Home > Review Articles > Ethnicity data > Effect of centre- and patient-related factors on uptake of haemodiafiltration in Australia and New Zealand

Effect of centre- and patient-related factors on uptake of haemodiafiltration in Australia and New Zealand

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From Māori Health Review Issue 83
Authors:
  • Mac K, et al.
Summary:

Uptake of haemodiafiltration increased over time in a cohort study of 27,433 patients commencing haemodialysis on the Australian and New Zealand Dialysis and Transplant Registry. Uptake of haemodiafitration was more rapid in New Zealand than Australia with 19.1% and 14.4% of patients commencing haemodiafiltration in each country, respectively. In New Zealand, Māori and Pasifika (OR 1.32; 95% CI 1.05–1.66) or Asians (OR 1.75; 95% CI 1.15–2.68) were more likely to use haemodiafiltration than Caucasians. Centre-related factors accounted for 48% variability in uptake of haemodiafiltration in New Zealand.

Comment:
Really important to monitor dialysis rates, including the types and locations, for Māori . Great to see that efforts to support home haemodialysis for Māori and Pacific people are associated with improved access. Now to improve outcomes.
Reference: Nephrology (Carlton). 2020;25(1):63-72.
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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