Transplant results for Fraser Health

We’re quite interested in tracking our performance for various key outcomes in our program.   Transplantation is felt to be a really important outcome given the significant health benefits it can provide for many of our patients.   We have just been able to obtain our own results compared to those of the rest of the province of British Columbia.

To summarize a lot of data:

For preemptive transplantation, we’re at 0.8%/year compared to a mean of 1.2% for the province.
For transplantation after dialysis, we’re at 4.3%/year compared to a mean of 5.5% for the province.
Please note that no statistical tests were performed when comparing these numbers, so it’s certainly possible these number differ simply by chance alone.  We include all patients with GFR <25 ml/min in our denominator when determining rates of preemptive transplant and include all patients on dialysis in our denominator for rates of transplant after dialysis.

We appeared to outperform the rest of the province for time between first dialysis and transplant referral with 27.7 months for FHA vs 37.3 mths for BC.  We also slightly outperformed for time between first dialysis and the receipt of a kidney transplant:

Health Authority    DD       LD        Total
Fraser Valley           53.8    22.5      39.2 months
All BC                          57.8    24          44.1 months

Our more rapid time to transplantation is encouraging given the data which suggests that a faster transplant translates into better results for our patients.  We will be discussing targets we’d like to hit and strategies for doing so.  I’ll share our plans and ask for the support of the FHA renal program in continuing to improve our performance with respect to transplantation.

 

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Transplantation: A Clinical Priority for our Renal Program

While we strive to avoid end-stage renal disease (ESRD) in our patients through the treatment of kidney disease and the implementation of strategies to slow progression of chronic disease disease, we know we won’t be successful with many of our patients.

For those patients who do reach ESRD, we know that kidney transplant is the treatment of choice and provides better long-term survival and improved quality of life compared to dialysis.  It’s encouraging that patient survival and transplant success has been progressively improving over the years.

As part of our program wide strategy to increase pre-emptive transplant (transplantation before the start of dialysis) and rapid living donor transplant after the initiation of dialysis, Dr. Melanie Brown has created a brief set of educational slides that explain the value of kidney transplantation and dispels some of the associated myths.

The Nephrologists in the FHA Renal Program will be participating in a blitz educational campaign to share this information across our program.  Over the next 6 weeks, Nephrologists will be presenting this informational across our various in-centre & community dialysis units, kidney care centres and peritoneal dialysis units.  Assuming this goes well, we’ll try the same thing for our vascular access and home dialysis projects.

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