Source - 2016 ANZDATA report
Renal Replacement Therapy
This includes patients on dialysis and with a functioning kidney transplant
- There were 4368 people receiving renal replacement therapy (RRT) at 31st Dec 2015
- Of these 1694 had a functioning kidney transplant and 2674 were receiving dialysis treatment
New patients commencing dialysis treatment
- 527 people commenced RRT in New Zealand in 2015.
- There were 2674 dialysis patients in 2015 which is stable compared to previous years.
- The mean age of patients entering programs in New Zealand in 2015 was 56 years and the median 59 years.
- 47% of all new patients had diabetic nephropathy attributed as their cause of end stage renal disease, 20% had glomerulonephritis and 9% hypertension.
Types of dialysis
- Together, hospital haemodialysis and satellite dialysis accounted for 59% of patients in 2015. Satellite haemodialysis numbers increased 3% in 2015 (391 patients), after increases of 5% (396 patients) in 2010 and 8% (413 patients) in 2009
- There were 1752 patients receiving Haemodialysis treatment at 31 December 2015, Hospital based HD (959), satellite HD (442) and home HD (482) have all remained static for the past three years
- There were 582 patients who received dialysis for the first time in 2013.
- Peritoneal dialysis accounted for 31% (832) of all dialysis patients and 98% of all patients dialysing at home.
- Four patient’s older 65 years were transplanted.
- The number of transplant operations (172) performed in 2016
- The median age of transplant recipients in 2015 was 50 years.
- There have been 3,851 operations performed on 3,188 patients since 1965 with 1,572 grafts still functioning at 31 December 2013
- In New Zealand the mean donor age in 2013 was 36 years.
- The proportion of pre-emptive primary living donor transplants in New Zealand was 23% in 2013
- In New Zealand the number of kidney transplants in 2016 was 172 - 72 were live donor transplants and 77 kidneys from 53 deceased donors
- The longest surviving kidney transplant was 42 years as at December 31st 2015. There were 168 kidney transplants functioning for more than 20 years and 30 kidney transplants functioning for more than 30 years
- There were 53 deceased organ donors in 2015, the largest number ever in New Zealand. (ODNZ News release January 2016)
- The kidneys have a higher blood flow than even the brain, liver or heart.
- The kidneys reabsorb and redistribute 99% of the blood volume and only 0.1% of the blood filtered becomes urine.
- Each kidney is about 4½ inches (11.4 cm) long.
- Each kidney weighs approximately 170gms and is the size of your fist.
- The kidneys of a newborn baby are about 3X larger in proportion to body weight as in the adult.
- The volume of urine excreted daily varies from 1000 to 2000 ml (averaging 1500 ml).
- What year was the first successful kidney transplant? (1954 with identical twins in the US)
- Your kidneys represent about 0.5% of the total weight of the body, but receive 20–25% of the total arterial blood pumped by the heart.
- Your kidneys receive about 56 litres of blood per hour.
- Over 1.8 litres of recycled blood is pumped through your kidneys every day.
- Each kidney contains approximately one million nephrons
- Placed end to end, the nephrons of one kidney would stretch about 8 km