This collection of important publications detailed below is provided for your reference as a health professional working in the kidney world.
The Management of CKD in General Practice booklet and supporting publication reference list, is formally endorsed by RACGP, ANZSN and Kidney Health Australia. It provides a comprehensive summary of current guidelines and clincial tips to help identify, manage and refer CKD in general practice - accompanied by a laminated fold-out card which highlights key points for easy access. Order this free booklet by phoning 08 8334 7555.
Other recommended publications for health professionals treating CKD are:
* Supporting references:
Kidney Health Australia Position Statements
Dialysis Nephrology Transplantation (DNT) Endorsed Position Statements
There has been recent discussion about the need for clinical alerts and notification of new and important data to the Australian and New Zealand Nephrology community. The DNT sub-committee has undertaken to review urgent and important issues and notify ANZSN members with clinical reviews and position statements. See below the first of these statements.
New recommendations for use of Magnetic Resonance Imaging (MRI) in kidney patients This is an excellent review of the literature about Gadolinium Contrast and NSF written by members of the Departments of Radiology and Nephrology at Auckland City Hospital and includes clinical recommendations for the use of Gadolinium Contrast in MRI.
 The National Chronic Kidney Disease Strategy states what needs to change to achieve optimal kidney health services and care in Australia. It proposes 54 recommendations in priority areas representing the CKD continuum of care.
This Strategy supports principles that underpin the National Chronic Kidney Disease Strategy and National Service Improvement Frameworks, and also complements existing State/Territory and local service plans and clinical frameworks.
The Economic Burden of Kidney Disease in Australia
The following two reports were commissioned by Kidney Health Australia as comprehensive research into the economic burden of kidney disease in Australia. The research was undertaken and reports written by The George Institute for International Health in collaboration with University of Sydney, Royal Prince Alfred Hospital, The Queen Elizabeth Hospital and Australian and New Zealand Dialysis and Transplant Registry
Key findings of the study are:
- The estimated health sector cost for providing renal replacement services from 2004 to 2010, will be between $4.26 and $4.52 billion
- Increasing the rate of home haemodialysis will produce a saving of $88.2 million (2004 $)
- Increasing the rate of peritoneal dialysis will produce a saving of $135.4 million (2004 $)
- increasing the rate of transplantation produces the greatest health benefits for the least amount of money.
Report II provides the first comprehensive assessment of the impact of interventions designed to decrease the burden of CKD in Australia. It estimates the cost-effectiveness of opportunistic screening and best-practice management of diabetes, hypertension and proteinuria among Australian adults. These are research questions of crucial relevance to the development of national strategies for the prevention and management of chronic disease in general.
This report estimates the incremental costs and effects of two approaches to reducing the burden of CKD;
- screening and early detection of hypertension, diabetes and proteinuria; and
- better management of existing (known or unknown) patients with risk factors for CKD.
It is the companion document to Report 1 - The Economic Impact End Stage Kidney Disease in Australia - which focused on the burden and costs of ESKD and explored the cost-effectiveness of strategies to improve the delivery of dialysis and kidney transplant services.
The findings suggest a CKD-control strategy based on opportunistic screening of 50 to 69-year-olds in general practice, plus intensive management of diabetes, hypertension and proteinuria, would be cost-effective, and consistent with a coordinated national approach to chronic disease prevention and management.
Relevant Australian Institute of Health and Welfare Publications on CKD
Indicators for chronic diseases and their determinants AIHW (2008)
This report is the third in a series of reports on chronic disease released by the AIHW. It is the first report that aligns information about chronic diseases with selected national health indicators. Importantly, the report highlights where indicators for chronic diseases do not exist, and where data to report against current indicators are lacking. The report is a vital resource for policy makers, researchers and others interested in chronic diseases, their associated risk factors, and the indicators that enable them to be measured in Australia.
Comorbidity of cardiovascular disease, diabetes and chronic kidney disease AIHW (2007)
Individually, cardiovascular disease, diabetes and chronic kidney disease are serious illnesses that contribute significantly to deaths and levels of ill health in the Australian population. When they occur together, the negative effects on health status and health services go beyond the sum of the effects of each single disease. This report is the first of its kind to examine in depth, the number of people in Australia with two or more of these conditions and to quantify associated rates of hospitalisation and mortality.
Chronic Kidney Disease in Australia AIHW (2005)
The report is the first to present comprehensive information on chronic kidney disease, including its risk factors, impacts and management. Compiled using the latest information from a variety of sources, the report provides valuable baseline data for future monitoring of chronic kidney disease in Australia. The report highlights that there are an increasing number of Australians at risk of chronic kidney disease, and Indigenous Australians in particular are at high risk. The information within will be relevant to policy makers, the wider community and anyone with an interest in CKD.
Kidney Health News Bulletin - for Health Professionals - This regular bulletin brings you clinical and non clinical information from the kidney world, and updates of recent progress within our professional programs. Subscribe by email teresa.taylor@kidney.org.au providing your name, professional details, city, state, country and your interest in CKD programs.
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