演題情報

学会・委員会企画

開催回
第62回・2017年・横浜
 

Epidemiological significance of gender and aging on chronic dialysis

演題番号 : GI-01-6

Stephen McDonald:1

1:ANZDATA Registry, SA Health and Medical Research Institute, Adelaide, Australia

 

Within the overall rates of incident and prevalent numbers in dialysis are a series of trends with gender and ageing. As has been well described, incidence rates increase steadily with age, peaking in the older age groups. There are also clear gender differentials, with incident rates of dialysis treatment generally greater among males than females.
However, there are a number of interactions, such that this gender differential is greater among older age groups, and has become more marked in more recent years (since 1990), particularly in older groups.
This difference is seen among most types of primary renal disease, but is less marked among those with polycystic kidney disease.Analgaesic nephropathy follows a different pattern, with peak incidence rates (depending on age) in the period 1975-1990. For this disease, the situation is reversed with incidence rates substantially higher among women than men.
Gender differences could reflect a number of epidemiological processes. These include differences in rates of chronic kidney, differences in rates of competing mortality risks, and differences in propensity to commence dialysis treatment.
In addition to differences in incidence, there are also gender-related differences in dialysis modality and outcome which will be reviewed.

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