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KIDNEY DISEASE AMONG ABORIGINAL AND TORRES STRAIT ISLANDER PEOPLE
Statistics taken from our Fast Facts on CKD>
- In 2012-13 almost 1 in 5 (18%) Aboriginal and Torres Strait Islander people aged >18 years had indicators of CKD.9
- After adjusting for age differences, Aboriginal and Torres Strait Islander people were more than twice as likely as non-Indigenous people to have indicators of CKD. They were 3 times as likely to have indicators of Stage 1 CKD, and more than 4 times as likely as non-Indigenous people to have indicators of Stage 4-5.9
- The incidence of end stage kidney disease for Indigenous peoples is especially high in remote and very remote areas of Australia, with rates almost 18 times and 20 times those of comparable non-Indigenous peoples10.
- Around 9 in 10 Aboriginal and Torres Strait Islander people with signs of CKD were not aware they had it.9
- Although Aboriginal and Torres Strait Islander people represent less than 2.5% of the national population, they account for approximately 9% of people commencing kidney replacement therapy each year.
- Aboriginal and Torres Strait Islander people are almost 4 times as likely to die with CKD as a cause of death than non-Indigenous Australians.11
To find references noted above and print fact sheet - go to our Fast Facts on CKD>
AUSTRALIAN INSTITUTE OF HEALTH & WELFARE REPORTS
Statistics relating to kidney disease in Indigenous Australians
Direct link to all AIHW reports on Chronic Kidney Disease
First detailed analysis of CKD in Indigenous Australians, using a variety of data sources. CKD is a serious and increasingly common health problem in Australia. Aboriginal and Torres Strait Islander people, especially those who live in remote communities, are at a greater risk of developing CKD, and have substantially poorer health outcomes than other Australians.
Chronic kidney disease in Aboriginal and Torres Strait Islander people 2011
ISBN 978-1-74249-203-2; Cat. no PHE 151; 74pp.y Sept 2011 Canberra AIHW - INTERNET ONLY
End-Stage Kidney Disease (ESKD)
Over the period 2007 to 2008, almost 10% of new cases of treated ESKD were for Indigenous Australians, despite Indigenous Australians making up only 2.5% of the total Australian population.
If Indigenous Australians had the same incidence rate of treated ESKD as non-Indigenous Australians, 89% of these cases would have been avoided.
12% of Indigenous Australians with treated ESKD have a functioning kidney transplant, compared with 45% of non-Indigenous treated ESKD patients.
In 2008–09, the hospitalisation rate for regular dialysis treatment among Indigenous Australians was 11 times as high as for other Australians.
In 2006–07, over 12% of hospital admitted patient expenditure on CKD was for Indigenous Australians.
Compared with those living in other areas, Indigenous Australians living in remote and very remote areas are more likely to have treated ESKD. This is also reflected in the higher hospitalisation rates for CKD among Indigenous Australians in these areas.
Trends over time
Over the period 2001 to 2008, the number of Indigenous Australians receiving treatment for ESKD increased by 72%, compared with a 41% increase for non-Indigenous Australians
The health and welfare of Australia’s Aboriginal and Torres Strait Islander people, an overview 2011
Cat. no. IHW 42. Canberra: AIHW. See Pages 51-53.
This report a comprehensive statistical overview, largely at the national level, of Aboriginal and Torres Strait Islander health and welfare. It comprises a series of articles produced by the Australian Bureau of Statistics (ABS) and the AIHW.
Data shows that the incidence rate for end-stage renal disease for Indigenous Australians more than doubled between 1991 and 2008, from 31 to 76 per 100,000 population.
In the 2007–09 period, there were about 243,100 hospitalisations of Indigenous Australians for chronic kidney disease and its resulting conditions, accounting for 44% of Indigenous hospitalisations.
Aboriginal & Torres Strait Islander Health Performance Framework 2010: detailed analyses
The Central Australia Renal Study
AIHW 2011 Cat no IHW 53 Canberra - Refer 1.09: End-Stage Renal Disease
pp 230-252. ISSN 978-1-74249-152-3; Cat no IHW 53; 2150pp.; 27 September 2011 INTERNET ONLY
Detailed analyses underlying summary data presented in the Aboriginal and Torres Strait Islander Health Performance Framework 2010, which consists of 71 measures covering the tiers: health status and outcomes; determinants of health; and health systems performance.
Office for Aboriginal and Torres Strait Islander Health (OATSIH) - Released 27 July 2011
A joint study by the Australian, Northern Territory, South Australian and Western Australian Governments. This study developed a range of feasible clinical service delivery models and care pathways to best meet (current and projected) needs for Aboriginal and Torres Strait Islander patients from remote communities requiring dialysis in Central Australia. The study assessed current issues surrounding delivery of renal services in Central Australia taking into account, stakeholder consultation and activity-based data.
The findings will inform policy recommendations on the most effective and feasible service delivery options and care pathways for Aboriginal and Torres Strait Islander people in need of renal services, including dialysis, and identify issues around distribution of these services.
An overview of chronic kidney disease in Australia, 2009
Cat. no. PHE 111. Canberra: AIHW. See Chapter 6
This report explains what CKD is and describes its extent and patterns in the Australian community. Chronic kidney disease contributed to nearly 10% of all deaths in Australia in 2006 and over 1.1 million hospitalisations in 2006-07.
Risk factors for chronic kidney disease are highly prevalent in Australia and the number of Australians at risk is increasing. Indigenous Australians were 6 times as likely as other Australians to be receiving dialysis or to have had a kidney transplant. Death rates from chronic kidney disease were 7 and 11 times as high as for non-indigenous males and females respectively.
Useful weblinks: ANZDATA Registry
Updated 21 April 2015