral combined kidney and pancreas patterns. transplant. At Starship, 37.5% of children started Overall, kidney transplantation rates dialysis within 90 days of first specialist (PMP) remain relatively unchanged assessment, although numbers were (Figure 27), although the number very small, and observed previously. increased in 2014. There appeared to be no discernible Transplantation rates remained trend in late assessment rate according markedly variable by DHB including the to ethnicity (Table 2). proportion of living to deceased donor Table 2 Late specialist assessment rate 2014, by transplantation. Rates of transplantation ethnicity appear to be falling at Hawkes Bay and Non-Māori, increasing (particularly living donation) non-Pacific Māori Pacific at Counties Manukau (Figure 28). (%) (%) (%)
9 Late specialist assessment In this report, a late specialist assessment is defined as a first nephrology specialist assessment occurring within 90 days of commencing renal replacement therapy. Late specialist assessment may necessitate starting dialysis rather than receiving a kidney transplant as first treatment. Overall, 14.1% of patients started dialysis within 90 days of their first specialist assessment (compared with 14.8% in 2013) (Figure 26). The late assessment rate was generally <20% at all DHBs, ranging from 4.9% at Canterbury to 21.5% at Counties Manukau. The late assessment rate is likely to be multifactorial related to demography, clinical comorbidity and DHB primary and secondary care referral patterns. At Starship, 37.5% of children started dialysis within 90 days of first specialist assessment, although numbers were very small, and observed previously. There appeared to be no discernible trend in late assessment rate according to ethnicity (Table 2). Table 2 Late specialist assessment rate 2014, by ethnicity Non-Māori, non-Pacific (%) Māori (%) Pacific (%) 2010 15 19 16 2011 22 18 26 2012 15 17 17 2013 11 15 22 2014 14 8 21 10 Transplantation Information in this report supplements the yearly report from the National Renal Transplant Service (NRTS) (established in 2014). Transplantation rates include kidney transplants from living donors and deceased donors. A small number of New Zealanders receive a kidney transplant together with another transplanted organ. There were 72 living donor kidney transplants in 2014 and 62 deceased donor kidney transplants. Two patients received a combined kidney and liver transplant and 2 patients received a combined kidney and pancreas transplant. Overall, kidney transplantation rates (PMP) remain relatively unchanged (Figure 27), although the number increased in 2014. Transplantation rates remained markedly variable by DHB including the proportion of living to deceased donor transplantation. Rates of transplantation appear to be falling at Hawkes Bay and increasing (particularly living donation) at Counties Manukau (Figure 28).
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