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Quick links: KHA Patient Resources - the Order Form

In this section: Indigenous kidney health statistics & reports

For Health Professionals: 
Detecting CKD I GFR Calculator (CKD-EPI formula)

Chronic Kidney Disease Management in General Practice

This 3rd edition is the synthesis of the evolving evidence that the management of kidney disease matters.

The Kidney Check Australia Taskforce (KCAT) - now in its 13th year - has produced this handbook in the hope that practitioners will find the recommendations helpful in individuals at risk or with kidney disease and above all be inspired to identify kidney disease in their patients.


The 3rd edition of this handbook has been officially recognised as an Accepted Clinical Resource by the Royal Australian College of General Practitioners and has been endorsed by the Australian Primary Health Care Nurses Association and the Australian and New Zealand Society of Nephrologiy.

This handbook is available in hard copy and electronic soft copy - for further detailed information - for more info click here>

Use this order form> to order hard copies.

Send completed form by email with your contact details to KCAT@kidney.org.au (overseas orders not available).

KIDNEY HEALTH AUSTRALIA - POSITION STATEMENTS
DRINK WATER INSTEAD
Position Statement: initial review 2003, last review June 2008

As a result of Initial review in 2003, our Board adopted the following position in regard to water intake

There is a lack of evidence that drinking water in excess of thirst is beneficial for the health of Australians living in temperate regions and not exercising strenuously.

  • to satisfy thirst, water is the recommended fluid
  • drinks containing sugar or caffeine or alcohol may cause or worsen health related problems and should be avoided except in modest quantities.

The daily fluid intake needs are increased in:

  • all residents in tropical or hot climates
  • individuals practising strenuous exercise
  • certain medical conditions characterised by excess obligatory fluid loss
  • certain medical conditions requiring an increased urine flow

The daily fluid intake needs are decreased in most patients with:

  • end stage kidney failure
  • certain cardiac and respiratory conditions

From the kidney viewpoint, all fluids including those containing caffeine and alcohol should count towards your daily fluid total.

WATER FLUORIDATION
Position Statement: last review approved September 2011

Kidney Health Australia - Position Statement on Water Fluoridation September 2011
National Kidney Foundation (USA) updated Fluoride Position Statement for people with CKD April 2008

THE ASSOCIATION BETWEEN SUGAR SWEETENED SOFT DRINK & CHRONIC KIDNEY DISEASE Position Statement: approved December 2014


Regular consumption of sugar-sweetened soft drinks is associated with the development of CKD and kidney stone formation. Kidney Healthy Australia supports the Consensus Statement published by Cancer Council Australia, Diabetes Australia and the National Heart Foundation of Australia, which recommends that adults and children limit their consumption of sugar-sweetened beverages and instead drink water or reduced-fat milk - position statement>

Kidney Health Australia is a partner in the Rethink Sugary Drink Group
Kidney Health Australia is passionate about reducing the amount of sugary drinks consumed by the Australian public. Drinks containing sugar may cause or worsen health related problems and should therefore be avoided and replaced with water.

ORGAN DONATION TRAFFICKING AND TRANSPORT TOURISM
Approved November 2013
Kidney Health Australia completely supports The Declaration of Istanbul on Organ Trafficking and Transplant Tourism’ which includes condemning the practice of buying and selling organs for transplantation and other illegal activities related to transplant tourism. Our position statement can be read in full at Policy and Advocacy> 
PUBLISHED REPORTS & STATISTICS  

Patient Perspectives on dialysis: First National Census
Results and details of this first national census of patient perspectives on dialysis in Australia are contained in these reports. 


State of the Nation - Chronic Kidney Disease in Australia May 2014
CKD is common: Around 1.7 million Australians (1 in 10) aged 18 years and over have clinical evidence of chronic kidney disease (CKD). However, as CKD typically has no symptoms, less than 10% of the people with CKD are aware they have this condition.


CKD Priorities Summary Workshop Report April 2014
Resulting from a national workshop in February 2014 in Sydney, to explore research priorities in chronic kidney disease, this report provides an overview of participants, the process and preliminary results.


The KinD Report Kidneys in Diabetes) Report April 2014
Temporal trends in the epidemiology of diabetic kidney disease and the associated health care burden in Australia

Produced by Dr Sarah White and Professor Steve Chadban at Kidney Research Node, Royal Prince Alfred Hospital & University of Sydney for Kidney Health Australia

Two of a KinD (Kidneys in Diabetes) Report 2011

The burden of diabetic kidney disease and the cost-effectiveness of screening people with type 2 diabetes for chronic kidney disease. Summary Report


Australian Guidelines for the management of absolute cardiovascular disease risk
National Vascular Disease Prevention Alliance (NVDPA) May 2012
Absolute cardiovascular risk is the numerical probability of a cardiovascular event occurring within five years, expressed as a percentage.


Economic Impact of End-Stage Kidney Disease in Australia - Projections to 2020
Contributors: Alan Cass, Steven Chadban, Martin Gallagher, Kirsten Howard, Alexandra Jones, Stephen McDonald, Paul Snelling and Sarah White. November 2010. Read full report> 

The cost of treating end-stage kidney disease from 2009 to 2020 is estimated to be around $12 billion to the Australian Government. This reports reveals the incidence of kidney disease is growing at a serious rate, projected to increase by more than 54% to 2020. Report estimates that increasing the use of home dialysis over the next 10 years would lead to an estimated net savings of between $378 and $430 million for our health system. Annual costs per person for home dialysis is $49,137, compared to $79,072 for hospital dialysis. 

The Economic Impact of End Stage Kidney Disease in Australia
Contributors: Alan Cass, Steven Chadban, Jonathan Craig, Kirsten Howard, Stephen McDonald, Glenn Salkeld and Sarah White.  Released December 2006.

The report outlines the future projected costs associated with providing RRT, as well as the benefits in terms of quality of life. In addition, the report predicts the financial impact of increasing the availability of kidney transplantation to internationally acceptable levels, and varying the uptake of out-of-hospital dialysis therapies.

The Cost-effectiveness of Early Detection and Intervention to Prevent the Progression of Chronic Kidney Disease in Australia
Contributors: Kirsten Howard, Glenn Salkeld, Sarah White, Steven Chadban, Jonathan Craig, Stephen McDonald, Vlado Perkovic  and Alan Cass. Released December 2006.

This report provides the first assessment of the impact of early detection and intervention strategies to prevent the progression of CKD in Australia.  The report estimates the cost-effectiveness of opportunistic screening (testing for CKD when someone visits a GP for another reason) and best-practice management of diabetes, high blood pressure and protein in the urine, in Australian adults. 


CKD and automatic reporting of estimated glomerular filtration rate: new developments: revised recommendations
Johnson DW, Jones GRD, Mathew TH et al. Med J Aust 2012;197(4):222-3.

CKD and measurement of albuminuria or proteinuria: a position statement
Johnson DW, Jones GRD, Mathew TH et al. Med J Aust 2012;197(4):224-5.

Renal unit characteristics and patient education practices that predict a high prevalence of home-based dialysis in Australia
Fortnum D, Ludlow M, Morton RL. Nephrology 2014;19:587-93.

How Australian nephrologists view home dialysis: Results of a national survey
Ludlow MJ, George CRP, Hawley CM et al. Nephrology 2011;16:446-52.

Australian Nephrology Nurses Views on Home Dialysis: A National Survey
Lauder LA, Ludlow MJ, Hawley CM, Richardson EP, Mathew TH, Munro CE. Ren Soc Aust J 2011;7(1):6-12.

Review: Early detection of chronic kidney disease in Australia: Which way to go?
Mathew T, Corso O. Nephrology 2009;14:367-73.

Screening for chronic kidney disease in Australia: a pilot study in the community and workplace
Mathew TH, Corso O, Ludlow M et al. Kidney International 2010;77(Suppl 116):S9-S16.

AUSTRALIAN INSTITUTE OF HEALTH & WELFARE REPORTS - KIDNEY DISEASE

For more AIHW reports go to:
Chronic Kidney Disease  *Indigenous Observatory (ABS)  *Indigenous Australians & Indigenous Health Risk Factors  

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts: Risk factors
AIHW - Released March 2015: This report on risk factors presents the latest statistics on the behaviours and characteristics that increase the likelihood of a person developing these chronic diseases. It also describes the risk factors among people who already have CKD, diabetes and CKD. It examines age and sex characteristics and variations across population groups, including by geographical location and socioeconomic disadvantage.

Cardiovascular disease, diabetes and chronic kidney disease - Australian facts: Morbidity - Hospital Care
AIHW - Released December 2015: This report on risk factors presents the latest statistics on the behaviours and characteristics that increase the likelihood of a person developing these chronic disease. It also describes risk factors among people who already have CVD, diabetes or CKD. It examines age and sex characteristics and variations across population groups, including by geographical location and socieconomic disadvantage.

Cardiovascular disease, diabetes and chronic kidney disease - Australian facts: Prevalence and incidence

AIHW - Released November 2014: This report on prevalence and incidence provides a comprehensive summary of the latest available data on the prevalence and incidence in the Australian population of these three chronic vascular diseases, acting alone or together. It examines age and sex characteristics and variations across population groups, by geographical location, and by socioeconomic disadvantage.

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts mortality
AIHW - Released October 2014: This report on Mortality presents up-to-date statistics as well as trends on deaths from these chronic diseases. It examines age and sex characteristics, and variations across population groups, including among Aboriginal and Torres Strait Islander people, by geographical location, and by socioeconomic disadvantage.

Chronic kidney disease: Regional variation in Australia
AIHW - Released October 2013: Chronic kidney disease is a common and serious problem in Australia and its management can be resource intensive, particularly for the most severe form of the disease: end-stage kidney disease. Rates of chronic kidney disease vary by geographic location. This report shows: people from remote and very remote areas, were 2.2 times more likely to die from chronic kidney disease than people from Major cities. - people from Very remote areas were at least 4 times more likely to start kidney replacement therapy (dialysis or kidney transplant) than people from non-remote areas.

Projections of the incidence of treated End-Stage Kidney Disease in Australia, 2010-2020
AIHW - Released September 2011: This report presents national level projections of the number of people receiving kidney replacement therapy for their ESKD for the period 2010 to 2020. This information is important for predicting the future burden of ESKD in Australia.


Chronic kidney disease in Aboriginal and Torres Strait Islander people
AIHW - Released September 2011: This report presents the first detailed analysis of chronic kidney disease in Aboriginal and Torres Strait Islander people and how it compares to non-Indigenous Australians. Indigenous Australians have a greater burden of disease for many health conditions, and chronic kidney disease is no exception. Indigenous Australians were found to be more likely to have end-stage kidney disease, and be hospitalised or die with chronic kidney disease than non-Indigenous Australians.

OTHER IMPORTANT RESOURCES

The Renal Drug Reference Guide
Following introductory principles on the use of drugs in patients with renal failure, this reference guide is structured into thirteen colour coded therapeutic chapters including: anaemia, analgaesia, antihistamines, anti-infectives, cardiovascular, endocrine and metabolic disorders, gastrointestinal, genitourinary, immunosuppressants, musculoskeletal, neurology & psychotropics. It is evidence based and practical advice, written expressly for the prescriber searching for easy to comprehend definitive advice.

Enquiries: contact author: Matthew Cervelli +61 408 846 901 or info@renaldrugreference.com.au
Guide intended for healthcare professionals who can exercise independent professional clinical judgement when referring to content. Not intended for use by healthcare consumers.


 
Do you have patients considering home dialysis? 1800 454 363
Access an online education resource site on home dialysis, including a developing area specifically for health professionals at our sister site homedialysis.org.au - queries to homedialysis@kidney.org.au 
My Kidneys - My Choice! Decision Aid Tool
Designed to support patients and their families through the education and decision making process, this tool is a supplement to education and not a replacement. This health professional guide will help you understand how the Decision Aid Tool was designed to be used in practice and contains useful hints and tips, as well as background information - download here>

Kidney Cancer Support Service - freecall 1800 454 363
Our sister site offers evidence based education for patients kidneycancer.org.au
Queries to kidneycancer@kidney.org.au

 
 Connect with us   
 
                                     

KHA web pages:  Kidney Check Australia Taskforce  I  KHA-CARI Guidelines

Patient Education Resources:  Kidney Health Resources  I  Organ Donation

Page updated 26 May 2015
  TitleDescription
PDF Order Form: Management of CKD in General Practice handbookUse this interactive form to order copies of CKD Management handbook (3rd edition) Follow instructions on form. Updated 25 May 2015.
PDF Nurse Link Registration FormFor all Nurses and Health Professionals who wish to be updated with the latest in research, treatment methods, care - a monthly newsletter.
 TitleDescription
Chronic Kidney Disease (CKD) Management in General PracticeThe 3rd edition - Released 28 April 2015
CKD Yellow Clinical Action PlaneGFR >60mL/min/1.73m2 with microalbuminuria or eGFR 45-59mL/min/1.73m2 with normoalbuminuria
CKD Orange Clinical Action PlaneGFR 30-59 mL/min/1.73m2 with microalbuminuria or eGFR 30-44 mL/min/1.73m2 with normoalbuminuria
CKD Red Clinical Action PlanMacroalbuminuria irrespective of eGFR or eGFR < 30 mL/min/1.73m2 irrespective of albuminuria
2012 Proteinuria StatementJohnson DW, Jones GRD, Mathew TH et al. Chronic kidney disease and measurement of albuminuria or proteinuria: a position statement. Med J Aust 2012;197(4):224-5.
CVD Absolute Risk Management GuidelinesDeveloped by the National Vascular Disease Prevention Alliance - released May 2012
  TitleDescription
pdf KinD Report - Kidneys in Diabetes 2014 Temporal trends in the epidemiology of diabetic kidney disease and associated health care burden in Australia - Released April 2014
pdf Two of a KinD (Kidneys in Diabetes) Deloitte Access Economic ReportKey Findings – Released June 2011
pdf Two of a KinD (Kidneys in Diabetes) Deloitte Access ReportThe burden of diabetic kidney disease and the cost effectiveness of screening people with type 2 diabetes for chronic kidney disease - Released June 2011
 TitleDescription
State of the Nation 2014CKD in Australia – Released May 2014.
Exploring research priorities in chronic kidney diseaseSummary of national workshop – Released April 2014
Kidney Health Australia Sugar Position Statement 2014Kidney Healthy Australia supports the Consensus Statement published by Cancer Council Australia, Diabetes Australia and the National Heart Foundation of Australia - November 2014.
Consumer Perspectives on DialysisFirst national census of Australian dialysis patients – Released March 2011
Position Statement: Organ Donation Trafficking and Transport TourismApproved October 2013
Patient Perspectives on Dialysis – Summary ReportSummary of national census – Released March 2011
Electricity and Home Dialysis - for Renal UnitsElectricity Standards and Home Dialysis 2012 Australia and New Zealand – Released 2012
Pre-dialysis Education written summaryPre-dialysis education – A National Australian Survey – Released January 2012.
Fluoride Position Statement 2011Effects of fluoridation of community water supplies for people with CKD
Economic Impact of End-Stage Kidney Disease in Australia – Projections to 2020Cass A, Chadban S, Gallagher M et al. The economic impact of end-stage kidney disease in Australia: Projections to 2020
Projections to 2020 - Executive SummaryExecutive Summary - Released November 2010
2nd CKD Summit - Summary ReportBest care for Australians with Kidney Disease: the pathway ahead – Released July 2009
Fluoride Position Statement for NKF USANational Kidney Foundation update fluoride position statement– Released June 2008
Kidney Health Australia Position on Water DrinkingThere is a lack of evidence that drinking water in excess of thirst is beneficial for the health of Australians living in temperate regions and not exercising strenuously. – Released June 2008
The Economic Impact of End Stage Kidney Disease in AustraliaCass A, Chadban S, Craig J et al. Economic Impact of End-Stage Kidney Disease in Australia – Released 2006
1st International CKD Summit SummaryThe need for action in Australia – Released July 2007
Executive Summary Australian CKD Strategy National Chronic Kidney Disease Strategy – Released January 2006
The Cost-effectiveness of Early Detection and Intervention to Prevent the Progression of Chronic Kidney Disease in AustraliaHoward K, Salkeld G, White S et al. The cost-effectiveness of early detection and intervention to prevent the progression of chronic kidney disease in Australia – Released 2006
 
 
 
  The material contained on this site does not constitute medical advice. It is intended for information purposes only. Published by Kidney Health Australia. Privacy Policy. For information about website content please contact the National Communications Manager.

© 2008 Kidney Health Australia

Last updated: May 2015.