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EĞǁ ĞĂůĂŶĚ EĞƉŚƌŽůŽŐLJ ϭϭƚŚ EEh> ZWKZd ďŽƵƚ ƚŚĞ ƚƌĞĂƚŵĞŶƚ ĂŶĚ ŽƵƚĐŽŵĞƐ ŽĨ ĞŶĚ-ƐƚĂŐĞ ŬŝĚŶĞLJ ĚŝƐĞĂƐĞ ƚƌĞĂƚĞĚ ǁŝƚŚ ĚŝĂůLJƐŝƐ ĂŶĚ ŬŝĚŶĞLJ ƚƌĂŶƐƉůĂŶƚĂƟŽŶ ŝŶ ŽƚĞĂƌŽĂ EĞǁ ĞĂůĂŶĚ ŝŶ ϮϬϭϲ ϮϬϭϲ
Transcript of î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v...
![Page 1: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/1.jpg)
EĞǁĞĂůĂŶĚEĞƉŚƌŽůŽŐLJ
ϭϭƚŚEEh>ZWKZd ďŽƵƚƚŚĞƚƌĞĂƚŵĞŶƚĂŶĚŽƵƚĐŽŵĞƐŽĨĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJ
ĚŝƐĞĂƐĞƚƌĞĂƚĞĚǁŝƚŚĚŝĂůLJƐŝƐĂŶĚŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝŶ
ŽƚĞĂƌŽĂEĞǁĞĂůĂŶĚŝŶϮϬϭϲ
ϮϬϭϲ
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New Zealand ANZDATA 11th Annual Report
Written by Suetonia Palmer
on behalf of the Aotearoa New Zealand ANZDATA Working Group
reporting data collected January to December 2016
For the National Renal Advisory Board (NRAB)
Funded by the New Zealand Ministry of Health
Contact person: Professor Suetonia Palmer, [email protected]
How to cite: The Aotearoa New Zealand Working Group on behalf of the National Renal Ad-visory Board. New Zealand Nephrology 11th Annual Report for 2016. Available at https://
www.health.govt.nz/about-ministry/leadership-ministry/expert-groups/national-renal-advisory-board/papers-and-reports.
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/ŶƚƌŽĚƵĐƟŽŶ tĞůĐŽŵĞƚŽƚŚĞϮϬϭϲŶŶƵĂůZĞƉŽƌƚĂďŽƵƚƚƌĞĂƚŵĞŶƚƉƌĂĐƟĐĞƐĂŶĚĐĂƌĞŽƵƚͲĐŽŵĞƐĨŽƌĂĚƵůƚƐĂŶĚĐŚŝůĚƌĞŶǁŝƚŚĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐĞĂƐĞǁŚŽƌĞĐĞŝǀĞĚŝĂůLJƐŝƐŽƌŚĂǀĞĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ
dŚŝƐƌĞƉŽƌƚŝƐĂƌĞĂůůLJŝŵƉŽƌƚĂŶƚǁĂLJĨŽƌƚŚĞŚĞĂůƚŚƐĞƌǀŝĐĞƐŝŶEĞǁĞĂůĂŶĚƚŽĞdžĂŵŝŶĞƚŚĞƉƌĂĐƟĐĞƉĂƩĞƌŶƐĂŶĚƋƵĂůŝͲƚLJŽĨĐĂƌĞĨŽƌĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐĞĂƐĞŝŶEĞǁĞĂůĂŶĚ
dŚŝƐƌĞƉŽƌƚŝƐďĂƐĞĚŽŶƚŚĞĚĂƚĂƚŚĂƚĂůůEĞǁĞĂůĂŶĚĚŝĂůLJƐŝƐĂŶĚƚƌĂŶƐƉůĂŶƚƉĂͲƟĞŶƚƐƐŚĂƌĞǁŝƚŚƚŚĞƵƐƚƌĂůŝĂŶĂŶĚEĞǁĞĂůĂŶĚŝĂůLJƐŝƐĂŶĚdƌĂŶƐƉůĂŶƚ;EdͿZĞŐŝƐƚƌLJdŚŝƐƌĞŐŝƐƚƌLJǁĂƐĮƌƐƚĐƌĞĂƚĞĚŝŶϭϵϳϴĂŶĚŝƐĂŶŝŶĐƌĞĚŝďůĞƌĞƐŽƵƌĐĞƚŽƵŶĚĞƌƐƚĂŶĚĂŶĚƌĞƐƉŽŶĚƚŽŝƐƐƵĞƐĂďŽƵƚĚŝĂůLJƐŝƐĂŶĚƚƌĂŶƐƉůĂŶƚƚƌĞĂƚŵĞŶƚdŚĞZĞŐŝƐƚƌLJŝƐŝŶĚĞďƚĞĚƚŽĂůůƚŚĞƉĂƟĞŶƚƐĂŶĚƚŚĞĐůŝŶŝĐŝĂŶƐƚŚƌŽƵŐŚͲŽƵƚEĞǁĞĂůĂŶĚǁŚŽĐŽůůĞĐƚĂŶĚƐŚĂƌĞĚĂƚĂĞĂĐŚLJĞĂƌtĞŚĂǀĞĐŽŵĞĂůŽŶŐǁĂLJĨƌŽŵϱϮƉĂƟĞŶƚƐƐƚĂƌƟŶŐĚŝĂůLJƐŝƐŝŶEĞǁĞĂůĂŶĚŝŶϭϵϳϱ-ϭϵϳϲ
dŚŝƐĂŶŶƵĂůEĞǁĞĂůĂŶĚƌĞƉŽƌƚŚĂƐďĞĞŶŐĞŶĞƌĂƚĞĚďLJƐƵĐĐĞƐƐŝǀĞĚĞĚŝĐĂƚĞĚŶĞƉŚƌŽůŽŐŝƐƚƐĂŶĚŐĞŶĞƌŽƵƐƉĂƟĞŶƚƐĂŶĚǁŚĈŶĂƵdŚĞϮϬϭϲƌĞƉŽƌƚŝƐƚŚĞĮƌƐƚƌĞͲƉŽƌƚǁƌŝƩĞŶďLJƚŚĞŶĞǁůLJĐƌĞĂƚĞĚŽƚĞĂͲƌŽĂEĞǁĞĂůĂŶĚEdtŽƌŬŝŶŐ'ƌŽƵƉdŚŝƐ'ƌŽƵƉŝƐƌĞƐƉŽŶƐŝďůĞĨŽƌŽǀĞƌƐĞĞŝŶŐEdǁŝƚŚŝŶEĞǁĞĂͲůĂŶĚƚŽĞŶĂďůĞEdƚŽŝŵƉƌŽǀĞƚŚĞƋƵĂůŝƚLJŽĨƚŚĞĐĂƌĞƚŚĂƚEĞǁĞĂůĂŶĚƉĂƟĞŶƚƐƌĞĐĞŝǀĞ
tĞŚŽƉĞƚŚŝƐƌĞƉŽƌƚŝƐƵƐĞĨƵůĂƐĂƚŽŽůƚŽƵŶĚĞƌƐƚĂŶĚŚŽǁĐĂƌĞŝƐĚĞůŝǀĞƌĞĚǁŝƚŚŝŶĐůŝŶŝĐĂůĐĞŶƚƌĞƐĂŶĚĂĐƌŽƐƐƚŚĞŵĂŶLJƌĞͲŐŝŽŶƐŝŶEĞǁĞĂůĂŶĚdŚĞϮϬϭϲƌĞƉŽƌƚ;ĂŶĚƉƌĞǀŝŽƵƐƌĞƉŽƌƚƐͿŚŝŐŚůŝŐŚƚƐŬĞLJĚŝīĞƌĞŶĐĞƐŝŶƚƌĞĂƚŵĞŶƚƉĂƩĞƌŶƐďĞͲƚǁĞĞŶŚŽƐƉŝƚĂůƐƚŚƌŽƵŐŚŽƵƚEĞǁĞĂͲůĂŶĚĂŶĚďĞƚǁĞĞŶŐƌŽƵƉƐŽĨƉĂƟĞŶƚƐŝŶĐůƵĚŝŶŐďĂƐĞĚŽŶĂŐĞĂŶĚĞƚŚŶŝĐŝƚLJdŚĞEĞǁĞĂůĂŶĚtŽƌŬŝŶŐ'ƌŽƵƉŝƐƐĞĞŬŝŶŐƚŽĚĞǀĞůŽƉĚĞĞƉĞƌƉĂƌƚŶĞƌƐŚŝƉƐǁŝƚŚĞdžƉĞƌƚƐŝŶĚĂƚĂĂŶĂůLJƐŝƐƚŽĞdžƉůŽƌĞƚŚŝƐĞǀŝĚĞŶĐĞŽĨŝŶĞƋƵŝƚLJƚŽƵŶĚĞƌƐƚĂŶĚŝƚďĞƩĞƌ<ŶŽǁŝŶŐŵŽƌĞĂďŽƵƚƚŚĞƚƌĞĂƚͲŵĞŶƚƉƌĂĐƟĐĞƐĂŶĚŽƵƚĐŽŵĞƐŽĨƌĞŶĂůĐĂƌĞŝƐƚŚĞĮƌƐƚƐƚĞƉŝŶĮŶĚŝŶŐǁĂLJƐƚŽŝŵƉƌŽǀĞƉĂƟĞŶƚĞdžƉĞƌŝĞŶĐĞƐĂŶĚŽƵƚͲĐŽŵĞƐ
/ĨLJŽƵŚĂǀĞĂŶŝĚĞĂĂďŽƵƚŶĞǁǁĂLJƐƚŽĞdžƉůŽƌĞƚŚĞĚĂƚĂƚŽŝŵƉƌŽǀĞŽƵƌƵŶĚĞƌͲƐƚĂŶĚŝŶŐĂŶĚĐůŝŶŝĐĂůĐĂƌĞƚŚĞŶƉůĞĂƐĞŐĞƚŝŶƚŽƵĐŚ;ƐƵĞƚŽŶŝĂƉĂůŵĞƌΛŽƚĂŐŽĂĐŶnjͿƚŽĚŝƐͲĐƵƐƐ
KƵƌĂƐƉŝƌĂƟŽŶŝƐƚŽĐŽŶƟŶƵĞƚŽĞǀŽůǀĞƚŚŝƐƌĞƉŽƌƚĂƐĂŬĞLJŵĞĂƐƵƌĞŽĨĐĂƌĞƋƵĂůŝƚLJdŚĞEdtŽƌŬŝŶŐ'ƌŽƵƉƐƵƉƉŽƌƚƐǁŽƌŬďĞŝŶŐĚŽŶĞďLJƚŚĞEĂͲƟŽŶĂůZĞŶĂůdƌĂŶƐƉůĂŶƚ^ĞƌǀŝĐĞĂŶĚƚŚĞŝĂůLJƐŝƐĚǀŝƐŽƌLJŽŵŵŝƩĞĞŽĨƚŚĞƵƐͲƚƌĂůŝĂĂŶĚEĞǁĞĂůĂŶĚ^ŽĐŝĞƚLJŽĨEĞƉŚͲƌŽůŽŐLJƚŽŐĞŶĞƌĂƚĞŬĞLJƉĞƌĨŽƌŵĂŶĐĞŝŶĚŝĐĂƚŽƌƐĨŽƌĚŝĂůLJƐŝƐĂŶĚƚƌĂŶƐƉůĂŶƚĐĂƌĞƚŚĂƚĐĂŶĞŶĂďůĞƚŚĞŵĞĂƐƵƌĞŵĞŶƚĂŶĚƌĞƉŽƌƟŶŐŽŶƚŚĞƋƵĂůŝƚLJŽĨƌĞŶĂůĐĂƌĞĂŶĚŽƵƚĐŽŵĞƐĂĐƌŽƐƐEĞǁĞĂůĂŶĚĂŶĚƌĞƐƉŽŶĚĂƐĂŶĞƉŚƌŽůŽŐLJĐŽŵŵƵŶŝƚLJƚŽĐŽŶƟŶƵŽƵƐƋƵĂůŝƚLJŝŵƉƌŽǀĞŵĞŶƚ
&ŝŶĂůůLJǁĞǁŝƐŚĂŐĂŝŶƚŽĂĐŬŶŽǁůĞĚŐĞƚŚĞƐŚĂƌŝŶŐŽĨĚĂƚĂďLJEĞǁĞĂůĂŶĚƉĂͲƟĞŶƚƐĂŶĚǁŚĈŶĂƵƚŚĞĚĞĚŝĐĂƚĞĚEdƚĞĂŵďĂƐĞĚŝŶĚĞůĂŝĚĞƚŚĂƚŚĞůƉƐǁŝƚŚĂŶĂůLJƐĞƐƚŚĞDŝŶŝƐƚƌLJŽĨ,ĞĂůƚŚĚĂƚĂƚĞĂŵƐƚŚĞEĞǁĞĂůĂŶĚWĞƌŝƚŽŶĞĂůŝĂůLJƐŝƐZĞŐŝƐƚƌLJƚŚĞEĞǁĞĂůĂŶĚůŽŽĚ^ĞƌǀŝĐĞĂŶĚƚŚĞEĞǁĞĂͲůĂŶĚZĞŶĂůdƌĂŶƐƉůĂŶƚ^ĞƌǀŝĐĞtĞƚŚĂŶŬĂůƐŽĂůůƚŚĞĐůŝŶŝĐŝĂŶƐŝŶEĞǁĞĂůĂŶĚǁŚŽŐŝǀĞƟŵĞƚŽĮůůŝŶŐŽƵƚƚŚĞEdĨŽƌŵƐĞĂĐŚLJĞĂƌ–ǁŝƚŚŽƵƚǁŚŽŵƚŚŝƐƌĞƉŽƌƚǁŽƵůĚŶŽƚďĞƉŽƐƐŝďůĞtĞĂůƐŽĂĐŬŶŽǁůĞĚŐĞƚŚĞůŽŶŐƐƚĂŶĚŝŶŐĐŽŵŵŝƚͲŵĞŶƚƚŽĨƵŶĚŝŶŐŽĨEdƉƌŽǀŝĚĞĚďLJƚŚĞDŝŶŝƐƚƌLJŽĨ,ĞĂůƚŚ
^ƵĞƚŽŶŝĂWĂůŵĞƌ
ŽŶďĞŚĂůĨŽĨ
dŚĞŽƚĞĂƌŽĂEĞǁĞĂůĂŶĚEdtŽƌŬŝŶŐ'ƌŽƵƉ
^ƵĞƚŽŶŝĂWĂůŵĞƌDŝĐŚĂĞůŽůůŝŶƐDĂƚĂƌŽƌŝĂ>LJŶĚŽŶZĂĐŚĂĞůtĂůŬĞƌ,ĂƌŝdĂůƌĞũĂŶĚƌĞǁDĐEĂůůLJ^ĂƌĂŚ'ůĞĞƐŽŶ
;ƚƌĂŝŶĞĞͿ<ĂƚĞZŝĐŚĂƌĚƐ;ƚƌĂŝŶĞĞͿ
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dŚŝƐŝƐƚŚĞϭϭƚŚEĞǁĞĂůĂŶĚĂƌĞWƌŽͲĐĞƐƐĞƐĂŶĚdƌĞĂƚŵĞŶƚdĂƌŐĞƚƐƌĞƉŽƌƚĂďŽƵƚŶĞƉŚƌŽůŽŐLJĐĂƌĞŝŶEĞǁĞĂůĂŶĚĂŶĚŝƐƌĞƉŽƌƟŶŐƚŚĞĂĐƟǀŝƚLJƚŚĂƚŽĐͲĐƵƌƌĞĚďĞƚǁĞĞŶ:ĂŶƵĂƌLJϭĂŶĚĞĐĞŵͲďĞƌϯϭϮϬϭϲdŚĞĚĂƚĂǁĞƌĞĚĞƌŝǀĞĚĨƌŽŵƚŚĞƵƐƚƌĂůŝĂĂŶĚEĞǁĞĂůĂŶĚŝĂůLJƐŝƐĂŶĚdƌĂŶƐƉůĂŶƚ;EdͿZĞŐͲŝƐƚƌLJƚŚĞEĞǁĞĂůĂŶĚůŽŽĚ^ĞƌǀŝĐĞƚŚĞEĂƟŽŶĂůZĞŶĂůdƌĂŶƐƉůĂŶƚ^ĞƌǀŝĐĞ^ƚĂƟƐͲƟĐƐEĞǁĞĂůĂŶĚƚŚĞEĞǁĞĂůĂŶĚWĞƌŝͲƚŽŶĞĂůŝĂůLJƐŝƐZĞŐŝƐƚƌLJ;EWZͿĂŶĚƐƵƌǀĞLJƐŽĨƚƌĞĂƟŶŐƵŶŝƚƐ;ĨŽƌĐĂƚŚĞƚĞƌ-ĂƐƐŽĐŝĂƚĞĚďĂĐƚĞƌŝĂůŝŶĨĞĐƟŽŶƐͿ
dŚĞƌĞƉŽƌƚŝƐĂĐĐŽŵƉĂŶŝĞĚďLJĞĚŝƚĂďůĞŐƌĂƉŚŝĐĚŝƐƉůĂLJƐĨŽƌůŽĐĂůƵƐĞƉƌĞƐĞŶƚĂͲƟŽŶĂŶĚĂĚĂƉƚĂƟŽŶdŚĞƌĂǁĚĂƚĂĂƌĞƉƌŽǀŝĚĞĚŝŶĂDŝĐƌŽƐŽŌdžĐĞůĮůĞ^ŝŶŐůĞ-ƉĂŐĞůĂLJƐƵŵŵĂƌLJƌĞƉŽƌƚƐĂƌĞĂůƐŽƉƵďͲ
ůŝƐŚĞĚĂůŽŶŐƐŝĚĞƚŚŝƐƌĞƉŽƌƚ
dŚĞ^ƚĂƌƐŚŝƉŚŝůĚƌĞŶƐ,ŽƐƉŝƚĂůƐĞƌǀŝĐĞŝƐƌĞƉƌĞƐĞŶƚĞĚƐĞƉĂƌĂƚĞůLJĨŽƌƐŽŵĞĂŶĂůͲLJƐĞƐďƵƚŝƐŽƚŚĞƌǁŝƐĞŝŶĐůƵĚĞĚǁŝƚŚŝŶƚŚĞĚĂƚĂĨŽƌƚŚĞƵĐŬůĂŶĚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
dŚĞĚĂƚĂĂƌĞƌĞƉŽƌƚĞĚĂĐĐŽƌĚŝŶŐƚŽƚŚĞŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐǁŚŝĐŚƉƌŽǀŝĚĞĚŝĂůLJƐŝƐĂŶĚƚƌĂŶƐƉůĂŶƚĂƟŽŶƐĞƌǀŝĐĞƐĨŽƌEĞǁĞĂůĂŶĚdŚĞŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƉŽƉƵůĂƟŽŶƐƐĞƌǀĞĚďLJƚŚĞϭϭŶĂŵĞĚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐƐƵŵŵĂƌŝƐĞĚŝŶƚŚŝƐƌĞƉŽƌƚĂƌĞEŽƌƚŚůĂŶĚ;EŽƌƚŚůĂŶĚ,ͿtĂŝƚĞŵĂƚĂ;tĂŝƚĞŵĂƚĂ,ͿƵĐŬůĂŶĚ;ƵĐŬůĂŶĚ,Θ^ƚĂƌƐŚŝƉ,ŽƐͲƉŝƚĂůͿŽƵŶƟĞƐDĂŶƵŬĂƵ;ŽƵŶƟĞƐDĂͲŶƵŬĂƵ,ͿtĂŝŬĂƚŽ;tĂŝŬĂƚŽĂLJŽĨWůĞŶƚLJ>ĂŬĞƐĂŶĚdĂŝƌĈǁŚŝƟ,ƐͿ,ĂǁŬĞƐĂLJ;,ĂǁŬĞƐĂLJ,ͿDŝĚĞŶƚƌĂů;tŚĂŶŐĂŶƵŝĂŶĚDŝĚĞŶƚƌĂů,ƐͿdĂƌĂŶĂŬŝ;dĂƌĂŶĂŬŝ,ͿĂƉŝƚĂůΘŽĂƐƚ;ĂƉŝƚĂůΘŽĂƐƚ,ƵƩtĂŝƌĂƌĂƉĂĂŶĚEĞůƐŽŶDĂƌůďŽƌŽƵŐŚ
,ƐͿĂŶƚĞƌďƵƌLJ;ĂŶƚĞƌďƵƌLJtĞƐƚŽĂƐƚĂŶĚ^ŽƵƚŚĂŶƚĞƌďƵƌLJ,ƐͿ^ŽƵƚŚĞƌŶ;^ŽƵƚŚĞƌŶ,Ϳ
dŚĞƌĞƉŽƌƚĂŝŵƐƚŽƌĞĐŽŐŶŝƐĞƚŚĞWƌŝŶĐŝͲƉůĞƐŽĨƚŚĞdƌĞĂƚLJŽĨtĂŝƚĂŶŐŝǁŚŝĐŚŝŶĐůƵĚĞƐĂƌĞƐƉŽŶƐŝďŝůŝƚLJŽŶƚŚĞEĞǁĞĂůĂŶĚŐŽǀĞƌŶŵĞŶƚƚŽƉƌŽǀŝĚĞŚĞĂůƚŚĞƋƵŝƚLJĨŽƌDĈŽƌŝdŚĞĞƚŚŶŝĐŝƚLJĚĂƚĂĂƌĞďĂƐĞĚŽŶĞŶƐƵƐƉŽƉƵůĂƟŽŶƐĨŽƌŵŝĚ-ϮϬϭϲĂƐƚŚĞĚĞŶŽŵŝŶĂƚŽƌŝŶĨŽƌŵĂƟŽŶdŚĞƐĞŚĂǀĞďĞĞŶƉƌŽǀŝĚĞĚĚŝƌĞĐƚůLJƚŽƵƐďLJƚŚĞDŝŶŝƐƚƌLJŽĨ,ĞĂůƚŚ/ŶƚŚŝƐƌĞƉŽƌƚǁĞŚĂǀĞƌĞƉŽƌƚĞĚĚĂƚĂƐĞƉĂƌĂƚĞůLJĨŽƌEƵƌŽƉĞĂŶDĈŽƌŝWĂĐŝĮĐĂŶĚƐŝĂŶĞƚŚͲŶŝĐŝƟĞƐǁŚĞŶƉŽƐƐŝďůĞ
dŚĞEdƌĞŐŝƐƚƌLJŚĂƐƌĞĐĞŝǀĞĚŝŵͲƉŽƌƚĂŶƚĮŶĂŶĐŝĂůĐŽŶƚƌŝďƵƟŽŶƐĨƌŽŵƚŚĞEĞǁĞĂůĂŶĚ'ŽǀĞƌŶŵĞŶƚƚŚƌŽƵŐŚƚŚĞDŝŶŝƐƚƌLJŽĨ,ĞĂůƚŚDĂŶĂƚƻ,ĂƵŽƌĂdŚŝƐĨƵŶĚŝŶŐŝƐĞƐƐĞŶƟĂůƚŽŵĂŝŶƚĂŝŶĚĂƚĂĐŽůůĞĐƟŽŶǁŝƚŚƚŚĞĂŝŵŽĨŝŵƉƌŽǀŝŶŐƉƌŽƚĞĐƟŶŐĂŶĚƉƌŽŵŽƟŶŐƚŚĞŚĞĂůƚŚŽĨEĞǁĞĂůĂŶĚĞƌƐƚƌĞĂƚĞĚĨŽƌĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐĞĂƐĞĂŶĚƚŚĞŝƌĨĂŵŝůŝĞƐ
EdĂůƐŽƌĞĐĞŝǀĞƐĨƵŶĚŝŶŐĨƌŽŵƚŚĞƵƐƚƌĂůŝĂŶŽŵŵŽŶǁĞĂůƚŚĂŶĚ<ŝĚŶĞLJ,ĞĂůƚŚƵƐƚƌĂůŝĂ
dŚĞŐĞŶĞƌĂƟŽŶŽĨƚŚŝƐƌĞƉŽƌƚƌĞĐĞŝǀĞƐŶŽƐƉĞĐŝĮĐĨƵŶĚŝŶŐĂŶĚŝƐƉƌŽĚƵĐĞĚĨƌŽŵŝŶ-ŬŝŶĚƐƵƉƉŽƌƚďLJEĞǁĞĂůĂŶĚŶĞƉŚƌŽůŽͲŐŝƐƚƐ/ŶƉƌĞǀŝŽƵƐLJĞĂƌƐƚŚĞEŶĞƉŚƌŽůŽͲŐLJĐŽŵŵƵŶŝƚLJŝƐŝŶĚĞďƚĞĚƚŽůĞĂĚĞƌƐŚŝƉĂŶĚĐŽŶƚƌŝďƵƟŽŶƐŽĨƌƐ<ĞůǀŝŶ>LJŶŶ'ƌĂŶƚWŝĚŐĞŽŶDĂƌŬDĂƌƐŚĂůůĂŶĚdŽͲŶLJĂ<ĂƌĂdŚĞǁŽƌŬŽĨƌƐ^ƚĞƉŚĞŶDĐŽŶĂůĚĂŶĚWŚŝůůĂLJƚŽŶĂŶĚ<LJůŝĞ,ƵƌƐƚĂŶĚŚƌŝƐĂǀŝĞƐĂƚEdŝƐĂůƐŽĂĐŬŶŽǁůĞĚŐĞĚ
ďŽƵƚƚŚŝƐƌĞƉŽƌƚ
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dĂďůĞŽĨŽŶƚĞŶƚƐ /ŶƚƌŽĚƵĐƟŽŶ
Ϭϯ ďŽƵƚƚŚŝƐƌĞƉŽƌƚ
Ϭϰ ^ƵŵŵĂƌLJ
Ϭϲ <ĞLJĮŶĚŝŶŐƐ
ϭϭ ĞŵŽŐƌĂƉŚŝĐƐ
ϭϰ ^ƚĂƌƟŶŐƚŚĞƌĂƉLJ
ϭϱ WƌĞǀĂůĞŶĐĞ
Ϯϭ >ĂƚĞĂƐƐĞƐƐŵĞŶƚ
Ϯϱ dƌĂŶƐƉůĂŶƚĂƟŽŶ
Ϯϲ WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
ϯϭ ,ĂĞŵŽĚŝĂůLJƐŝƐ
ϯϱ ^ƵƌǀŝǀĂů
ϰϯ ŶĂĞŵŝĂ
ϰϴ
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ϲ
^ƵŵŵĂƌLJ ^ƵŵŵĂƌLJŽĨϮϬϭϲEdĨŽƌEĞǁĞĂůĂŶĚ ϮϬϭϲ ϮϬϭϮ
WĞŽƉůĞƐƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚĨŽƌŬŝĚŶĞLJĨĂŝůƵƌĞŝŶĐŝĚĞŶĐĞƉĞƌŵŝůůŝŽŶ ϱϱϵ ϭϭϴ ϱϮϬ ϭϭϴ
WĞŽƉůĞǁŝƚŚƚƌĞĂƚĞĚŬŝĚŶĞLJĨĂŝůƵƌĞƉƌĞǀĂůĞŶĐĞƉĞƌŵŝůůŝŽŶ ϰϱϯϮ ϵϲϲ ϯϵϵϲ ϵϬϳ
EĞǁůLJƐƚĂƌƟŶŐƚŚĞƌĂƉLJŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ
dƌĂŶƐƉůĂŶƚ;ƉƌĞ-ĞŵƉƟǀĞͿ Ϯϲ ϱϱ ϭϴ ϰϭ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ϮϬϲ ϰϯϰ ϭϳϭ ϰϮϵ
,ĂĞŵŽĚŝĂůLJƐŝƐ ϯϮϳ ϲϴϵ ϯϯϱ ϳϲϬ
ŐĞĐĂƚĞŐŽƌLJŽĨƐƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ
Ϭ-ϮϰLJĞĂƌƐ Ϯϭ ϭϰ Ϯϵ ϮϬ
Ϯϱ-ϰϰLJĞĂƌƐ ϵϮ ϴϲ ϲϵ ϲϯ
ϰϱ-ϲϰLJĞĂƌƐ ϮϱϬ Ϯϭϱ Ϯϳϯ Ϯϱϰ
ϲϱ-ϳϰLJĞĂƌƐ ϭϯϰ ϯϰϱ ϭϬϴ ϯϮϰ
ϳϱ-ϴϰLJĞĂƌƐ ϱϳ Ϯϵϯ ϰϬ Ϯϭϲ
ϴϱнLJĞĂƌƐ ϱ ϲϭ ϭ ϭϰ
ƚŚŶŝĐŝƚLJŽĨƐƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ
DĈŽƌŝ ϭϲϲ Ϯϲϵ ϭϲϵ Ϯϴϱ
WĂĐŝĮĐ ϭϭϳ ϯϳϱ ϵϳ ϯϯϯ
ƐŝĂŶ ϯϳ ϲϴ ϱϬ ϭϭϭ
EĞǁĞĂůĂŶĚƵƌŽƉĞĂŶ Ϯϭϳ ϲϵ ϭϵϴ ϲϴ
<ŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶĐŝĚĞŶĐĞƉĞƌŵŝůůŝŽŶ ϭϳϮ ϯϲ ϭϬϴ Ϯϱ
>ŝǀŝŶŐĚŽŶŽƌ ϴϮ ϭϳ ϱϰ ϭϮ
ĞĐĞĂƐĞĚĚŽŶŽƌ ϵϬ ϭϵ ϱϰ ϭϮ
KŝŶĐŽŵƉĂƟďůĞƚƌĂŶƐƉůĂŶƚŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ ϲ ϭϯ Ϭ Ϭ
<ŝĚŶĞLJĞdžĐŚĂŶŐĞƚƌĂŶƐƉůĂŶƚƐŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ ϱ ϭϬ Ϭ Ϭ
EƵŵďĞƌŽĨƉĂƟĞŶƚƐǁŚŽƌĞĐĞŝǀĞĚŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĨŽƌĞǀĞƌLJϭϬϬǁĂŝƟŶŐ ϯϲ Ϯϲ
WĞŽƉůĞĂĐƟǀĞŽŶǁĂŝƟŶŐůŝƐƚĨŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ ϰϳϮ ϭϬϬ ϰϯϱ ϵϵ
ŝĂůLJƐŝƐƉƌĞǀĂůĞŶĐĞŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ ϮϳϱϬ ϱϴϲ Ϯϰϳϱ ϱϲϭ
&ĂĐŝůŝƚLJŚĂĞŵŽĚŝĂůLJƐŝƐ ϭϰϱϵ ϯϬϴ ϭϮϮϮ Ϯϳϳ
,ŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐ ϰϲϴ ϵϵ ϰϳϰ ϭϬϴ
ƵƚŽŵĂƚĞĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ϰϮϲ ϵϬ ϯϳϳ ϴϲ
ŽŶƟŶƵŽƵƐĂŵďƵůĂƚŽƌLJƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ϯϵϳ ϴϰ ϰϬϮ ϵϭ
,ŽŵĞďĂƐĞĚĚŝĂůLJƐŝƐŽǀĞƌĂůůŶƵŵďĞƌƉĞƌŵŝůůŝŽŶ ϭϮϵϭ Ϯϵϯ ϭϮϱϯ Ϯϴϰ
dƌĂŶƐƉůĂŶƚĂƟŽŶƉƌĞǀĂůĞŶĐĞŶƵŵďĞƌƉŵƉ ϭϳϴϮ ϯϴϬ ϭϱϮϭ ϯϰϱ
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ϳ
ϮϬϭϲ ϮϬϭϮ
ĂƵƐĞŽĨƌĞŶĂůĚŝƐĞĂƐĞĨŽƌŝŶĐŝĚĞŶƚƉĂƟĞŶƚƐŶƵŵďĞƌй
ŝĂďĞƚĞƐ Ϯϲϵ ϰϴй Ϯϰϵ ϰϵй
'ůŽŵĞƌƵůŽŶĞƉŚƌŝƟƐ ϭϬϴ ϭϵй ϭϬϱ ϮϬй
,LJƉĞƌƚĞŶƐŝŽŶ ϱϰ ϭϬй ϰϴ ϵй
W< Ϯϲ ϱй Ϯϳ ϱй
ZĞŇƵdžŶĞƉŚƌŽƉĂƚŚLJ ϴ ϭй ϴ Ϯй
^ƚĂƌƟŶŐŚĂĞŵŽĚŝĂůLJƐŝƐǁŝƚŚĮƐƚƵůĂŽƌŐƌĂŌŶƵŵďĞƌй ϴϳ Ϯϳй ϭϭϯ ϯϰй
WƌĞǀĂůĞŶƚŚĂĞŵŽĚŝĂůLJƐŝƐǁŝƚŚĮƐƚƵůĂŽƌŐƌĂŌŶƵŵďĞƌй ϭϯϴϴ ϳϰй ϭϮϵϴ ϳϳй
>ĂƚĞƌĞĨĞƌƌĂůƚŽƐƉĞĐŝĂůŝƐƚŶĞƉŚƌŽůŽŐLJƐĞƌǀŝĐĞƐ;фϯŵŽŶƚŚƐĐŽŵŵĞŶĐŝŶŐƚƌĞĂƚŵĞŶƚͿ
ϵϯ ϭϰй ϳϵ ϭϱй
^ƵŵŵĂƌLJŽĨϮϬϭϲEdĨŽƌEĞǁĞĂůĂŶĚ;ĐŽŶƟŶƵĞĚͿ
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ϴ
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ϵ
ZĞĐŽŵŵĞŶĚĂƟŽŶƐ dŚĞƉƵƌƉŽƐĞŽĨEdĂŶĚƚŚŝƐƌĞƉŽƌƚŝƐƚŽŝĚĞŶƟĨLJǁĂLJƐƚŽŝŵƉƌŽǀĞƚŚĞƋƵĂůŝƚLJŽĨEĞǁĞĂůĂŶĚŶĞƉŚͲƌŽůŽŐLJĐĂƌĞĂŶĚƉĂƟĞŶƚŽƵƚĐŽŵĞƐ
ĨŽĐƵƐŽĨƚŚĞEĞǁĞĂůĂŶĚEdZĞƉŽƌƚϮϬϭϲŝƐĞƋƵŝƚLJŝŶĐůŝŶŝĐĂůƉƌĂĐƟĐĞĂŶĚŽƵƚĐŽŵĞƐĂĐƌŽƐƐEĞǁĞĂůĂŶĚƌĞŐŝŽŶƐĂŶĚĂĐƌŽƐƐƉŽƉƵůĂƟŽŶƐďĂƐĞĚŽŶŐĞŶĚĞƌĂŐĞĂŶĚĞƚŚŶŝĐŝƚLJǀĞŶŝŶĂǁĞůů-ĚĞƐŝŐŶĞĚŚĞĂůƚŚƐLJƐƚĞŵĂŶĚǁŝƚŚĂĐŽŵŵŝƚŵĞŶƚƚŽƋƵĂůŝƚLJĐĂƌĞƐŽŵĞƉĂƟĞŶƚŐƌŽƵƉƐ—ƉĂƌƟĐƵůĂƌůLJDĈŽƌŝĂŶĚWĂͲĐŝĮĐƉĂƟĞŶƚƐ—ĂƌĞĚŝƐĂĚǀĂŶƚĂŐĞĚǁŝƚŚŵĂƌŬĞĚůLJŚŝŐŚĞƌƌĂƚĞƐŽĨĚŝĂůLJƐŝƐĂŶĚůŽǁĞƌƌĂƚĞƐŽĨŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚĂƟŽŶ
dŚĞĨŽůůŽǁŝŶŐĂƌĞĐŽƌĞŽƉƉŽƌƚƵŶŝƟĞƐĨŽƌŝŵƉƌŽǀĞŵĞŶƚŝŶŶĞƉŚƌŽůŽŐLJƉƌĂĐƟĐĞƐĂŶĚŽƵƚĐŽŵĞƐďĂƐĞĚŽŶƚŚĞĂǀĂŝůĂďůĞĚĂƚĂŝŶϮϬϭϲ
ϭͿ /ŶĐƌĞĂƐŝŶŐƉƌĞ-ĞŵƉƟǀĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶĨŽƌĂůůƉĂƟĞŶƚƐƉĂƌƟĐƵůĂƌůLJĨŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐ
ϮͿ /ŶĐƌĞĂƐŝŶŐŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŽǀĞƌĂůůĨŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐ;ĂŶĚƉĂƌƟĐƵůĂƌůLJĨŽƌǁŽŵĞŶͿ
ϯͿ ĚĚƌĞƐƐŝŶŐƌĞĂƐŽŶƐĨŽƌůĂƚĞƌĞĨĞƌƌĂůĨŽƌƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐŵĞŶƚĂƚƐŽŵĞŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐ
ϰͿ /ŶĐƌĞĂƐŝŶŐŽƉƉŽƌƚƵŶŝƟĞƐĨŽƌŚŽŵĞ-ďĂƐĞĚĚŝĂůLJƐŝƐƉĂƌƟĐƵůĂƌůLJĨŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐŵĞŶĂŶĚǁŽŵĞŶ
ϱͿ /ĚĞŶƟĨLJŝŶŐƌĞĂƐŽŶƐĨŽƌĨĂůůŝŶŐŚŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐĂŶĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƌĂƚĞƐĐŽŵƉĂƌĞĚǁŝƚŚĨĂĐŝůŝƚLJŚĂĞͲŵŽĚŝĂůLJƐŝƐ
ϲͿ ĚĚƌĞƐƐŝŶŐǀĂƌŝĂƟŽŶŝŶƌĂƚĞƐŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƉĞƌŝƚŽŶŝƟƐĂŶĚĞdžŝƚƐŝƚĞŝŶĨĞĐƟŽŶďĞƚǁĞĞŶŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐ
ϳͿ ĚĚƌĞƐƐŝŶŐůŽǁĞƌƌĂƚĞƐŽĨƚƌĂŶƐƉůĂŶƚĂƟŽŶĂƚƐŽŵĞĐĞŶƚƌĞƐ
ϴͿ /ĚĞŶƟĨLJŝŶŐƉƌŽĐĞƐƐĞƐƚŽŝŵƉƌŽǀĞŝŶĐŝĚĞŶĐĞŽĨƉĞƌŵĂŶĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐĂƚƐƚĂƌƚŽĨĚŝĂůLJƐŝƐĂĐƌŽƐƐEĞǁĞĂͲůĂŶĚ
ϵͿ ĚĚƌĞƐƐŝŶŐǀĂƌŝĂƟŽŶŝŶƌĂƚĞƐŽĨĐĂƚŚĞƚĞƌ-ĂƐƐŽĐŝĂƚĞĚďůŽŽĚƐƚƌĞĂŵŝŶĨĞĐƟŽŶƐĂĐƌŽƐƐŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐ
ϭϬͿ /ŶĐƌĞĂƐŝŶŐĂǀĂŝůĂďŝůŝƚLJŽĨĐĂƐĞ-ŵŝdžĐŽŵŽƌďŝĚŝƚLJĂĚũƵƐƚĞĚĚĂƚĂŝŶĨƵƚƵƌĞƌĞƉŽƌƚƐĞƐƉĞĐŝĂůůLJĨŽƌĐŽŵƉĂƌŝƐŽŶƐďĞƚǁĞĞŶ,ƐĂŶĚĞƚŚŶŝĐŝƟĞƐ
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ϭϬ
![Page 11: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/11.jpg)
ϭϭ
<ĞLJĮŶĚŝŶŐƐ
![Page 12: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/12.jpg)
ϭϮ
<ĞLJĮŶĚŝŶŐƐdƌĂŶƐƉůĂŶƚ
![Page 13: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/13.jpg)
ϭϯ
<ĞLJĮŶĚŝŶŐƐŝĂůLJƐŝƐ
![Page 14: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/14.jpg)
ϭϰ
ĞŵŽŐƌĂƉŚŝĐƐ dŚĞŝŶĐŝĚĞŶĐĞĂŶĚƉƌĞǀĂůĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJǀĂƌŝĞƐďĞƚǁĞĞŶŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐdŚĞŶƵŵďĞƌŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ;ŝŶĐŝĚĞŶĐĞͿǀĂƌͲŝĞƐďĞƚǁĞĞŶϱϵƉĞƌŵŝůůŝŽŶĂƚƚŚĞ^ŽƵƚŚĞƌŶ,ƚŽϮϮϴƉĞƌŵŝůůŝŽŶĂƚƚŚĞ,ĂǁŬĞƐĂLJ,dŚĞƉƌĞǀĂůĞŶĐĞŽĨĚŝĂůLJƐŝƐǀĂƌŝĞƐďĞƚǁĞĞŶϮϱϭƉĞƌŵŝůůŝŽŶĂƚƚŚĞĂŶƚĞƌͲďƵƌLJ,ĂŶĚϭϭϱϭƉĞƌŵŝůůŝŽŶĂƚŽƵŶƟĞƐDĂŶƵŬĂƵ,/ƚŝƐůŝŬĞůLJƚŚŝƐǀĂƌŝĂƟŽŶŝƐƌĞůĂƚĞĚƚŽĚĞŵŽŐƌĂƉŚŝĐ
ĂŶĚĐůŝŶŝĐĂůĐŚĂƌĂĐƚĞƌŝƐƟĐƐŽĨ,ƉŽƉƵůĂƟŽŶƐďƵƚŵĂLJĂůƐŽƌĞƉƌĞƐĞŶƚƉƌĂĐƟĐĞƐĂŶĚƉŽůŝĐŝĞƐƐƚŚĞƐĞƐƚĂƟƐƟĐƐĂƌĞŶŽƚĂĚũƵƐƚĞĚƚŽĂĐĐŽƵŶƚĨŽƌĚĞŵŽŐƌĂƉŚŝĐĐŚĂƌĂĐͲƚĞƌŝƐƟĐƐŽƌĐůŝŶŝĐĂůĐŽŵŽƌďŝĚŝƚLJǁĞĐĂŶŶŽƚďĞĐŽŶĮĚĞŶƚŝŶŽƵƌŬŶŽǁůĞĚŐĞŽĨƚŚĞĐĂƵƐĞƐŽĨĚŝīĞƌĞŶĐĞƐďĞƚǁĞĞŶ,Ɛ
/ŶĐŝĚĞŶƚƉĂƟĞŶƚƐ WƌĞǀĂůĞŶƚĚŝĂůLJƐŝƐ WƌĞǀĂůĞŶƚ ƚƌĂŶƐƉůĂŶƚ
ŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ WŽƉƵůĂƟŽŶ EŽ ƉŵƉ EŽ ƉŵƉ EŽ ƉŵƉ EŽ ƉŵƉ
EŽƌƚŚůĂŶĚ ϭϳϯϯϴϬ ϯϯ ϭϵϬ ϭϲϮ ϵϯϰ ϴϯ ϰϳϵ Ϯϰϱ ϭϰϭϯ
tĂŝƚĞŵĂƚĂ ϱϵϴϯϵϬ ϰϬ ϲϳ Ϯϳϴ ϰϲϱ ϭϴϳ ϯϭϯ ϰϲϱ ϳϳϳ
ƵĐŬůĂŶĚ ϱϭϱϯϴϬ ϲϲ ϭϮϴ ϯϯϮ ϲϰϰ Ϯϲϱ ϱϭϰ ϱϵϳ ϭϭϱϴ
WƌĞǀĂůĞŶƚ ƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚ
ŽƵŶƟĞƐDĂŶƵŬĂƵ ϱϰϬϰϮϬ ϭϬϮ ϭϴϵ ϲϮϮ ϭϭϱϭ ϭϴϭ ϯϯϱ ϴϬϯ ϭϰϴϲ
tĂŝŬĂƚŽ ϳϴϵϯϯϱ ϭϭϴ ϭϰϵ ϱϮϯ ϲϲϯ ϭϵϳ ϮϱϬ ϳϮϬ ϵϭϮ
,ĂǁŬĞƐĂLJ ϭϲϮϲϯϬ ϯϳ ϮϮϴ ϭϯϬ ϴϬϬ ϴϰ ϱϭϳ Ϯϭϰ ϭϯϭϲ
DŝĚĞŶƚƌĂů ϮϯϵϬϯϱ ϮϬ ϴϰ ϭϯϯ ϱϱϲ ϴϭ ϯϯϵ Ϯϭϰ ϴϵϱ
dĂƌĂŶĂŬŝ ϭϭϳϰϲϬ ϭϰ ϭϭϵ ϲϮ ϱϮϴ ϰϮ ϯϱϴ ϭϬϰ ϴϴϱ
ĂƉŝƚĂůΘŽĂƐƚ ϲϰϴϮϭϬ ϱϰ ϴϯ Ϯϱϱ ϯϵϯ ϮϴϮ ϰϯϱ ϱϯϳ ϴϮϴ
ĂŶƚĞƌďƵƌLJ ϲϯϳϯϬϱ ϱϲ ϴϴ ϭϲϬ Ϯϱϭ Ϯϲϵ ϰϮϮ ϰϮϵ ϲϳϯ
^ŽƵƚŚĞƌŶ ϯϮϭϲϭϬ ϭϵ ϱϵ ϵϯ Ϯϴϵ ϭϭϭ ϯϰϱ ϮϬϰ ϲϯϰ
Hawke’s Bay800
Northland934
Auckland
644 per million
Waitemata465
Counties1151
Waikato663
Mid-Central592
Taranaki528
Capital Coast393
Canterbury251
Southern289
WƌĞǀĂůĞŶĐĞŽĨĚŝĂůLJƐŝƐĂƚEĞǁĞĂůĂŶĚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐƐŚŽǁŶĂƐƉĞƌŵŝůůŝŽŶŽĨƚŚĞ,ƉŽƉƵůĂƟŽŶ
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ϭϱ
^ƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ
ϭϭϯ
ϭϮϬ ϯϲϬ
ϭϭϮ
0
100
200
300
400
500
600
Transplant Dialysis
0
20
40
60
80
100
120
140
160
1986 1991 1996 2001 2006 2011 2016
/ŶϮϬϭϲϱϱϵƉĞŽƉůĞƐƚĂƌƚĞĚĚŝĂůLJƐŝƐŽƌƌĞĐĞŝǀĞĚĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƐƚŚĞŝƌĮƌƐƚƚƌĞĂƚŵĞŶƚĨŽƌĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐͲĞĂƐĞdŚŝƐǁĂƐϭϭϴƉĞŽƉůĞĨŽƌĞǀĞƌLJŵŝůůŝŽŶEĞǁĞĂůĂŶĚĞƌƐdŚĞĂďƐŽůƵƚĞŶƵŵďĞƌŽĨŶĞǁƉĂƟĞŶƚƐƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞͲŵĞŶƚƚŚĞƌĂƉLJŚĂƐŝŶĐƌĞĂƐĞĚLJĞĂƌŽŶLJĞĂƌďƵƚĂƉƉĞĂƌƐƚŽďĞĐƵƌƌĞŶƚůLJƐƚĂďůĞŝŶůŝŶĞǁŝƚŚƉŽƉƵůĂƟŽŶŐƌŽǁƚŚǁŚĞŶĐĂůĐƵͲůĂƚĞĚĂƐƉĞƌŵŝůůŝŽŶŽĨƚŚĞƉŽƉƵůĂƟŽŶdŚĞŶƵŵďĞƌŽĨŶĞǁƉĂƟĞŶƚƐƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝŶEĞǁĞĂůĂŶĚƌŽƐĞŵĂƌŬĞĚůLJĚƵƌŝŶŐϭϵϴϲ-ϮϬϬϭĂŶĚŚĂƐŶŽǁƌĞŵĂŝŶĞĚƐƚĞĂĚLJƐŝŶĐĞƚŚĂƚƟŵĞďƵƚǁŝƚŚLJĞĂƌƚŽLJĞĂƌǀĂƌŝĂƟŽŶ
dŚĞǀĂƐƚŵĂũŽƌŝƚLJŽĨƉĞŽƉůĞ;ϱϯϯƉĞŽƉůĞͿƐƚĂƌƚĞĚƚƌĞĂƚͲŵĞŶƚǁŝƚŚĚŝĂůLJƐŝƐǁŚŝůĞϮϲƉĞŽƉůĞŚĂĚĂŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚĂƐƚŚĞŝƌĮƌƐƚƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJ;ƉƌĞ-ĞŵƉƟǀĞƚƌĂŶƐƉůĂŶƚͿ
dŚĞƌĂƚĞŽĨƐƚĂƌƟŶŐĚŝĂůLJƐŝƐǁĂƐϭϭϯƉĞƌŵŝůůŝŽŶƉŽƉƵůĂƟŽŶǁŚŝĐŚŝƐƐŝŵŝůĂƌƚŽƵƐƚƌĂůŝĂ;ϭϭϮƉĞƌŵŝůͲůŝŽŶͿůŽǁĞƌƚŚĂŶƚŚĞhŶŝƚĞĚ<ŝŶŐͲĚŽŵ;ϭϮϬƉĞƌŵŝůůŝŽŶͿĂŶĚŵĂƌŬĞĚͲůLJůŽǁĞƌƚŚĂŶƚŚĞhŶŝƚĞĚ^ƚĂƚĞƐ;ϯϲϬƉĞƌŵŝůůŝŽŶͿ
EĞǁƉĂƟĞŶƚƐƉĞƌŵŝůůŝŽŶ
EĞǁƉĂƟĞŶƚƐŵŽĚĂůŝƚLJ
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^ƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ
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dŚĞŝŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJĞdžƉƌĞƐƐĞĚƉĞƌŵŝůůŝŽŶŽĨƉŽƉƵͲůĂƟŽŶǁĂƐŚŝŐŚůLJǀĂƌŝĂďůĞĂĐƌŽƐƐŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐdŚĞŝŶĐŝĚĞŶĐĞƌĂŶŐĞĚĨƌŽŵϱϵĨŽƌĞǀĞƌLJŵŝůůŝŽŶĂƚ^ŽƵƚŚĞƌŶ,ƚŽϮϮϴƉĞƌŵŝůůŝŽŶĂƚƚŚĞ,ĂǁŬĞƐĂLJ,/ƚŝƐŬŶŽǁŶƚŚĂƚŝŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝƐĚŝīĞƌĞŶƚĂĐƌŽƐƐĂŐĞĂŶĚĞƚŚŶŝĐŝƚLJdŚĞĚŝīĞƌͲĞŶĐĞƐŝŶŝŶĐŝĚĞŶĐĞĂĐƌŽƐƐ,ƉŽƉƵůĂͲƟŽŶƐŝƐůŝŬĞůLJƚŽďĞƉĂƌƚůLJĞdžƉůĂŝŶĞĚďLJƉŽƉƵůĂƟŽŶƌŝƐŬ,ŽǁĞǀĞƌĂƐƚŚŝƐĂŶĂůLJͲƐŝƐŝƐŶŽƚĐŽŶƚƌŽůůĞĚĨŽƌ,ĚĞŵŽͲŐƌĂƉŚŝĐĐŚĂƌĂĐƚĞƌŝƐƟĐƐƚŚĞĐŽŶƚƌŝďƵͲƟŽŶƐŽĨƐƉĞĐŝĮĐƉĂƟĞŶƚĂŶĚƉŽƉƵůĂƟŽŶĨĂĐƚŽƌƐƚŽƚŚĞŝŶĐŝĚĞŶĐĞŝƐŶŽƚŵĞĂƐͲƵƌĞĚ
DŽĚĂůŝƚLJ;ĚŝĂůLJƐŝƐŽƌƚƌĂŶƐƉůĂŶƚĂƟŽŶͿ
Hawke’s Bay228
Northland190
Auckland
128 per million
Waitemata67
Counties189
Waikato149
Mid-Central84
Taranaki119
Capital Coast83
Canterbury88
Southern59
0
10
20
30
40
50
60
70
80
90
,ĂĞŵŽĚŝĂůLJƐŝƐ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
dƌĂŶƐƉůĂŶƚ
EĞǁƉĂƟĞŶƚƐŵŽĚĂůŝƚLJƉĞƌŵŝůůŝŽŶ
/ŶĐŝĚĞŶƚŵŽĚĂůŝƚLJϮϬϬϳ-ϮϬϭϲĞdžƉƌĞƐƐĞĚƉĞƌŵŝůůŝŽŶ
DŽƐƚŶĞǁƉĂƟĞŶƚƐƐƚĂƌƚĞĚƚƌĞĂƚŵĞŶƚǁŝƚŚŚĂĞŵŽĚŝĂůLJƐŝƐKǀĞƌƚŚĞůĂƐƚĚĞĐͲĂĚĞƚŚĞŶƵŵďĞƌŽĨƉĞŽƉůĞƐƚĂƌƟŶŐǁŝƚŚŚĂĞŵŽĚŝĂůLJƐŝƐŚĂƐŵĂƌŐŝŶĂůůLJĚĞĐƌĞĂƐĞĚĨƌŽŵϳϯƉĞƌŵŝůůŝŽŶŝŶϮϬϬϳƚŽϲϵƉĞƌŵŝůůŝŽŶŝŶϮϬϭϲdŚŽƐĞƐƚĂƌƟŶŐǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐŚĂƐŝŶĐƌĞĂƐĞĚ;ϯϴƉŵƉŝŶϮϬϬϳƚŽϰϯƉŵƉŝŶϮϬϭϲͿdŚĞŶƵŵďĞƌŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐĮƌƐƚƚƌĞĂƚͲŵĞŶƚǁŝƚŚĂƉƌĞ-ĞŵƉƟǀĞƚƌĂŶƐƉůĂŶƚǁĂƐϲƉĞƌŵŝůůŝŽŶŝŶϮϬϬϳĂŶĚϲƉĞƌŵŝůůŝŽŶŝŶϮϬϭϲ
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0% 20% 40% 60% 80% 100%
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
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20122013201420152016
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Haw
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Peritoneal dialysis Haemodialysis Transplant
dƌĞĂƚŵĞŶƚŵŽĚĂůŝƚLJŽŶƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJϮϬϭϮ-ϮϬϭϲďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
dŚŝƐĮŐƵƌĞƐŚŽǁƐƚŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂͲƟĞŶƚƐǁŚŽƐƚĂƌƚǁŝƚŚĞĂĐŚŵŽĚĂůŝƚLJ;ŚĂĞŵŽĚŝĂůLJƐŝƐƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚͿĂƚĞĂĐŚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƵŶŝƚŽǀĞƌƚŚĞůĂƐƚϱLJĞĂƌƐ
dŚĞƌĞŝƐďŽƚŚǀĂƌŝĂƟŽŶďĞƚǁĞĞŶƵŶŝƚƐĂŶĚǀĂƌŝĂƟŽŶǁŝƚŚŝŶƵŶŝƚƐĨƌŽŵLJĞĂƌƚŽLJĞĂƌ
/ŶϮϬϭϲƚŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐǁĂƐŚŝŐŚĞƐƚŝŶĂŶƚĞƌďƵƌLJĂŶĚ^ŽƵƚŚĞƌŶ,Ɛ;ďŽƚŚƵŶŝƚƐǁŝƚŚĂŚŝŐŚŚŽŵĞĚŝĂůͲLJƐŝƐƌĂƚĞĂŶĚŶŽĨŽƌŵĂůůŽŶŐ-ƚĞƌŵĨĂĐŝůŝͲƚLJŚĂĞŵŽĚŝĂůLJƐŝƐͿdŚĞƉƌŽƉŽƌƟŽŶƚƌĞĂƚͲĞĚǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĂƉƉĞĂƌƐƚŽďĞŝŶĐƌĞĂƐŝŶŐLJĞĂƌŽŶLJĞĂƌŝŶDŝĚĞŶͲƚƌĂůĂŶĚŽƵŶƟĞƐDĂŶƵŬĂƵ,Ɛ
dŚĞƚǁŽƐŽƵƚŚĞƌŶŵŽƐƚ,ƐŚĂǀĞĂŚŝŐŚĞƌƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐǁŝƚŚĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂůƚŚŽƵŐŚƉƌŽͲƉŽƌƟŽŶĂůůLJĨŽƌďŽƚŚƚŚĞƐĞĐĞŶƚƌĞƐƚŚĞƉĞƌĐĞŶƚĂŐĞǁĂƐůŽǁĞƌŝŶϮϬϭϲƵĐŬͲůĂŶĚtĂŝƚĞŵĂƚĂĂŶĚĂƉŝƚĂůĂŶĚŽĂƐƚ,ƐŚĂĚŚŝŐŚĞƌƉƌŽƉŽƌƟŽŶƐŽĨƉĂͲƟĞŶƚƐƐƚĂƌƟŶŐǁŝƚŚĂƚƌĂŶƐƉůĂŶƚƚŚĂŶŵĂŶLJŽĨƚŚĞŽƚŚĞƌ,Ɛ
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ϭϴ
^ƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ ƚŚŶŝĐŝƚLJ
/ŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂͲƉLJϮϬϭϮ-ϮϬϭϲďLJĞƚŚŶŝĐŝƚLJĞdžƉƌĞƐƐĞĚƉĞƌŵŝůůŝŽŶ
dŚĞŝŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJĞdžƉƌĞƐƐĞĚƉĞƌŵŝůůŝŽŶŽĨƉŽƉƵͲůĂƟŽŶǁĂƐŚŝŐŚůLJĚŝƐƉĂƌĂƚĞďĂƐĞĚŽŶĞƚŚŶŝĐŝƚLJ
/ŶϮϬϭϲϯϳϱWĂĐŝĮĐƉĞŽƉůĞƐƚĂƌƚĞĚƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJĨŽƌĞǀĞƌLJŵŝůůŝŽŶŽĨƚŚĞĚĞŶŽŵŝŶĂƚŽƌĞƚŚŶŝĐŝƚLJ-ƐƉĞĐŝĮĐƉŽƉƵůĂƟŽŶĂŶĚϮϲϵDĈŽƌŝƐƚĂƌƚĞĚƚƌĞĂƚͲŵĞŶƚĨŽƌĞǀĞƌLJŵŝůůŝŽŶdŚŝƐĐŽŵƉĂƌĞƐǁŝƚŚϲϵƉĞƌŵŝůůŝŽŶŽĨƚŚĞEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉŽƉƵůĂƟŽŶ
dŚĞŝŶĐŝĚĞŶĐĞŽĨƚƌĞĂƚĞĚĞŶĚ-ƐƚĂŐĞŬŝĚͲŶĞLJĚŝƐĞĂƐĞŝƐϱϱ-ĨŽůĚŚŝŐŚĞƌĨŽƌWĂĐŝĮĐƉĂƟĞŶƚƐĂŶĚϰ-ĨŽůĚŚŝŐŚĞƌĨŽƌDĈŽƌŝƉĂƟĞŶƚƐƚŚĂŶĨŽƌEĞǁĞĂůĂŶĚƵƌŽƉĞͲĂŶƉĂƟĞŶƚƐ
dŚĞƐĞĚŝīĞƌĞŶĐĞƐĂƌĞŶŽƚĐŚĂŶŐŝŶŐ
dŚĞŝŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJĨŽƌƐŝĂŶEĞǁĞĂůĂŶĚĞƌƐŚĂƐĚĞĐƌĞĂƐĞĚŵĂƌŬĞĚůLJŝŶƚŚĞůĂƐƚϱLJĞĂƌƐĨƌŽŵϭϭϭƚŽϲϴƉĞƌŵŝůůŝŽŶ
285
316
266280
269
333
402
449
349
375
11191 89 87
68
68 65 67 69 69
0
50
100
150
200
250
300
350
400
450
500
2012 2013 2014 2015 2016
Inci
denc
e pe
r m
illi
on Māori
Pacific
Asian
NZ European
0.0
2.0
4.0
6.0
8.0
10.0
12.0
2012 2013 2014 2015 2016
Pre-
empt
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er 1
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dial
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Pacific
Asian
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WƌĞ-ĞŵƉƟǀĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶďLJĞƚŚŶŝĐŝƚLJƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
dŚĞŶƵŵďĞƌŽĨƉĂƟĞŶƚƐǁŚŽƌĞĐĞŝǀĞĂƉƌĞ-ĞŵƉƟǀĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ;ĨŽƌĞǀĞͲƌLJϭϬϬĞƚŚŶŝĐŝƚLJ-ĂĚũƵƐƚĞĚĚŝĂůLJƐŝƐƉĂͲƟĞŶƚƐͿŝƐǁŝĚĞůLJĚŝƐƉĂƌĂƚĞ/ŶϮϬϭϲŶŽƐŝĂŶEĞǁĞĂůĂŶĚĞƌƐƚĂƌƚĞĚƌĞŶĂůƌĞͲƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJǁŝƚŚĂƉƌĞ-ĞŵƉƟǀĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚdŚĞƉƌŽƉŽƌƟŽŶŽĨDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐǁŝƚŚĂƉƌĞ-ĞŵƉƟǀĞƚƌĂŶƐƉůĂŶƚŝƐĂďŽƵƚϴ–ƚŽϭϬ-ĨŽůĚůŽǁĞƌƚŚĂŶĨŽƌEĞǁĞĂůĂŶĚƵƌŽͲƉĞĂŶƉĂƟĞŶƚƐ
dŚŝƐĚŝīĞƌĞŶĐĞŚĂƐŶŽƚƐƵďƐƚĂŶƟĂůůLJĐŚĂŶŐĞĚŽǀĞƌƟŵĞĚĞƐƉŝƚĞŝŶĐƌĞĂƐĞƐŝŶƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞƐŝŶƌĞĐĞŶƚLJĞĂƌƐ
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ϭϵ
^ƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ ƚŚŶŝĐŝƚLJĂŶĚĂŐĞ
/ŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJďLJĂŐĞĂŶĚĞƚŚŶŝĐŝƚLJ
DĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐŵŽƐƚĐŽŵŵŽŶůLJƐƚĂƌƚƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJǁŚĞŶŝŶƚŚĞϰϱ-ϲϰLJĞĂƌĂŐĞŐƌŽƵƉdŚĞƌĞĂƉƉĞĂƌƐƚŽŚĂǀĞďĞĞŶĂƐŵĂůůŝŶĐƌĞĂƐĞĨŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐƚŽĐŽŵŵĞŶĐĞƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJǁŚĞŶďĞƚǁĞĞŶϲϱ-ϳϰLJĞĂƌƐŝŶƚŚĞůĂƐƚĮǀĞLJĞĂƌƐ
&ŽƌEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉĂƟĞŶƚƐĂƐƵďƐƚĂŶƟĂůƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐĐŽŵŵĞŶĐĞƚƌĞĂƚŵĞŶƚǁŚĞŶĂŐĞĚϳϱLJĞĂƌƐŽƌŽůĚĞƌŽƚŚEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶĂŶĚƐŝĂŶƉĂƟĞŶƚƐŚĂǀĞƐĞĞŶĂŶŝŶĐƌĞĂƐĞŝŶƚƌĞĂƚŵĞŶƚĐŽŵŵĞŶĐĞŵĞŶƚŽůĚĞƌƚŚĂŶϳϱLJĞĂƌƐ&ŽƌƐŝĂŶEĞǁĞĂůĂŶĚĞƌƐƚŚĞƉƌŽƉŽƌƟŽŶƐƚĂƌƟŶŐĚŝĂůLJƐŝƐŽůĚĞƌƚŚĂŶϳϱLJĞĂƌƐƌĞƉƌĞƐĞŶƚƐхϮϬйŽĨƚŚĞĞƚŚŶŝĐŝƚLJ-ƐƉĞĐŝĮĐƉŽƉƵůĂƟŽŶ
/ŶϮϬϭϲĂƐƵďƐƚĂŶƟĂůƉƌŽƉŽƌƟŽŶŽĨDĈŽƌŝƉĂƟĞŶƚƐĐŽŵŵĞŶĐĞĚĚŝĂůLJƐŝƐLJŽƵŶŐĞƌƚŚĂŶϮϱLJĞĂƌƐǁŚŝůĞƚŚĞƉƌŽƉŽƌƟŽŶŽĨWĂĐŝĮĐƉĂƟĞŶƚƐƐƚĂƌƟŶŐĚŝĂůLJƐŝƐLJŽƵŶŐĞƌƚŚĂŶϰϱLJĞĂƌƐŝƐŚŝŐŚĞƌƚŚĂŶĨŽƌŽƚŚĞƌĞƚŚŶŝĐŝƟĞƐ
tŚŝůĞDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐƐƚĂƌƚĚŝĂůLJƐŝƐϱ-ϳLJĞĂƌƐLJŽƵŶŐͲĞƌŽŶĂǀĞƌĂŐĞƚŚĂŶƚŚĞŝƌEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶĂŶĚƐŝĂŶƉĞĞƌƐƚŚĞƌĞŝƐŶŽĚŝīĞƌĞŶĐĞďĞƚǁĞĞŶĞƚŚŶŝĐŝƟĞƐĨŽƌĂŐĞĂƚƚƌĂŶƐƉůĂŶƚĂƟŽŶ
20
25
30
35
40
45
50
55
60
65
2012 2013 2014 2015 2016
Age
at tr
ansp
lant
atio
n
Transplant
20
25
30
35
40
45
50
55
60
65
2012 2013 2014 2015 2016
Age
at d
ialy
sis s
tart
Dialysis
European or other
Māori
Pacific
Asian
![Page 20: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/20.jpg)
ϮϬ
^ƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ ŐĞĂŶĚƉƌŝŵĂƌLJĚŝƐĞĂƐĞ
2010 16
1314
6385
74 77 86
254 253
222
227
215
324
364
406
311
345
216 224
274260
293
1455
390
61
0
50
100
150
200
250
300
350
400
450
2012 2013 2014 2015 2016
Inci
denc
e, p
er m
illi
on p
opul
atio
n
0-24
25-44
45-64
65-74
75-84
85+
/ŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJϮϬϭϮ-ϮϬϭϲďLJĂŐĞĞdžƉƌĞƐƐĞĚƉĞƌŵŝůͲůŝŽŶ
dŚĞϲϱ-ϳϰLJĞĂƌĂŐĞŐƌŽƵƉĐŽŶƐŝƐƚĞŶƚůLJŚĂƐƚŚĞŚŝŐŚĞƐƚŝŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞͲƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJ/ŶϮϬϭϲƚŚĞŝŶĐŝͲĚĞŶĐĞĨŽƌƚŚŝƐĂŐĞŐƌŽƵƉǁĂƐϯϰϱƉĞƌŵŝůůŝŽŶdŚĞŝŶĐŝĚĞŶĐĞǁĂƐĂůƐŽŚŝŐŚĨŽƌƚŚĞϳϱ-ϴϰLJĞĂƌĂŐĞŐƌŽƵƉĂƚϮϵϯƉĞƌŵŝůůŝŽŶ
tŚŝůĞƚŚĞϴϱнLJĞĂƌĂŐĞŐƌŽƵƉŚĂƐĂůŽǁͲĞƌĂŶĚŵŽƌĞǀĂƌŝĂďůĞŝŶĐŝĚĞŶĐĞƚŚĞƌĞĂƉƉĞĂƌƐƚŽďĞĂŶŝŶĐƌĞĂƐŝŶŐƚƌĞŶĚŝŶƚŚĞŝŶĐŝĚĞŶĐĞĨŽƌƚŚŝƐŐƌŽƵƉŽǀĞƌƟŵĞ
dŚĞŝŶĐŝĚĞŶĐĞĨŽƌLJŽƵŶŐĞƌƉĂƟĞŶƚƐ;ϬƚŽϮϰLJĞĂƌƐͿƌĞŵĂŝŶƐůĂƌŐĞůLJĐŽŶƐƚĂŶƚŽǀĞƌƟŵĞ
0 10 20 30 40 50 60
GN
Analgesic
Polycystic
Reflux
Hypertension
Diabetes
Other
Uncertain
Not reported
Percentage of patients starting RRT
New Zealand
Australia
/ŶĐŝĚĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂͲƉLJďLJƌĞŶĂůĚŝƐĞĂƐĞŝŶϮϬϭϲ
,ĂůĨ;ϱϬйͿŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝŶϮϬϭϲŚĂĚĚŝĂͲďĞƚĞƐĂƐƚŚĞĐĂƵƐĞŽĨŬŝĚŶĞLJĚŝƐĞĂƐĞdŚŝƐŝƐƐƵďƐƚĂŶƟĂůůLJŚŝŐŚĞƌƚŚĂŶĨŽƌƵƐƚƌĂůŝĂ;ϯϱйͿ
ƉƉƌŽdžŝŵĂƚĞůLJŽŶĞŝŶϱƉĂƟĞŶƚƐƐƚĂƌƚƚƌĞĂƚŵĞŶƚĚƵĞƚŽŐůŽŵĞƌƵůŽŶĞƉŚƌŝƟƐǁŝƚŚĂůĂƌŐĞƌĞŵĂŝŶŝŶŐƉƌŽƉŽƌƟŽŶƐƚĂƌƟŶŐĚƵĞƚŽŚLJƉĞƌƚĞŶƐŝŽŶ
ŶĂůŐĞƐŝĐŶĞƉŚƌŽƉĂƚŚLJŝƐŶŽǁƚŚĞĐĂƵƐĞŽĨǀĞƌLJĨĞǁƉĂƟĞŶƚƐƐƚĂƌƟŶŐƚƌĞĂƚŵĞŶƚ
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Ϯϭ
WƌĞǀĂůĞŶĐĞ WƌĞǀĂůĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌͲĂƉLJŝŶEĞǁĞĂůĂŶĚ
ƚƚŚĞĞŶĚŽĨϮϬϭϲϰϱϯϮƉĞŽƉůĞŝŶEĞǁĞĂůĂŶĚǁĞƌĞƌĞĐĞŝǀŝŶŐƚƌĞĂƚŵĞŶƚǁŝƚŚĚŝĂůLJƐŝƐŽƌŚĂĚĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚdŚŝƐŝƐϵϱϲƉĞƌŵŝůůŝŽŶŽĨƚŚĞEĞǁĞĂůĂŶĚƉŽƉƵůĂƟŽŶ
DŽƐƚƉĞŽƉůĞŽŶƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJĂƌĞƚƌĞĂƚĞĚǁŝƚŚĚŝĂůLJƐŝƐ/ŶϮϬϭϲϮϳϱϬ;ϱϴϬƉĞƌŵŝůůŝŽŶͿǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚĚŝĂůLJƐŝƐĂƚLJĞĂƌĞŶĚϭϳϴϮƉĞŽƉůĞ;ϯϳϲƉĞƌŵŝůůŝŽŶͿŚĂĚĂĨƵŶĐƟŽŶͲŝŶŐŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƚŚĞƉŽƉƵůĂƟŽŶǁŝƚŚĂĨƵŶĐƟŽŶŝŶŐƚƌĂŶƐƉůĂŶƚŚĂƐŝŶĐƌĞĂƐĞĚĨƌŽŵϯϰϱƉĞƌŵŝůůŝŽŶƚŽϯϳϲƉĞƌŵŝůůŝŽŶŽǀĞƌƚŚĞůĂƐƚĮǀĞLJĞĂƌƐdŚĞƐĞĚĂƚĂƌĞͲŇĞĐƚƚŚĞŚŝƐƚŽƌŝĐĂůůLJůŽǁƚƌĂŶƐƉůĂŶƚƌĂƚĞĂŶĚŝŶĐƌĞĂƐĞƌĂƚĞŽĨƚƌĂŶƐƉůĂŶƚĂͲƟŽŶŵŽƌĞƌĞĐĞŶƚůLJ
561587 594 582 580
345 355 359 369 376
0
100
200
300
400
500
600
700
2012 2013 2014 2015 2016
Num
ber
of p
atie
nts,
pm
p
Dialysis
Transplantation
0
20
40
60
80
100
120
140
160
180
2012 2013 2014 2015 2016
Tran
spla
nts p
er 1
00 d
ialy
sis p
atie
nts
Pacific men
Pacific women
Maori men
Maori women
NZ European men
NZ European women
WƌĞǀĂůĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌͲĂƉLJŝŶEĞǁĞĂůĂŶĚďLJƐĞdžĂŶĚĞƚŚŶŝĐŝͲƚLJĞdžƉƌĞƐƐĞĚĂƐƚƌĂŶƐƉůĂŶƚƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
dŚĞƌĞŝƐŶĞĂƌůLJĂϭϬ-ĨŽůĚĚŝīĞƌĞŶĐĞŝŶƚŚĞƉƌĞǀĂůĞŶĐĞŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂͲƟŽŶĨŽƌEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶŵĞŶĂŶĚǁŽŵĞŶ;ǁŚĞŶĞdžƉƌĞƐƐĞĚĂƐƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐͿĐŽŵƉĂƌĞĚƚŽDĈŽƌŝĂŶĚWĂĐŝĮĐŵĞŶĂŶĚǁŽŵĞŶWĂĐŝĮĐĂŶĚDĈŽƌŝǁŽŵĞŶŚĂǀĞƚŚĞůŽǁͲĞƐƚƉƌĞǀĂůĞŶĐĞŽĨƚƌĂŶƐƉůĂŶƚĂƟŽŶ;ϭϳĂŶĚϭϴƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐͿǁŚŝůĞEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶŵĞŶĂŶĚǁŽŵͲĞŶŶŽǁŚĂǀĞƐŝŵŝůĂƌƉƌĞǀĂůĞŶĐĞ;ϭϰϰĂŶĚϭϰϴƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐͿDŽƌĞEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉĂƟĞŶƚƐŚĂǀĞĂĨƵŶĐƟŽŶŝŶŐƚƌĂŶƐƉůĂŶƚƚŚĂŶƌĞͲĐĞŝǀĞĚŝĂůLJƐŝƐĞĂĐŚLJĞĂƌǁŚŝůĞĂƉƉƌŽdžŝͲŵĂƚĞůLJϭϱ-ϮϬDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂƟĞŶƚƐŚĂǀĞĂĨƵŶĐƟŽŶŝŶŐŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĨŽƌĞǀĞƌLJϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
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ϮϮ
DŽĚĂůŝƚLJ WƌĞǀĂůĞŶĐĞ
ƚLJĞĂƌĞŶĚŝŶϮϬϭϲϭϰϱϵƉĞŽƉůĞ;ϯϬϴƉĞƌŵŝůůŝŽŶͿǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚĨĂĐŝůŝƚLJŚĂĞŵŽĚŝĂůLJƐŝƐdŚŝƐƉƌŽƉŽƌƟŽŶŽĨƚŚĞEƉŽƉƵůĂƟŽŶƚƌĞĂƚĞĚďLJĨĂĐŝůŝƚLJŚĂĞͲŵŽĚŝĂůLJƐŝƐŚĂƐĐŽŶƐŝƐƚĞŶƚůLJŝŶĐƌĞĂƐĞĚďLJϳ-ϭϬƉĞƌĐĞŶƚĂŐĞƉŽŝŶƚƐLJĞĂƌŽŶLJĞĂƌĂŚĞĂĚŽĨƉŽƉƵůĂƟŽŶŐƌŽǁƚŚdŚĞƉƌŽͲƉŽƌƟŽŶƚƌĞĂƚĞĚǁŝƚŚĨĂĐŝůŝƚLJŚĂĞŵŽĚŝĂůͲLJƐŝƐĂƉƉĞĂƌƐƚŽŚĂǀĞďĞĞŶŵŽƌĞƐƚĂƟĐŝŶƚŚĞŵŽƐƚƌĞĐĞŶƚϯLJĞĂƌƐ
/ŶϮϬϭϲϴϮϯƉĞŽƉůĞǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐdŚĞƉƌĞǀĂůĞŶĐĞŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐǁĂƐϭϳϰƉĞƌŵŝůůŝŽŶĂƚLJĞĂƌĞŶĚŽĨϮϬϭϲĂŶĚŚĂƐƌĞŵĂŝŶĞĚůĂƌŐĞůLJƐƚĂƟĐƚŚƌŽƵŐŚƚŚĞůĂƐƚĚĞĐĂĚĞ
KǀĞƌĂůůϰϲϴƉĞŽƉůĞǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚŚŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐĂƚLJĞĂƌĞŶĚ,ŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐƉƌĞǀĂůĞŶĐĞƐŚŽǁĞĚLJĞĂƌŽŶLJĞĂƌŐƌŽǁƚŚďĞƚǁĞĞŶϮϬϬϴĂŶĚϮϬϭϮĂůƚŚŽƵŐŚƚŚĞƉƌĞǀĂůĞŶĐĞŚĂƐĚĞͲĐƌĞĂƐĞĚƐŽŵĞǁŚĂƚƐŝŶĐĞĂƉůĂƚĞĂƵĂĐƌŽƐƐϮϬϭϮƚŽϮϬϭϰ
236 238257 260 266
277289
306 310 308
177 179 186 191181 177
188 182 174 174
77 7888
98 99 108 108 108 105 99
0
50
100
150
200
250
300
350
Per
mil
lion
pop
ulat
ion
Facility haemodialysis
Peritoneal dialysis
Home haemodialysis
WĞƌĐĞŶƚĂŐĞŽĨŚŽŵĞĚŝĂůLJƐŝƐďLJĞƚŚŶŝĐŝͲƚLJĂŶĚŐĞŶĚĞƌĞdžƉƌĞƐƐĞĚĂƐĂƉĞƌĐĞŶƚͲĂŐĞŽĨĂůůĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
EĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉĂƟĞŶƚƐŚĂǀĞĂƐƵďƐƚĂŶƟĂůůLJŚŝŐŚĞƌƵƐĞŽĨŚŽŵĞĚŝĂůLJͲƐŝƐƚŚĞƌĂƉŝĞƐĂƐĂƉƌŽƉŽƌƟŽŶŽĨĂůůƉĂͲƟĞŶƚƐŽŶĚŝĂůLJƐŝƐtŽŵĞŶŚĂǀĞůŽǁĞƌƵƐĞŽĨŚŽŵĞĚŝĂůLJƐŝƐƚŚĞƌĂƉŝĞƐƚŚĂŶŵĞŶ
,ŽŵĞĚŝĂůLJƐŝƐƉƌĞǀĂůĞŶĐĞŝƐĚĞĐƌĞĂƐŝŶŐĨŽƌEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉĂƟĞŶƚƐĂŶĚDĈŽƌŝǁŽŵĞŶWĂĐŝĮĐŵĞŶĂŶĚǁŽŵĞŶŚĂǀĞŵƵĐŚůŽǁĞƌƌĂƚĞƐŽĨŚŽŵĞĚŝĂůLJƐŝƐďƵƚƚŚĞƉĞƌĐĞŶƚĂŐĞĂƉƉĞĂƌƐƐƚĂďůĞ
20
25
30
35
40
45
50
55
60
65
70
2012 2013 2014 2015 2016
Hom
e di
alys
is, % NZ European men
NZ European women
Maori men
Maori women
Pacific men
Pacific women
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Ϯϯ
LJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ WƌĞǀĂůĞŶĐĞ
WƌĞǀĂůĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌͲĂƉLJŝŶEĞǁĞĂůĂŶĚďLJŝƐƚƌŝĐƚŚĞĂůƚŚŽĂƌĚ
EŽƚƵŶĞdžƉĞĐƚĞĚůLJƚŚĞƉƌĞǀĂůĞŶĐĞŽĨĚŝĂůLJƐŝƐĂŶĚƚƌĂŶƐƉůĂŶƚĂƟŽŶǀĂƌLJďLJŝƐƚƌŝĐƚŚĞĂůƚŚŽĂƌĚ
ŵŽŶŐƚŚĞŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐǁŝƚŚƚŚĞŚŝŐŚĞƐƚŽǀĞƌĂůůƉƌĞǀĂůĞŶĐĞŽĨĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐĞĂƐĞĚŝĂůLJƐŝƐƚƌĞĂƚŵĞŶƚƚĞŶĚƐƚŽƌĞƉƌĞƐĞŶƚĂŚŝŐŚĞƌƉƌŽƉŽƌƟŽŶŽĨŽǀĞƌĂůůƉĂƟĞŶƚƐƚƌĞĂƚĞĚǁŚŝůĞĂƚƚŚĞ,ƐǁŝƚŚƐŵĂůůĞƌƉƌĞǀĂůĞŶƚƉŽƉƵůĂͲƟŽŶƐƉƌŽƉŽƌƟŽŶĂůůLJŵŽƌĞƉĂƟĞŶƚƐĂƌĞƚƌĞĂƚĞĚǁŝƚŚƚƌĂŶƐƉůĂŶƚĂƟŽŶ
dŚĞ,ĂǁŬĞƐĂLJ,ŝƐĞdžƉĞƌŝĞŶĐŝŶŐŵĂƌŬĞĚLJĞĂƌ-ŽŶLJĞĂƌŐƌŽǁƚŚĂŚĞĂĚŽĨƚŚĞďĂƐĞůŝŶĞƉŽƉƵůĂƟŽŶǁŚŝůĞŐƌŽǁƚŚĂƚŽƵŶƟĞƐDĂŶƵŬĂƵ,ĂŶĚEŽƌƚŚůĂŶĚ,ĂƉƉĞĂƌƐƚŽďĞƐƚĂďŝůŝƐŝŶŐ'ƌŽǁƚŚŝƐĂůƐŽĞǀŝĚĞŶƚĂƚdĂƌĂŶĂŬŝĂŶĚtĂŝŬĂƚŽ,Ɛ
ΎĂƚĂǁĞƌĞŶŽƚĂǀĂŝůĂďůĞĨŽƌƚŚĞ,ĂǁŬĞƐĂLJŝŶϮϬϭϱ
0 200 400 600 800 1000 1200 1400 1600
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
ukau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal C
oast
Cant
erbu
rySo
uthe
rn
Number per million of population
Dialysis Transplant
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Ϯϰ
0 20 40 60 80 100
20132014201520152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
ukau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal &
Coa
stCa
nter
bury
Sout
hern
Per cent
APD CAPD Hosp HD
Sat HD Home HD Transplant
WƌĞǀĂůĞŶĐĞŽĨƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌͲĂƉLJŝŶEĞǁĞĂůĂŶĚďLJŝƐƚƌŝĐƚŚĞĂůƚŚŽĂƌĚĂŶĚŵŽĚĂůŝƚLJ
dŚŝƐĮŐƵƌĞĚŝƐƉůĂLJƐƚŚĞƉƌŽƉŽƌƟŽŶ;йͿŽĨƉĂƟĞŶƚƐƌĞĐĞŝǀŝŶŐĞĂĐŚŵŽĚĂůŝƚLJŽĨĚŝĂůLJƐŝƐĐĂƌĞŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƐĂƚƚŚĞĞŶĚŽĨϮϬϭϲďLJŝƐƚƌŝĐƚŚĞĂůƚŚŽĂƌĚ
EŽƚĂďůĞŝƐƚŚĞƐƵƐƚĂŝŶĞĚŝŶĐƌĞĂƐĞŝŶƐĂƚĞůůŝƚĞĚŝĂůLJƐŝƐĂƐĂĚŽŵŝŶĂŶƚƉƌŽƉŽƌͲƟŽŶŽĨĚŝĂůLJƐŝƐĐĂƌĞĂƚĂƉŝƚĂůĂŶĚŽĂƐƚ,
dŚĞƉƌŽƉŽƌƟŽŶŽĨĚŝĂůLJƐŝƐƉĂƟĞŶƚƐĂƚ^ŽƵƚŚĞƌŶ,ŝƐĚĞĐƌĞĂƐŝŶŐĂƐƚŚĞƚƌĂŶƐƉůĂŶƚĂƟŽŶƉƌĞǀĂůĞŶĐĞŝŶĐƌĞĂƐĞƐdŚĞƉĞƌĐĞŶƚĂŐĞŽĨĂƵƚŽŵĂƚĞĚƉĞƌŝƚŽŶĞͲĂůĚŝĂůLJƐŝƐĂƚ^ŽƵƚŚĞƌŶ,ŚĂƐĚĞͲĐƌĞĂƐĞĚLJĞĂƌŽŶLJĞĂƌ
ŽƵŶƟĞƐDĂŶƵŬĂƵ,ŚĂƐĂŶŝŶĐƌĞĂƐͲŝŶŐƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƚƌĞĂƚĞĚǁŝƚŚŚŽƐƉŝƚĂůĚŝĂůLJƐŝƐǁŚŝůĞƚŚĞƉƌŽƉŽƌƟŽŶƚƌĞĂƚĞĚǁŝƚŚƐĂƚĞůůŝƚĞŚĂĞŵŽĚŝĂůLJƐŝƐŝƐĚĞĐƌĞĂƐŝŶŐ
^ĂƚĞůůŝƚĞŚĂĞŵŽĚŝĂůLJƐŝƐŝƐŶŽƚƵƟůŝƐĞĚĂƚdĂƌĂŶĂŬŝDŝĚĞŶƚƌĂůĂŶƚĞƌďƵƌLJŽƌ^ŽƵƚŚĞƌŶ,Ɛ
DŽƐƚƉĂƟĞŶƚƐƚƌĞĂƚĞĚĂƚƚŚĞĂƉŝƚĂůĂŶĚŽĂƐƚĂŶƚĞƌďƵƌLJĂŶĚ^ŽƵƚŚĞƌŶ,ƐŚĂǀĞĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJ
LJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ WƌĞǀĂůĞŶĐĞ
![Page 25: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/25.jpg)
Ϯϱ
>ĂƚĞƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐŵĞŶƚ
>ĂƚĞƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐŵĞŶƚϮϬϭϮ-ϮϬϭϲďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚĞdžƉƌĞƐƐĞĚĂƐƉĞƌĐĞŶƚĂŐĞ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐǁŚŽŚĂǀĞƚŚĞŝƌĮƌƐƚŶĞƉŚƌŽůŽŐLJƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐͲŵĞŶƚǁŝƚŚŝŶϵϬĚĂLJƐŽĨƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝƐĚĞĐƌĞĂƐŝŶŐĂƚtĂŝƚĞŵĂƚĂŽƵŶƟĞƐDĂŶƵŬĂƵ,ĂǁŬĞƐĂLJĂƉŝƚĂůΘŽĂƐƚĂŶĚ^ŽƵƚŚĞƌŶŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐdŚĞƉĞƌĐĞŶƚĂŐĞĂƉƉĞĂƌƐƚŽďĞŝŶĐƌĞĂƐŝŶŐĂƚƚŚĞtĂŝŬĂƚŽ,dŚĞƌĞĂƌĞƉĞƌƐŝƐƚĞŶƚĚŝīĞƌĞŶĐĞƐŝŶůĂƚĞƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐŵĞŶƚƌĂƚĞƐďĞƚǁĞĞŶ,Ɛ
ΎZĞƉŽƌƚƐŝŶƉƌĞǀŝŽƵƐLJĞĂƌƐŚĂǀĞƐŚŽǁĞĚůĂƚĞƌĞĨĞƌƌĂůƌĂƚĞƐĂĐĐŽƌĚŝŶŐƚŽĂŐĞĂŶĚĞƚŚŶŝĐŝƚLJƵĞƚŽƐŵĂůůŶƵŵͲďĞƌƐĨŽƌƐŽŵĞĐĂƚĞŐŽƌŝĞƐƚŚĞƐĞƌĞƐƵůƚƐĂƌĞƵŶƐƚĂďůĞĂŶĚĂƌĞŶŽƚƐŚŽǁŶŝŶƚŚŝƐϮϬϭϲƌĞƉŽƌƚ
&ŝƌƐƚƐƉĞĐŝĂůŝƐƚŶĞƉŚƌŽůŽŐŝƐƚĂƐƐĞƐƐŵĞŶƚŽĐĐƵƌƌŝŶŐǁŝƚŚŝŶϵϬĚĂLJƐŽĨƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJ
>ĂƚĞĂƐƐĞƐƐŵĞŶƚƉƌĞǀĞŶƚƐƟŵĞůLJƉƌĞƉĂƌĂƟŽŶĨŽƌƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝŶĐůƵĚŝŶŐƉůĂĐĞŵĞŶƚŽĨĚŝĂůLJƐŝƐǀĂƐĐƵůĂƌĂĐĐĞƐƐŽƌƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĐĂƚŚĞƚĞƌĂŶĚĂĚĞƋƵĂƚĞƟŵĞƚŽƉƌĞƉĂƌĞĨŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶ
0 20 40 60 80 100
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
20112012201320142015
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
ukau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal &
Coa
stCa
nter
bury
Sout
hern
Per cent
![Page 26: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/26.jpg)
Ϯϲ
dƌĂŶƐƉůĂŶƚĂƟŽŶ EƵŵďĞƌŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐƉĞƌLJĞĂƌϮϬϬϳ-ϮϬϭϲ
KǀĞƌĂůůϭϳϮƉĞŽƉůĞƌĞĐĞŝǀĞĚĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶEĞǁĞĂůĂŶĚĚƵƌŝŶŐϮϬϭϲdŚŝƐŝƐƚŚĞŚŝŐŚĞƐƚŶƵŵďĞƌŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐŝŶĂĐĂůĞŶĚĂƌLJĞĂƌĂŶĚƌĞƉͲƌĞƐĞŶƚƐĂůĂƌŐĞLJĞĂƌŽŶLJĞĂƌŝŶĐƌĞĂƐĞƚŚĂƚŚĂƐďĞĞŶĞǀŝĚĞŶƚƐŝŶĐĞϮϬϭϮdŚŝƐŝƐĂŵĂũŽƌƐƵĐĐĞƐƐŝŶƚŚĞƋƵĂůŝƚLJŽĨĐĂƌĞĨŽƌĞŶĚ-ƐƚĂŐĞŬŝĚŶĞLJĚŝƐĞĂƐĞŝŶE
dŚĞƌĞǁĞƌĞϴϮŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐĨƌŽŵĂůŝǀŝŶŐŬŝĚŶĞLJĚŽŶŽƌĂŶĚϵϬƚƌĂŶƐͲƉůĂŶƚƐĨƌŽŵĂĚĞĐĞĂƐĞĚŬŝĚŶĞLJĚŽŶŽƌŌĞƌƚŚƌĞĞLJĞĂƌƐŽĨƐůŝŐŚƚůLJŵŽƌĞůŝǀŝŶŐĚŽŶŽƌĂŶĚĚĞĐĞĂƐĞĚĚŽŶŽƌƚƌĂŶƐƉůĂŶƚƐƚŚĞƌĞǁĞƌĞŵŽƌĞĚĞĐĞĂƐĞĚĚŽŶŽƌƚƌĂŶƐƉůĂŶƚƐƚŚĂŶůŝǀŝŶŐĚŽŶŽƌƚƌĂŶƐͲƉůĂŶƚƐŝŶϮϬϭϲ
dŚĞƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞŝŶEĞǁĞĂͲůĂŶĚŝƐϯϲƉĞƌŵŝůůŝŽŶŽĨƉŽƉƵůĂƟŽŶdŚŝƐĐŽŵƉĂƌĞƐǁŝƚŚϰϱƉĞƌŵŝůůŝŽŶŽĨƉŽƉƵůĂƟŽŶŝŶƵƐƚƌĂůŝĂŝŶϮϬϭϲdŚĞƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞŝŶĐƌĞĂƐĞŝƐĨĂƐƚĞƌƚŚĂŶƉŽƉƵůĂƟŽŶŐƌŽǁƚŚŝŶĐƌĞĂƐŝŶŐĨƌŽŵϮϱƉĞƌŵŝůůŝŽŶŝŶϮϬϭϮ;ĂϰϰйŝŶͲĐƌĞĂƐĞŽǀĞƌϱLJĞĂƌƐͿ
0
20
40
60
80
100
120
140
160
180
200
Num
ber
of tr
ansp
lant
s
dŽƚĂů
ĞĐĞĂƐĞĚĚŽŶŽƌ
>ŝǀŝŶŐĚŽŶŽƌ
tĂŝƟŶŐůŝƐƚĨŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚϮϬϭϮ-ϮϬϭϲ
dŚĞŶƵŵďĞƌŽĨƉĞŽƉůĞĂĐƟǀĞŽŶƚŚĞǁĂŝƟŶŐůŝƐƚĨŽƌĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝƐŝŶĐƌĞĂƐŝŶŐŝŶƉƌŽƉŽƌƟŽŶǁŝƚŚŝŶĐƌĞĂƐĞƐŝŶƚŚĞĚŝĂůLJƐŝƐƉŽƉƵůĂƟŽŶƚLJĞĂƌĞŶĚŽĨϮϬϭϲϰϳϮƉĞŽƉůĞǁĞƌĞĂĐƟǀĞŽŶƚŚĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚǁĂŝƟŶŐůŝƐƚ;ϭϳĨŽƌĞǀĞƌLJϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐͿdŚĞƐĞĚĂƚĂǁĞƌĞƉƌŽǀŝĚĞĚďLJƚŚĞEůŽŽĚ^ĞƌǀŝĐĞ
200
300
400
500
0
5
10
15
20
2012 2013 2014 2015 2016
Num
ber a
ctiv
e on
wai
ting
list
Num
ber a
ctiv
e on
wai
ting l
ist,
per
100
dial
ysis
pat
ient
s
Number totalNumber per 100 dialysis pts
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Ϯϳ
dƌĂŶƐƉůĂŶƚĂƟŽŶ
0
2
4
6
8
10
12
14
2012 2013 2014 2015 2016
Tran
spla
nts
per
100
prev
alen
t di
alys
is p
atie
nts
NZ European men
NZ European women
Pacific men
Pacific women
Māori men
Māori women
EƵŵďĞƌŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐƉĞƌLJĞĂƌϮϬϭϮ-ϮϬϭϲďLJŐĞŶĚĞƌĂŶĚĞƚŚŶŝĐŝƚLJ
dŚĞƌĂƚĞŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝƐŵĂƌŬĞĚůLJŚŝŐŚĞƌĨŽƌƉĂƟĞŶƚƐŝĚĞŶƟĨLJŝŶŐĂƐEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƚŚĂŶŽƚŚĞƌĞƚŚŶŝĐŝƟĞƐƉƉƌŽdžŝŵĂƚĞůLJϭϬ-ϭϭEĞǁĞĂůĂŶĚƵƌŽƉĞĂŶƉĂƟĞŶƚƐƌĞĐĞŝǀĞĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĞĂĐŚLJĞĂƌĨŽƌĞǀĞƌLJϭϬϬƐĞdž-ĂŶĚĞƚŚŶŝĐŝƚLJ-ƐƉĞĐŝĮĐĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
dŚĞƌĂƚĞŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶĂƉͲƉĞĂƌƐƚŽŚĂǀĞŝŶĐƌĞĂƐĞĚĨŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐŵĞŶƐŝŶĐĞϮϬϭϯĨƌŽŵĂůŽǁďĂƐĞůŝŶĞŽĨϭƚƌĂŶƐƉůĂŶƚĨŽƌĞǀĞƌLJϭϬϬƉƌĞǀĂůĞŶƚĚŝĂůLJƐŝƐƉĂƟĞŶƚƐƚŽĂƉƉƌŽdžŝͲŵĂƚĞůLJϰƉĞƌϭϬϬƐŝŵŝůĂƌŝŶĐƌĞĂƐĞŚĂƐŽĐĐƵƌƌĞĚĨŽƌWĂĐŝĮĐǁŽŵĞŶƐŝŶĐĞϮϬϭϰdŚĞƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞĨŽƌDĈŽƌŝǁŽŵĞŶĂƉƉĞĂƌƐƚŽďĞǀĂƌŝĂďůĞĂŶĚŵĂLJŶŽƚďĞŝŶĐƌĞĂƐŝŶŐŽǀĞƌƟŵĞ
0
1
2
3
4
5
6
7
8
9
10
2012 2013 2014 2015 2016
Tran
spla
nts
Multiorgan
ABO incompatible
Exchange
DƵůƟŽƌŐĂŶKŝŶĐŽŵƉĂƟďůĞĂŶĚŬŝĚŶĞLJĞdžĐŚĂŶŐĞƚƌĂŶƐƉůĂŶƚĂĐƟǀŝƚLJϮϬϭϮ-ϮϬϭϲ
KŝŶĐŽŵƉĂƟďůĞƚƌĂŶƐƉůĂŶƚĂƟŽŶĂŶĚƚŚĞŬŝĚŶĞLJĞdžĐŚĂŶŐĞƉƌŽŐƌĂŵĂƌĞŝŶͲĐƌĞĂƐŝŶŐĂĐĐĞƐƐƚŽƚƌĂŶƐƉůĂŶƚĂƟŽŶĂĐƌŽƐƐKďůŽŽĚŐƌŽƵƉƐĂŶĚĨŽƌƉĂͲƟĞŶƚƐǁŚŽŚĂǀĞĂƉŽƐŝƟǀĞĐƌŽƐƐ-ŵĂƚĐŚǁŝƚŚƚŚĞŝƌĚŽŶŽƌ
dŚĞEŬŝĚŶĞLJĞdžĐŚĂŶŐĞƉƌŽŐƌĂŵƉƌŽͲǀŝĚĞĚϱŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐŝŶϮϬϭϲ^ŝdžKŝŶĐŽŵƉĂƟďůĞŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐǁĞƌĞĐŽŵƉůĞƚĞĚ
^ŝdžEƉĂƟĞŶƚƐƌĞĐĞŝǀĞĚĂŵƵůƟŽƌŐĂŶƚƌĂŶƐƉůĂŶƚƚŚĂƚŝŶĐůƵĚĞĚĂŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚZĞƉŽƌƟŶŐŽŶƚŚĞƐĞƚƌĞĂƚŵĞŶƚƐǁŝůůŚĂǀĞĂŶŝŶĐƌĞĂƐĞĚĨŽĐƵƐŝŶĨƵƚƵƌĞĂŶŶƵĂůƌĞƉŽƌƚƐ
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Ϯϴ
0 5 10 15 20
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
ukau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal &
Coa
stCa
nter
bury
Sout
hern
Kidney transplants per 100 dialysis patients
Living donor Deceased donor
<ŝĚŶĞLJƚƌĂŶƐƉůĂŶƚƐŽĐĐƵƌƌŝŶŐŝŶϮϬϭϲďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚĞdžƉƌĞƐƐĞĚƉĞƌϭϬϬĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ
dŚĞƌĞŝƐĞǀŝĚĞŶĐĞŽĨƚƌĂŶƐƉůĂŶƚĂƟŽŶŐƌŽǁƚŚĂƚŵĂŶLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐŝŶĐůƵĚŝŶŐtĂŝƚĞŵĂƚĂƵĐŬůĂŶĚĂŶĚ^ŽƵƚŚĞƌŶ,Ɛ^ŵĂůůĞƌŝŶĐƌĞŵĞŶƚĂůŝŶĐƌĞĂƐĞƐĂƌĞƐĞĞŶĂƚtĂŝŬĂƚŽǁŚŝůĞDŝĚĞŶƚƌĂůŚĂƐƌĞŐĂŝŶĞĚƚŚĞƐƵďƐƚĂŶƟĂůŝŶĐƌĞĂƐĞĮƌƐƚŽďƐĞƌǀĞĚƚŚĞƌĞŝŶϮϬϭϰ
ƵĐŬůĂŶĚŚĂƐĞdžƉĞƌŝĞŶĐĞĚĂŵĂƌŬĞĚŝŶĐƌĞĂƐĞŝŶŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝŶϮϬϭϲǁŝƚŚƚŚĞƉƌŝŵĂƌLJĐŽŶƚƌŝďƵƟŽŶĨƌŽŵĚĞĐĞĂƐĞĚŬŝĚŶĞLJĚŽŶĂƟŽŶ^ŝŵŝͲůĂƌůLJƚŚĞƐƵďƐƚĂŶƟĂůŝŶĐƌĞĂƐĞĂƚ^ŽƵƚŚͲĞƌŶ,ŝŶϮϬϭϲǁĂƐƉƌŝŶĐŝƉĂůůLJĚƵĞƚŽŝŶĐƌĞĂƐĞĚĚĞĐĞĂƐĞĚŬŝĚŶĞLJĚŽŶĂƟŽŶ
ĂŶƚĞƌďƵƌLJ,ĐŽŶƟŶƵĞƐƚŽŚĂǀĞƚŚĞŚŝŐŚĞƐƚƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞƉĞƌĚŝĂůLJƐŝƐƉŽƉƵůĂƟŽŶ
tĂŝŬĂƚŽĂŶĚŽƵŶƟĞƐDĂŶƵŬĂƵƚŚĞƚǁŽŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐǁŝƚŚƚŚĞŚŝŐŚĞƐƚĚŝĂůLJƐŝƐƉŽƉƵůĂƟŽŶƐŚĂǀĞƌĞůĂͲƟǀĞůLJůŽǁĞƌƚƌĂŶƐƉůĂŶƚĂƟŽŶƌĂƚĞƐ
dƌĂŶƐƉůĂŶƚĂƟŽŶ
![Page 29: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/29.jpg)
Ϯϵ
dƌĂŶƐƉůĂŶƚĂƟŽŶ /ŵŵƵŶŽƐƵƉƉƌĞƐƐŝŽŶ
dLJƉĞŽĨĂŐĞŶƚ ϮϬϭϮ ϮϬϭϯ ϮϬϭϰ ϮϬϭϱ ϮϬϭϲ
/ŶƚƌĂǀĞŶŽƵƐŝŵŵƵŶŽŐůŽďƵůŝŶ ϭ;ϬϵйͿ - - ϭ;ϬϳйͿ -
ŶƟ-Ϯϱ ϭϬϭ;ϵϯϱйͿ
ϭϭϱ;ϵϵϭйͿ
ϭϯϯ;ϵϲϰйͿ
ϭϰϮ;ϵϲϲйͿ
ϭϲϲ;ϵϲϱйͿ
ZŝƚƵdžŝŵĂď ϰ;ϯϳйͿ ϲ;ϱϮйͿ ϵ;ϲϱйͿ ϵ;ϲϭйͿ ϱ;ϮϵйͿ
dĐĞůůĚĞƉůĞƟŶŐƉŽůLJĐůŽŶĂůĂď - Ϯ;ϭϳйͿ Ϯ;ϭϰйͿ ϭ;ϬϳйͿ ϲ;ϯϱйͿ
KƚŚĞƌ - - - ϭ;ϬϳйͿ Ϯ;ϭϮйͿ
dŽƚĂůŶĞǁƚƌĂŶƐƉůĂŶƚƐ ϭϬϴ ϭϭϲ ϭϯϴ ϭϰϳ ϭϳϮ
dŚĞƵƐĞŽĨĂŶƟďŽĚŝĞƐĨŽƌŝŶĚƵĐƟŽŶŝŵŵƵŶŽƐƵƉƉƌĞƐƐŝŽŶĂƚƚƌĂŶƐƉůĂŶƚĂͲƟŽŶŝŶEĞǁĞĂůĂŶĚϮϬϭϮ-ϮϬϭϲ
dŚĞƌĞĂƉƉĞĂƌƐƚŽďĞĂƌŝƐĞŝŶƚŚĞƵƐĞŽĨƌŝƚƵdžŝŵĂďĂŶĚd-ĐĞůůĚĞƉůĞƟŶŐƉŽůLJͲĐůŽŶĂůĂŶƟďŽĚŝĞƐĂůƚŚŽƵŐŚƚŚĞĂďƐŽͲůƵƚĞŶƵŵďĞƌƐƌĞŵĂŝŶůŽǁ
/ŶŝƟĂůŝŵŵƵŶŽƐƵƉƉƌĞƐƐŝŽŶĂƚƟŵĞŽĨƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝŶEĞǁĞĂůĂŶĚϮϬϭϮ-ϮϬϭϲ
dŚĞĐŽŵďŝŶĂƟŽŶŽĨƉƌĞĚŶŝƐŽŶĞ;WZͿŵLJĐŽƉŚĞŶŽůĂƚĞŵŽĨĞƟů;DD&ͿĂŶĚĂĐĂůĐŝŶĞƵƌŝŶŝŶŚŝďŝƚŽƌĂƌĞŶĞĂƌůLJƵŶŝǀĞƌƐĂůůLJƵƐĞĚĂƐƚŚĞŝŶŝƟĂůŝŵŵƵŶŽƐƵƉƉƌĞƐƐŝŽŶĂƚƚŚĞƟŵĞŽĨĂƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚŝŶEĞǁĞĂůĂŶĚLJĐůŽƐƉŽƌŝŶ;zͿŝƐŵŽƌĞĐŽŵŵŽŶůLJƵƐĞĚƚŚĂŶƚĂĐƌŽůŝŵƵƐ;dͿ;ϲϴйŽĨƉĂƟĞŶƚƐǀĞƌƐƵƐϮϲйŝŶϮϬϭϲͿǁŚŝĐŚŝƐŝŶĐŽŶͲƚƌĂƐƚǁŝƚŚƉƌĂĐƟĐĞŝŶƵƐƚƌĂůŝĂǁŚĞƌĞϴϬйŽĨƉĂƟĞŶƚƐƌĞĐĞŝǀĞĚƚĂĐƌŽůŝŵƵƐŝŶϮϬϭϲĂƐŝŶŝƟĂůŝŵŵƵŶŽƐƵƉƉƌĞƐƐŝŽŶĐŽŵƉĂƌĞĚƚŽϭйƌĞĐĞŝǀŝŶŐĐLJĐůŽƐƉŽƌͲŝŶ
0
10
20
30
40
50
60
70
80
90
100
2012 2013 2014 2015 2016
Perc
ent
AZA
CYC
TAC
MMF
PRED
![Page 30: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/30.jpg)
ϯϬ
dƌĂŶƐƉůĂŶƚĂƟŽŶ ZĞũĞĐƟŽŶ
ŽŶŽƌƚLJƉĞ 'ƌĂŌŶƵŵďĞƌ ϮϬϭϭ ϮϬϭϮ ϮϬϭϯ ϮϬϭϰ ϮϬϭϱ
>ŝǀŝŶŐ &ŝƌƐƚ ϭϳϱй ϭϰϭй ϭϵϮй ϮϮϰй ϭϳϭй
^ĞĐŽŶĚƐƵďƐĞƋƵĞŶƚ ϭϵϮй ϭϬϬй ϭϲϭй Ϯϴϲй ϭϭϭй
&ŝƌƐƚ ϮϬϬй ϭϲϴй ϭϴϰй ϭϵϴй ϭϳϳй
^ĞĐŽŶĚƐƵďƐĞƋƵĞŶƚ ϭϵϰй Ϯϰϰй ϮϱϬй Ϯϱϵй Ϯϰϳй ĞĐĞĂƐĞĚ
ZĞũĞĐƟŽŶƌĂƚĞĂƚϲŵŽŶƚŚƐĂŌĞƌƚƌĂŶƐƉůĂŶƚϮϬϭϭ-ϮϬϭϱ
ŽŶŽƌƚLJƉĞ 'ƌĂŌŶƵŵďĞƌ ϮϬϭϭ ϮϬϭϮ ϮϬϭϯ ϮϬϭϰ ϮϬϭϱ
>ŝǀŝŶŐ &ŝƌƐƚ ϰϵй Ϯϯй ϱϬй ϰϲй ϯϵй
^ĞĐŽŶĚƐƵďƐĞƋƵĞŶƚ ϭϭϱй ϲϳй ϯϮй ϱϳй ϱϲй
&ŝƌƐƚ ϱϲй ϯϵй ϱϬй ϱϭй ϲϬй
^ĞĐŽŶĚƐƵďƐĞƋƵĞŶƚ ϭϭϯй ϭϬϯй ϭϬϯй ϭϮϵй ϭϳϲй ĞĐĞĂƐĞĚ
ŶƟďŽĚLJ-ŵĞĚŝĂƚĞĚƌĞũĞĐƟŽŶƌĂƚĞĂƚϲŵŽŶƚŚƐĂŌĞƌƚƌĂŶƐƉůĂŶƚϮϬϭϭ-ϮϬϭϱ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐŝŶƵƐƚƌĂůŝĂĂŶĚEĞǁĞĂůĂŶĚĞdžƉĞƌŝĞŶĐŝŶŐĂŶLJƌĞũĞĐƟŽŶĞƉŝƐŽĚĞďLJϲŵŽŶƚŚƐĂŌĞƌƚƌĂŶƐƉůĂŶƚĂƟŽŶƐƚƌĂƟĮĞĚďLJĚŽŶŽƌƚLJƉĞĂŶĚŐƌĂŌŶƵŵďĞƌZĂƚĞƐŽĨĂŶƟďŽĚLJŵĞĚŝĂƚĞĚƌĞũĞĐƟŽŶĂƌĞŶŽƚĂďůLJŚŝŐŚĞƌŝŶĚĞĐĞĂƐĞĚĚŽŶŽƌƚƌĂŶƐͲƉůĂŶƚƐĂŶĚƐƉĞĐŝĮĐĂůůLJƐĞĐŽŶĚĂŶĚƐƵďƐĞƋƵĞŶƚŐƌĂŌƐ
/ŶϮϬϭϲϲƉĂƟĞŶƚƐƌĞĐĞŝǀĞĚŝŶƚƌĂǀĞŶŽƵƐŝŵŵƵŶŽŐůŽďƵůŝŶϮƌĞĐĞŝǀĞĚƌŝƚƵdžŝŵĂďĂŶĚϭϱƌĞĐĞŝǀŝŶŐdĐĞůůĚĞƉůĞƟŶŐƉŽůLJĐůŽŶĂůĂŶƟďŽĚLJĂƐĂŶƟďŽĚLJƚŚĞƌĂƉLJĨŽƌĂĐƵƚĞƌĞũĞĐƟŽŶ
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ϯϭ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐϮϬϭϮ-ϮϬϭϲĞdžͲƉƌĞƐƐĞĚĂƐŶƵŵďĞƌĂŶĚƉĞƌŵŝůůŝŽŶ
KĨƚŚĞϴϮϯƉĂƟĞŶƚƐƚƌĞĂƚĞĚǁŝƚŚƉĞƌŝƚŽͲŶĞĂůĚŝĂůLJƐŝƐϰϮϲ;ϱϮйͿǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚĂƵƚŽŵĂƚĞĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĂŶĚϯϵϳ;ϰϴйͿǁĞƌĞƚƌĞĂƚĞĚǁŝƚŚĐŽŶƟŶƵͲŽƵƐĂŵďƵůĂƚŽƌLJƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
0
20
40
60
80
100
120
0
100
200
300
400
500
600
2012 2013 2014 2015 2016
Num
ber p
er m
illio
n po
pula
tion
Num
ber
APD, n CAPD, n APD, per million CAPD, per million
WĂƩĞƌŶƐŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƵƐĞŝŶϮϬϭϲ
KǀĞƌĂůůϯϮϲƉĂƟĞŶƚƐĐŽŵŵĞŶĐĞĚƉĞƌŝͲƚŽŶĞĂůĚŝĂůLJƐŝƐŝŶϮϬϭϲŝŶEĞǁĞĂůĂŶĚĂŶĚϯϬϮƉĂƟĞŶƚƐƐƚŽƉƉĞĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƌĞƐƵůƟŶŐŝŶϴϮϯƉĂƟĞŶƚƐŽŶƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĂƚLJĞĂƌĞŶĚ
ůůƉĂƟĞŶƚƐǁŚŽĐŽŵŵĞŶĐĞĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
&ŝƌƐƚĚŝĂůLJƐŝƐ ϮϬϵ ;ϲϰйͿ
dƌĂŶƐĨĞƌĨƌŽŵŚĂĞŵŽĚŝĂůLJƐŝƐ ϭϬϱ ;ϯϮйͿ
&ĂŝůĞĚƚƌĂŶƐƉůĂŶƚ ϭϮ ;ϰйͿ
dŽƚĂů ϯϮϲ
ůůƉĂƟĞŶƚƐǁŚŽƐƚŽƉƉĞĚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
ZĞĐĞŝǀĞĚŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ ϰϳ ;ϭϲйͿ
dƌĂŶƐĨĞƌƌĞĚƚŽŚĂĞŵŽĚŝĂůLJƐŝƐ ϭϯϴ ;ϰϲйͿ
ZĞĐŽǀĞƌLJŽĨŬŝĚŶĞLJĨƵŶĐƟŽŶ ϲ ;ϮйͿ
ĞĂƚŚ ϭϭϭ ;ϯϳйͿ
dŽƚĂů ϯϬϮ
dŽƚĂůƉĂƟĞŶƚƐŽŶƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĂƚ ϯϭĞĐĞŵďĞƌϮϬϭϲ
ϴϮϯ
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ϯϮ
0 20 40 60 80 100
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
sM
anuk
auW
aika
toHa
wke
's B
ayTa
rana
kiM
idCe
ntra
lCa
pita
l & C
oast
Cant
erbu
rySo
uthe
rn
Per cent
<90 days >=90 days
ĞůĂLJŝŶƐƚĂƌƟŶŐƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
ƉĞƌĐĞŶƚĂŐĞŽĨƉĞŽƉůĞǁŚŽĐŚŽŽƐĞƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĂƐƚŚĞŝƌƉƌĞĨĞƌƌĞĚĚŝĂůLJƐŝƐŵŽĚĂůŝƚLJŵĂLJŶŽƚĐŽŵŵĞŶĐĞĚŝĂůLJƐŝƐƚƌĞĂƚŵĞŶƚǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůͲLJƐŝƐdŚŝƐĐĂŶďĞĨŽƌĂŶƵŵďĞƌŽĨƌĞĂͲƐŽŶƐŝŶĐůƵĚŝŶŐůĂƚĞƐƉĞĐŝĂůŝƐƚƌĞĨĞƌƌĂůƵƌŐĞŶƚƐƚĂƌƚƚŽĚŝĂůLJƐŝƐŽƌĚĞůĂLJĞĚŝŶͲƐĞƌƟŽŶŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĐĂƚŚĞƚĞƌ
ĞůĂLJŝŶƐƚĂƌƟŶŐƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐŝƐŚŝŐŚůLJǀĂƌŝĂďůĞďĞƚǁĞĞŶ,ƐĂŶĚǁŝƚŚŝŶ,ƐĨƌŽŵLJĞĂƌƚŽLJĞĂƌ
EŽƚĂďůLJŝŶϮϬϭϲŵĂŶLJ,ƐŚĂǀĞŶŽƚƌĞƉŽƌƚĞĚĂŶLJŝŶĐŝĚĞŶĐĞŽĨĚĞůĂLJхϵϬĚĂLJƐ;EŽƌƚŚůĂŶĚtĂŝƚĞŵĂƚĂ,ĂǁŬĞƐĂLJĂŶĚdĂƌĂŶĂŬŝͿ>ŽŶŐĞƌĚĞůĂLJŚĂƐĞŵĞƌŐĞĚĂƚ^ŽƵƚŚĞƌŶ,ŝŶϮϬϭϱĂŶĚϮϬϭϲǁŚŝůĞƚŚĞƉĞƌĐĞŶƚĂŐĞǁŝƚŚůŽŶŐĞƌĚĞůĂLJŝƐƌĞůĂƟǀĞůLJŚŝŐŚĞƌĂƚƵĐŬůĂŶĚĂŶĚĂŶƚĞƌďƵƌLJ,Ɛ
dŚĞĚĞůĂLJхϵϬĚĂLJƐŚĂƐĚĞĐƌĞĂƐĞĚĂƚŽƵŶƟĞƐDĂŶƵŬĂƵŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚŝŶϮϬϭϲǁŚŝĐŚŵĂLJƌĞŇĞĐƚƉƌŽͲĐĞƐƐĞƐĂŶĚĂĐƟǀŝƚLJĚĞǀĞůŽƉĞĚŝŶƚŚĞĂĐƵƚĞƐƚĂƌƚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƉƌŽŐƌĂŵ
ĞůĂLJƐƚĂƌƟŶŐƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
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ϯϯ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƉĞƌŝƚŽŶŝƟƐƌĂƚĞƐďLJ,ϮϬϭϲ
dŚĞƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƉĞƌŝƚŽŶŝƟƐƌĂƚĞŝŶϮϬϭϲďLJ,ƌĂŶŐĞĚĨƌŽŵϬϯϭƚŽϬϲϴĞƉŝƐŽĚĞƐƉĞƌLJĞĂƌŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƚƌĞĂƚŵĞŶƚdŚĞĐƵƌƌĞŶƚ/ŶƚĞƌŶĂͲƟŽŶĂů^ŽĐŝĞƚLJŽĨWĞƌŝƚŽŶĞĂůŝĂůLJƐŝƐ;/^WͿŐƵŝĚĞůŝŶĞƌĞĐŽŵŵĞŶĚƐƚŚĂƚƚŚĞƌĂƚĞƐŚŽƵůĚďĞŶŽŵŽƌĞƚŚĂŶϬϱĞƉŝͲƐŽĚĞƐƉĞƌLJĞĂƌĂƚƌŝƐŬϭ&ŽƵƌŽĨƚŚĞĞůĞǀͲĞŶEĞǁĞĂůĂŶĚƵŶŝƚƐĂĐŚŝĞǀĞĚƚŚŝƐŐƵŝĚĞůŝŶĞƌĂƚĞdŚĞŐƵŝĚĞůŝŶĞƐƌĞĐŽŵͲŵĞŶĚƚŚĂƚĚŝĂůLJƐŝƐƚĞĂŵƐĞdžĂŵŝŶĞĞĂĐŚŝŶĨĞĐƟŽŶĞƉŝƐŽĚĞĂŶĚŝĚĞŶƟĨLJƚŚĞƌŽŽƚĐĂƵƐĞŽĨƚŚĞŝŶĨĞĐƟŽŶ
WĞƌŝƚŽŶŝƟƐΘĞdžŝƚ-ƐŝƚĞŝŶĨĞĐƟŽŶ WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
0.0
0.2
0.4
0.6
0.8
1.0
1.2
Exit
site
infe
ctio
n ra
te, e
piso
des p
er p
atie
nt-y
ear
ϭ<Ăŵ-dĂŽWĞƚĂů/^WWĞƌŝƚŽŶŝƟƐZĞĐŽŵŵĞŶĚĂƟŽŶƐϮϬϭϲhƉĚĂƚĞŽŶWƌĞǀĞŶƟŽŶĂŶĚƚƌĞĂƚŵĞŶƚW/DĂƌĐŚ-ƉƌŝůϮϬϭϴϯϴ;ϮͿ
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
Perit
oniti
s rat
e, e
piso
des p
er p
atie
nt-y
ear
/^WŐƵŝĚĞůŝŶĞфϬϱĞƉŝƐŽĚĞƐƉĞƌLJĞĂƌ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĞdžŝƚ-ƐŝƚĞŝŶĨĞĐƟŽŶƌĂƚĞďLJ,ϮϬϭϲ
dŚĞƌĂƚĞŽĨWĞdžŝƚ-ƐŝƚĞŝŶĨĞĐƟŽŶĨŽƌĞǀĞƌLJLJĞĂƌŽĨƚƌĞĂƚŵĞŶƚƌĂŶŐĞĚďĞͲƚǁĞĞŶϬϬĂŶĚϭϬĞƉŝƐŽĚĞƐdŚĞĚĂƚĂƋƵĂůŝƚLJĨŽƌƚŚŝƐĂŶĂůLJƐŝƐǁĂƐůŝŬĞůLJƚŽďĞƉŽŽƌĂŶĚŵĂLJŚĂǀĞƵŶĚĞƌĞƐƟŵĂƚĞĚƚŚĞŝŶĨĞĐƟŽŶƌĂƚĞƐ
EŽƚĂǀĂŝůĂďůĞ
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ϯϰ
WĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ŝĂůLJƐŝƐĐĂƚŚĞƚĞƌƌĞŵŽǀĂů
0
50
100
150
200
250
300
350
2012 2013 2014 2015 2016
Patie
nts
Not reported
Other
Encapsulating sclerosingperitonitis
Withdrawal
Unable/Elective
Abdominal/surgical event
Technique failure
Exit site/tunnel infection
Infection
Transplantation
ZĞĂƐŽŶƐĨŽƌƌĞŵŽǀĂůŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĐĂƚŚĞƚĞƌϮϬϭϮ-ϮϬϭϲ
dŚĞŐƌĂƉŚŝĐƐŚŽǁƐƚŚĞƉƌŝŵĂƌLJƌĞĂƐŽŶƐĨŽƌWĐĂƚŚĞƚĞƌƌĞŵŽǀĂůŝŶƚŚĞLJĞĂƌƐϮϬϭϮƚŽϮϬϭϲdŚĞƌĞĂƐŽŶĨŽƌĐĂƚŚĞƚĞƌƌĞŵŽǀĂůŝƐŵŽƐƚĐŽŵŵŽŶůLJŶŽƚƌĞƉŽƌƚͲĞĚdžŝƚƐŝƚĞĂŶĚƚƵŶŶĞůŝŶĨĞĐƟŽŶƌĂƚĞƐĂƐĂĐĂƵƐĞĨŽƌƌĞŵŽǀĂůĂƉƉĞĂƌƵŶͲĐŚĂŶŐĞĚdŚĞƐĞĚĂƚĂŚŝŐŚůŝŐŚƚƚŚĞŶĞĞĚƚŽƐƵƉƉŽƌƚŵŽƌĞĐŽŵƉůĞƚĞĚĂƚĂĐŽůůĞĐͲƟŽŶĨŽƌƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐĐĂƚŚĞƚĞƌƌĞŵŽǀĂůƚŚƌŽƵŐŚƚŚĞEWĞƌŝƚŽŶĞĂůŝĂůLJƐŝƐZĞŐŝƐƚƌLJ
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ϯϱ
,ĂĞŵŽĚŝĂůLJƐŝƐ
WĂƩĞƌŶƐŽĨŚĂĞŵŽĚŝĂůLJƐŝƐƵƐĞŝŶϮϬϭϲ
KǀĞƌĂůůϱϭϰƉĂƟĞŶƚƐĐŽŵŵĞŶĐĞĚŚĂĞͲŵŽĚŝĂůLJƐŝƐŝŶϮϬϭϲŝŶEĞǁĞĂůĂŶĚĂŶĚϰϵϰƉĂƟĞŶƚƐƐƚŽƉƉĞĚŚĂĞŵŽĚŝĂůLJƐŝƐƌĞƐƵůƟŶŐŝŶϭϵϮϳƉĂƟĞŶƚƐŽŶŚĂĞŵŽĚŝͲĂůLJƐŝƐĂƚLJĞĂƌĞŶĚϰϲϴƉĂƟĞŶƚƐ;ϮϰйͿǁĞƌĞŽŶŚŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐ
ůůƉĂƟĞŶƚƐǁŚŽĐŽŵŵĞŶĐĞĚŚĂĞŵŽĚŝĂůLJƐŝƐ
&ŝƌƐƚĚŝĂůLJƐŝƐ ϯϯϮ ;ϲϱйͿ
dƌĂŶƐĨĞƌĨƌŽŵƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ϭϱϲ ;ϯϬйͿ
&ĂŝůĞĚƚƌĂŶƐƉůĂŶƚ Ϯϰ ;ϱйͿ
dŽƚĂů ϱϭϰ
ZĞĐĞŝǀĞĚŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ ϵϯ ;ϮϬйͿ
dƌĂŶƐĨĞƌƌĞĚƚŽƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ ϭϮϬ ;ϮϰйͿ
ůůƉĂƟĞŶƚƐǁŚŽƐƚŽƉƉĞĚŚĂĞŵŽĚŝĂůLJƐŝƐ
ZĞĐŽǀĞƌLJŽĨŬŝĚŶĞLJĨƵŶĐƟŽŶ ϳ ;ϭϰйͿ
ĞĂƚŚ Ϯϳϰ ;ϱϱйͿ
dŽƚĂů ϰϵϰ
dŽƚĂůƉĂƟĞŶƚƐŽŶŚĂĞŵŽĚŝĂůLJƐŝƐĂƚϯϭĞĐĞŵďĞƌϮϬϭϲ
ϭϵϮϳ
WĂƟĞŶƚƐŽŶŚŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐĂƚϯϭĞĐĞŵďĞƌϮϬϭϲ;йŽĨĂůůŚĂĞŵŽĚŝĂůLJƐŝƐƉĂƟĞŶƚƐͿ
ϰϲϴ ;ϮϰйͿ
0 20 40 60 80 100
Northland
Waitemata
Auckland
Counties Manukau
Waikato
Hawke's Bay
Taranaki
MidCentral
Capital & Coast
Canterbury
Southern
AVF AV graft Tunnelled CVC Non-tunnelled CVC Not reported
ŝĂůLJƐŝƐǀĂƐĐƵůĂƌĂĐĐĞƐƐŝŶƉƌĞǀĂůĞŶƚŚĂĞŵŽĚŝĂůLJƐŝƐƉĂƟĞŶƚƐŝŶϮϬϭϲ
dŚĞŵĂũŽƌŝƚLJŽĨƉƌĞǀĂůĞŶƚŚĂĞŵŽĚŝĂůLJͲƐŝƐƉĂƟĞŶƚƐŚĂĚĚŝĂůLJƐŝƐǀŝĂĂŶĂƌƚĞƌŝŽͲǀĞŶŽƵƐĮƐƚƵůĂŽƌŐƌĂŌǁŝƚŚƚŚĞĞdžĐĞƉͲƟŽŶŽĨdĂƌĂŶĂŬŝ,ĂƚǁŚŝĐŚϰϯйŽĨƉĂƟĞŶƚƐŚĂĚƉĞƌŵĂŶĞŶƚǀĂƐĐƵůĂƌĂĐͲĐĞƐƐDĂŶLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐĚŝĚŶŽƚƌĞĂĐŚƚŚĞŶĂƟŽŶĂůƐƚĂŶĚĂƌĚŽĨϳϬйŽĨƉƌĞǀĂůĞŶƚƉĂƟĞŶƚƐǁŝƚŚƉĞƌŵĂŶĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐ
EŽƚĂďůLJĂůƚŚŽƵŐŚƐƟůůĂƐŵĂůůƉƌŽƉŽƌͲƟŽŶŽĨƉĂƟĞŶƚƐƚŚĞƌĞŝƐŝŶĐƌĞĂƐŝŶŐƵƐĞŽĨĂƌƚĞƌŝŽǀĞŶŽƵƐŐƌĂŌƐǁŝƚŚƚŚĞŚŝŐŚĞƐƚƉƌĞǀĂůĞŶĐĞĂƚtĂŝŬĂƚŽĂŶĚ^ŽƵƚŚĞƌŶŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐĂƉŝƚĂůΘŽĂƐƚĂŶĚ^ŽƵƚŚĞƌŶ,ƐŚĂĚƚŚĞŚŝŐŚĞƐƚƉƌĞǀĂůĞŶĐĞŽĨƉĞƌŵĂŶĞŶƚĂĐĐĞƐƐ
![Page 36: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/36.jpg)
ϯϲ
/ŶĐŝĚĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐŝŶĂůůƉĂƟĞŶƚƐƐƚĂƌƟŶŐŚĂĞŵŽĚŝĂůLJƐŝƐďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
EŽŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚĞdžĐĞƉƚEŽƌƚŚͲůĂŶĚĂĐŚŝĞǀĞĚƚŚĞŶĂƟŽŶĂůƐƚĂŶĚĂƌĚŽĨϱϬйŽĨƉĂƟĞŶƚƐƐƚĂƌƟŶŐŚĂĞŵŽĚŝĂůLJƐŝƐǁŝƚŚƉĞƌŵĂŶĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐ;ĞŝƚŚĞƌĂŶĂƌƚĞƌŝŽǀĞŶŽƵƐĮƐƚƵůĂ;s&ͿŽƌsŐƌĂŌ;s'ͿͿ
dŚĞEŽƌƚŚůĂŶĚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚŝƐƐŚŽǁŝŶŐŵĂƌŬĞĚLJĞĂƌ-ŽŶ-LJĞĂƌŝŶĐƌĞĂƐͲĞƐĂŶĚŚĂƐƌĞĂĐŚĞĚƚŚĞŶĂƟŽŶĂůƐƚĂŶĚͲĂƌĚŝŶϮϬϭϲĂƉŝƚĂůΘŽĂƐƚĂŶĚĂŶͲƚĞƌďƵƌLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐĂƌĞƐŚŽǁŝŶŐƉƌŽŐƌĞƐƐŝǀĞĚĞĐƌĞĂƐĞƐŝŶĂƩĂŝŶŵĞŶƚŽĨƉĞƌŵĂŶĞŶƚǀĂƐĐƵůĂƌĂĐͲĐĞƐƐĂƚĚŝĂůLJƐŝƐƐƚĂƌƚƵƌƌĞŶƚůLJtĂŝŬĂͲƚŽdĂƌĂŶĂŬŝĂŶĚĂŶƚĞƌďƵƌLJ,ƐŚĂǀĞĂŶŝŶĐŝĚĞŶĐĞŽĨƉĞƌŵĂŶĞŶƚĂĐĐĞƐƐďĞůŽǁϮϬй
/ŶĐŝĚĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐ ,ĂĞŵŽĚŝĂůLJƐŝƐ
![Page 37: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/37.jpg)
ϯϳ
/ŶĐŝĚĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐŝŶƉĂƟĞŶƚƐƐƚĂƌƟŶŐŚĂĞŵŽĚŝĂůLJƐŝƐ;ĞdžĐůƵĚŝŶŐůĂƚĞƌĞĨĞƌƌĂůƐͿďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
EĂƟŽŶĂůƉƌĂĐƟĐĞƉĂƩĞƌŶƐĨŽƌǀĂƐĐƵůĂƌĂĐĐĞƐƐĂŵŽŶŐƉĂƟĞŶƚƐǁŚŽƐƚĂƌƚĞĚŚĂĞŵŽĚŝĂůLJƐŝƐхϯŵŽŶƚŚƐŽĨƚŚĞŝƌĮƌƐƚƐƉĞĐŝĂůŝƐƚĂƐƐĞƐƐŵĞŶƚͿŝƐƐŚŽǁŶdŚĞŶĂƟŽŶĂůƐƚĂŶĚĂƌĚŝƐхϴϬйƉĂƟĞŶƚƐƐƚĂƌƟŶŐĚŝĂůLJƐŝƐǁŝƚŚĂŶĂƌƚĞƌŝŽǀĞŶŽƵƐĮƐƚƵůĂŽƌŐƌĂŌ
ůƚŚŽƵŐŚŵŽƐƚƉĂƟĞŶƚƐƐƚĂƌƚĞĚŚĂĞŵŽͲĚŝĂůLJƐŝƐǁŝƚŚĞŝƚŚĞƌĂĮƐƚƵůĂŽƌƚƵŶͲŶĞůůĞĚĚŝĂůLJƐŝƐĐĂƚŚĞƚĞƌŶŽŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚĂĐŚŝĞǀĞĚƚŚĞŶĂƟŽŶĂůƐƚĂŶĚĂƌĚĂŶĚĂůůǁĞƌĞǁĞůůďĞůŽǁƚŚĞƐƚĂŶĚĂƌĚWƌŽŐƌĞƐƐŝǀĞŝŶĐƌĞĂƐĞŝŶƉĞƌͲŵĂŶĞŶƚĂĐĐĞƐƐŝƐƐĞĞŶĂƚEŽƌƚŚůĂŶĚĂŶĚ,ĂǁŬĞƐĂLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐǁŚŝůĞƚŚĞƌĞŝƐĂƉƌŽŐƌĞƐƐŝǀĞĚĞĐƌĞĂƐĞĂƚtĂŝƚĞŵĂƚĂDŝĚĞŶƚƌĂůĂƉŝƚĂůΘŽĂƐƚĂŶĚĂŶƚĞƌďƵƌLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐ/ŶĐŽŵƉůĞƚĞƌĞƉŽƌƟŶŐŝƐĞǀŝĚĞŶƚĂƚƐŽŵĞ,
/ŶĐŝĚĞŶƚǀĂƐĐƵůĂƌĂĐĐĞƐƐ ,ĂĞŵŽĚŝĂůLJƐŝƐ
![Page 38: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/38.jpg)
ϯϴ
ĂƚŚĞƚĞƌ-ĂƐƐŽĐŝĂƚĞĚďůŽŽĚƐƚƌĞĂŵŝŶĨĞĐƟŽŶƐ ,ĂĞŵŽĚŝĂůLJƐŝƐ
ŝĂůLJƐŝƐĐĞŶƚƌĂů-ůŝŶĞ-ĂƐƐŽĐŝĂƚĞĚďůŽŽĚƐƚƌĞĂŵŝŶĨĞĐƟŽŶƐ;>^/ͿĞdžƉƌĞƐƐĞĚĂƐŶƵŵďĞƌŽĨŝŶĨĞĐƟŽŶƐƉĞƌϭϬϬϬĐĂƚŚĞƚĞƌ-ĚĂLJƐ
dŚĞƌĂƚĞŽĨĐĞŶƚƌĂů-ůŝŶĞĂƐƐŽĐŝĂƚĞĚďůŽŽĚƐƚƌĞĂŵŝŶĨĞĐƟŽŶƐ;>^/ͿŝƐŚŝŐŚůLJǀĂƌŝĂďůĞĂĐƌŽƐƐƚŚĞĐŽƵŶƚƌLJdŚĞ>^/ŝƐĂŶŝŵƉŽƌƚĂŶƚƋƵĂůŝƚLJŵĞĂƐͲƵƌĞĂƐŝƚƌĞŇĞĐƚƐƐĞǀĞƌĂůŝŶƚĞƌƐĞĐƟŶŐĚŝĂůLJƐŝƐƵŶŝƚƉƌĂĐƟĐĞƐŝŶĐůƵĚŝŶŐŚĂŶĚͲǁĂƐŚŝŶŐĚƌĞƐƐŝŶŐƉŽůŝĐŝĞƐĂŶĚĂĚŚĞƌͲĞŶĐĞƚŽƉƌŽƚŽĐŽůƐƉĂƟĞŶƚĞĚƵĐĂƟŽŶĂŶĚǁŝĚĞƌĚŝĂůLJƐŝƐƵŶŝƚƋƵĂůŝƚLJĂŶĚƐĂĨĞƚLJƉƌĂĐƟĐĞƐ>^/ŝƐĂůƐŽĂƐƐŽĐŝͲĂƚĞĚǁŝƚŚƉĂƟĞŶƚŵŽƌƚĂůŝƚLJ
dǁŽŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐŚĂǀĞŶŽƚƌĞƚƵƌŶĞĚƌĞƐƵůƚƐĨŽƌ>^/ŝŶϮϬϭϲ
/ƚŝƐŶŽƚĂďůĞƚŚĂƚƵĐŬůĂŶĚ,ŚĂƐƐƵƐƚĂŝŶĞĚƚŚĞƌĞĚƵĐƟŽŶƚŚĞLJĂĐŚŝĞǀĞĚŝŶϮϬϭϰƚŚĞƌĂƚĞĂƉƉĞĂƌƐƚŽďĞŝŶͲĐƌĞĂƐŝŶŐĂƚĂƉŝƚĂůΘŽĂƐƚ,ĂůƚͲŚŽƵŐŚƚŚĞƌĞǁĂƐƐŽŵĞŝŵƉƌŽǀĞŵĞŶƚŽŶϮϬϭϱdŚĞƌĂƚĞĂƉƉĞĂƌƐƚŽďĞŝŶͲĐƌĞĂƐŝŶŐĂƚtĂŝƚĞŵĂƚĂ,,ĂǁŬĞƐĂLJ,ŚĂƐĂĐŚŝĞǀĞĚŵĂƌŬĞĚLJĞĂƌ-ŽŶ-LJĞĂƌƌĞĚƵĐƟŽŶƐŝŶƚŚĞ>^/ƌĂƚĞ
0 1 2 3 4
20122013201420152016
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Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
ukau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal &
Coa
stCa
nter
bury
Sout
hern
Per 1000 catheter days
EŽƚĂǀĂŝůĂďůĞ
EŽƚĂǀĂŝůĂďůĞ EŽƚĂǀĂŝůĂďůĞ
![Page 39: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/39.jpg)
ϯϵ
ƵƌĂƟŽŶ ,ĂĞŵŽĚŝĂůLJƐŝƐ
ƵƌĂƟŽŶŽĨŚĂĞŵŽĚŝĂůLJƐŝƐƐĞƐƐŝŽŶƐϮϬϭϮ-ϮϬϭϲ
dŚĞƉƌŽƉŽƌƟŽŶŽĨŚĂĞŵŽĚŝĂůLJƐŝƐƉĂͲƟĞŶƚƐƌĞĐĞŝǀŝŶŐϰϱŚŽƵƌƐŽƌůŽŶŐĞƌǁŝƚŚĞĂĐŚĚŝĂůLJƐŝƐƐĞƐƐŝŽŶǀĂƌŝĞƐǁŝĚĞůLJĂĐƌŽƐƐƚŚĞĐŽƵŶƚƌLJ
dŚĞƉƌŽƉŽƌƟŽŶƌĞĐĞŝǀŝŶŐĚŝĂůLJƐŝƐĨŽƌϰϱŚŽƵƌƐŽƌůĞƐƐŝƐŚŝŐŚĂŶĚŝŶĐƌĞĂƐŝŶŐŝŶdĂƌĂŶĂŬŝ,ŚŝŐŚĂŶĚĚĞĐƌĞĂƐŝŶŐŝŶŽƵŶƟĞƐDĂŶƵŬĂƵ,ĂŶĚŚŝŐŚĂŶĚƐƚĂďůĞŝŶƵĐŬůĂŶĚ,
dŚĞĚƵƌĂƟŽŶŽĨŚĂĞŵŽĚŝĂůLJƐŝƐŝƐƉƌĞͲĚŽŵŝŶĂŶƚůLJхϰϱŚŽƵƌƐŝŶEŽƌƚŚůĂŶĚĂŶĚĂŶƚĞƌďƵƌLJ,Ɛ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƌĞĐĞŝǀŝŶŐƐŚŽƌƚĞƌŚŽƵƌƐŝƐĚĞĐƌĞĂƐŝŶŐĂĐƌŽƐƐŵĂŶLJƵŶŝƚƐLJĞĂƌŽŶLJĞĂƌŝŶĐůƵĚŝŶŐtĂŝƚĞŵĂƚĂŽƵŶƟĞƐDĂŶƵŬĂƵtĂŝŬĂͲƚŽDŝĚĞŶƚƌĂůĂƉŝƚĂůΘŽĂƐƚĂŶƚĞƌͲďƵƌLJĂŶĚ^ŽƵƚŚĞƌŶ,Ɛ
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20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aA
uckl
and
Cou
ntie
sM
anuk
auW
aika
toH
awke
's B
ayT
aran
aki
Mid
Cen
tral
Cap
ital &
Coa
stC
ante
rbur
yS
outh
ern
Per cent
<4.5 hours 4.5 hours or longer
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ϰϬ
&ƌĞƋƵĞŶĐLJ ,ĂĞŵŽĚŝĂůLJƐŝƐ
0 20 40 60 80 100
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
2012
2014
2016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
sM
anuk
auW
aika
toHa
wke
's B
ayTa
rana
kiM
idCe
ntra
lCa
pita
l &Co
ast
Cant
erbu
rySo
uthe
rn
Per cent
<3/week 3/week Alt/days >3/week
&ƌĞƋƵĞŶĐLJŽĨŚĂĞŵŽĚŝĂůLJƐŝƐ
ƐŝŶƉƌĞǀŝŽƵƐLJĞĂƌƐĨĞǁƉĂƟĞŶƚƐƌĞͲĐĞŝǀĞĚŚĂĞŵŽĚŝĂůLJƐŝƐĨĞǁĞƌƚŚĂŶƚŚƌĞĞƟŵĞƐĂǁĞĞŬ&ŽƌŵƵĐŚŽĨƚŚĞĐŽƵŶƚƌLJƚŚĞĐŽƌĞƉƌĂĐƟĐĞŝƐƚŽƌĞĐĞŝǀĞŚĂĞŵŽͲĚŝĂůLJƐŝƐƚŚƌĞĞƟŵĞƐǁĞĞŬůLJ
/ŶƚŚĞƚǁŽƐŽƵƚŚĞƌŶ-ŵŽƐƚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐǁŝƚŚĂŚŝŐŚƌĂƚĞŽĨŚŽŵĞŚĂĞŵŽĚŝĂůLJƐŝƐ;ĂŶƚĞƌďƵƌLJĂŶĚ^ŽƵƚŚĞƌŶͿĂƉƉƌŽdžŝŵĂƚĞůLJϰϬйŽĨƉĂͲƟĞŶƚƐĂƌĞƌĞĐĞŝǀŝŶŐŵŽƌĞĨƌĞƋƵĞŶƚĚŝĂůLJƐŝƐ;ĂƚůĞĂƐƚĂůƚĞƌŶĂƚĞĚĂŝůLJͿ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƌĞĐĞŝǀŝŶŐхϯƟŵĞƐǁĞĞŬůLJŝƐŝŶĐƌĞĂƐŝŶŐLJĞĂƌŽŶLJĞĂƌĂƚŽƵŶƟĞƐDĂŶƵŬĂƵdĂƌĂŶĂŬŝĂŶĚDŝĚĞŶƚƌĂů,ƐdŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐƌĞĐĞŝǀŝŶŐĚŝĂůLJƐŝƐхϯƟŵĞƐǁĞĞŬůLJĂƚEŽƌƚŚůĂŶĚĂŶĚĂƉŝƚĂůΘŽĂƐƚ,ƐƌĞŵĂŝŶƐǀĞƌLJůŽǁ
![Page 41: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/41.jpg)
ϰϭ
DŽƌƚĂůŝƚLJ KǀĞƌĂůůĂŶĚĚŝĂůLJƐŝƐ
0
25
50
75
100
Pro
por
tion
surv
ivin
g, %
0 1 2 3 4 5
Years of renal replacement therapy
0-2425-4445-6465-7475-8485+
Age at RRT start, years
^ƵƌǀŝǀĂůĂŌĞƌƐƚĂƌƟŶŐƌĞŶĂůƌĞƉůĂĐĞͲŵĞŶƚƚŚĞƌĂƉLJŝŶEĞǁĞĂůĂŶĚϮϬϬϳ-ϮϬϭϲ
KǀĞƌĂůůƐƵƌǀŝǀĂůĨŽƌƉĂƟĞŶƚƐǁŚŽƐƚĂƌƚͲĞĚƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŝŶEĞǁĞĂůĂŶĚĚƵƌŝŶŐƚŚĞƉĞƌŝŽĚϮϬϬϳ-ϮϬϭϲŝƐƐŚŽǁŶdŚĞϱ-LJĞĂƌƐƵƌǀŝǀĂůĨŽƌƚŚĞĂŐĞŐƌŽƵƉϬ-ϮϰLJĞĂƌƐǁĂƐϵϮйϮϱ-ϰϰLJĞĂƌƐǁĂƐϳϵйϰϱ-ϲϰLJĞĂƌƐǁĂƐϱϵйϲϱ-ϳϰLJĞĂƌƐǁĂƐϯϴйϳϱ-ϴϰLJĞĂƌƐǁĂƐϮϬйĂŶĚϴϱнLJĞĂƌƐǁĂƐϭϵйdŚĞŽǀĞƌĂůůĚĞĂƚŚƌĂƚĞǁĂƐϭϯϵƉĞƌϭϬϬƉĂƟĞŶƚLJĞĂƌƐŽŶƚŚĞƌĂƉLJ;ĐŽŵƉĂƌŝŶŐǁŝƚŚϭϯϵƉĞƌϭϬϬƉĂƟĞŶƚ-LJĞĂƌƐŝŶƵƐƚƌĂůŝĂͿ
ŐĞĂƚƐƚĂƌƚ
DĞĚŝĂŶƐƵƌǀŝǀĂůLJĞĂƌƐ
;ϮϱƚŚĂŶĚϳϱƚŚĐĞŶƟůĞƐͿ
Ϭ-Ϯϰ Ύ;ϳϰΎͿ
Ϯϱ-ϰϰ ϳϵ;ϰϴΎͿ
ϰϱ-ϲϰ ϱϰ;ϮϴϴϱͿ
ϲϱ-ϳϰ ϯϳ;ϭϵϲϭͿ
ϳϱ-ϴϰ Ϯϵ;ϭϯϰϱͿ
ϴϱн ϭϵ;ϭϮϯϱͿ
DĞĚŝĂŶƐƵƌǀŝǀĂůŽŶĚŝĂůLJƐŝƐďLJĂŐĞ
dŚĞŵĞĚŝĂŶƐƵƌǀŝǀĂůŽŶĚŝĂůLJƐŝƐ;ƚŚĞƟŵĞƚŽǁŚŝĐŚϱϬйŽĨƉĞŽƉůĞĐĂŶĞdžͲƉĞĐƚƚŽƐƵƌǀŝǀĞͿĨŽƌƚŚŽƐĞǁŚŽƐƚĂƌƚĞĚĚŝĂůLJƐŝƐďĞƚǁĞĞŶϮϬϬϳ-ϮϬϭϲŝƐƐŚŽǁŶ^ŽŵĞǀĂůƵĞƐǁĞƌĞŶŽƚŽďƐĞƌǀĞĚΎ;ĨŽƌĞdžĂŵƉůĞŚĂůĨŽĨƚŚĞĐŽŚŽƌƚĂŐĞĚϬ-ϮϰLJĞĂƌƐŚĂĚŶŽƚĚŝĞĚŝŶƚŚĞŽďƐĞƌǀĂƟŽŶƉĞƌŝŽĚͿdŚĞLJŽƵŶŐĞƌĂŐĞŐƌŽƵƉƐĂƌĞůŝŬĞůLJƚŽďĞĂīĞĐƚĞĚďLJƐĞůĞĐƟŽŶďŝĂƐdŚĂƚŝƐƚŚŽƐĞƉĂƟĞŶƚƐǁŚŽĂƌĞĮƩĞƌƌĞĐĞŝǀĞĂƚƌĂŶƐƉůĂŶƚĂŶĚĂƌĞŶŽƚŝŶĐůƵĚͲĞĚŝŶƚŚĞĂŶĂůLJƐŝƐĂŌĞƌƚƌĂŶƐƉůĂŶƚĂƟŽŶ ΎEŽƚŽďƐĞƌǀĂďůĞ
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ϰϮ
DŽƌƚĂůŝƚLJ
WĂƟĞŶƚƐƵƌǀŝǀĂůĂŌĞƌĐŽŵŵĞŶĐŝŶŐĚŝĂůLJƐŝƐŝŶEĞǁĞĂůĂŶĚďLJĞƚŚŶŝĐŝͲƚLJ
dŚĞƐƵƌǀŝǀĂůŽĨŝŶĐŝĚĞŶƚĚŝĂůLJƐŝƐƉĂͲƟĞŶƚƐŝŶEĞǁĞĂůĂŶĚďLJĞƚŚŶŝĐŝƚLJŝƐƐŚŽǁŶdŚĞŵĞĚŝĂŶŽǀĞƌĂůůƐƵƌǀŝǀĂů;ƵŶĂĚũƵƐƚĞĚͿŝƐďĞůŽǁϱLJĞĂƌƐĂůƚͲŚŽƵŐŚŝƐŚŝŐŚĞƌĂŵŽŶŐWĂĐŝĮĐƉĂͲƟĞŶƚƐhŶĂĚũƵƐƚĞĚƐƵƌǀŝǀĂůĚŽĞƐŶŽƚĂĐĐŽƵŶƚĨŽƌĐŽŵƉĞƟŶŐƌŝƐŬƐŽĨƚƌĂŶƐƉůĂŶƚĂƟŽŶŽƌĂĚũƵƐƚĨŽƌĂŐĞĂŶĚƐĞdžĐŚĂƌĂĐƚĞƌŝƐƟĐƐŽĨƚŚĞƉŽƉƵͲůĂƟŽŶƐdŚĞƐĞƐƵƌǀŝǀĂůĚĂƚĂǁĂƌƌĂŶƚŵŽƌĞĚĞƚĂŝůĞĚĞdžƉůŽƌĂƟŽŶŝŶĐůƵĚŝŶŐĐŽŵƉĞƟŶŐƌŝƐŬĂŶĂůLJƐŝƐƐĞƉĂƌĂƚĞĂŶĂůLJƐĞƐĨŽƌŚĂĞŵŽĚŝĂůLJƐŝƐĂŶĚƉĞƌŝͲƚŽŶĞĂůĚŝĂůLJƐŝƐĂŶĚĂĚũƵƐƚŵĞŶƚĨŽƌĐĂƐĞ-ŵŝdž
ŝĂůLJƐŝƐ;ďLJĞƚŚŶŝĐŝƚLJͿ
![Page 43: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/43.jpg)
ϰϯ
0
20
40
60
80
100
Haemo-dialysis
Peritoneal dialysis
Transplant
Cardiovascular Withdrawal CancerInfection Other
Pe
r ce
nt
020406080
100
0-44 45-64 65-74 75+ 0-44 45-64 65-74 75+ 0-44 45-64 65-74 75+
Haemodialysis Peritoneal dialysis Transplant
Cardiovascular Withdrawal CancerInfection Other
Pe
rce
nt
ĂƵƐĞƐŽĨĚĞĂƚŚďLJƚƌĞĂƚŵĞŶƚŵŽĚĂůŝƚLJ
ĂƵƐĞƐŽĨĚĞĂƚŚŽŶƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŽĐĐƵƌƌŝŶŐĚƵƌŝŶŐϮϬϭϲ
dŚĞĐĂƵƐĞƐŽĨĚĞĂƚŚ;ŵŽĚĂůŝƚLJĂƚƟŵĞŽĨĚĞĂƚŚͿĂƌĞƐŚŽǁŶ&ŽƌƚƌĂŶƐƉůĂŶƚƌĞĐŝƉŝĞŶƚƐĐĂŶĐĞƌŝƐĂĚŽŵŝŶĂŶƚĐĂƵƐĞŽĨĚĞĂƚŚŝŶĂĚĚŝƟŽŶƚŽĐĂƌĚŝŽǀĂƐĐƵůĂƌĚŝƐĞĂƐĞ&ŽƌĚŝĂůLJƐŝƐƉĂƟĞŶƚƐǁŝƚŚͲĚƌĂǁĂůĨƌŽŵĚŝĂůLJƐŝƐĐĂƌĞŝƐĚŽŵŝŶĂŶƚƚŽŐĞƚŚĞƌǁŝƚŚĐĂƌĚŝŽǀĂƐĐƵůĂƌĐĂƵƐĞƐƉĂƌƟĐƵůĂƌůLJĂŵŽŶŐƚŚŽƐĞƚƌĞĂƚĞĚǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐ
ĂƵƐĞƐŽĨĚĞĂƚŚŽŶƌĞŶĂůƌĞƉůĂĐĞŵĞŶƚƚŚĞƌĂƉLJŽĐĐƵƌƌŝŶŐĚƵƌŝŶŐϮϬϭϲďLJĂŐĞŐƌŽƵƉĂŶĚŵŽĚĂůŝƚLJ
dŚĞĐĂƵƐĞƐŽĨĚĞĂƚŚ;ŵŽĚĂůŝƚLJĂƚƟŵĞŽĨĚĞĂƚŚͿĂƌĞƐŚŽǁŶĨŽƌĞĂĐŚŵŽĚĂůŝƚLJĂŶĚĞĂĐŚĂŐĞŐƌŽƵƉEŽƚĂďůLJĐĂŶĐĞƌĚŽŵŝŶĂƚĞƐĐĂƵƐĞŽĨĚĞĂƚŚĨŽƌLJŽƵŶŐƚƌĂŶƐƉůĂŶƚƌĞĐŝƉŝĞŶƚƐǁŚŝůĞĐĂƌĚŝŽǀĂƐĐƵůĂƌĚŝƐͲĞĂƐĞĚŽŵŝŶĂƚĞƐĐĂƵƐĞŽĨĚĞĂƚŚĨŽƌLJŽƵŶŐƉĂƟĞŶƚƐƚƌĞĂƚĞĚǁŝƚŚƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐtŝƚŚĚƌĂǁĂůĨƌŽŵƚƌĞĂƚŵĞŶƚŝƐƉƌŽŐƌĞƐƐŝǀĞůLJŵŽƌĞĨƌĞƋƵĞŶƚǁŝƚŚŝŶĐƌĞĂƐŝŶŐĂŐĞĨŽƌĚŝĂůLJƐŝƐƉĂƟĞŶƚƐ;ƉĂƌƟĐƵůĂƌůLJŚĂĞŵŽͲĚŝĂůLJƐŝƐͿ/ŶĨĞĐƟŽŶŝƐĂŵŽƌĞĨƌĞƋƵĞŶƚĐĂƵƐĞŽĨĚĞĂƚŚĨŽƌƉĂƟĞŶƚƐĂŐĞĚϲϱ-ϳϰLJĞĂƌƐǁŝƚŚĂŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚ
DŽƌƚĂůŝƚLJ
![Page 44: î ì í ò E Á o v E Z } o } P Ç í í Z EEh > Z WKZd...W } o v P u v ( } l ] v Ç ( ] o µ U ] v ] v u ] o o ] } v ñ ñ õ í í ô ñ î ì í í ô W } o Á ] Z l ] v Ç ( ]](https://reader035.fdocuments.in/reader035/viewer/2022062602/5eddb5eaad6a402d6668e096/html5/thumbnails/44.jpg)
ϰϰ
WĂƟĞŶƚĂŶĚŐƌĂŌƐƵƌǀŝǀĂů WƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌƚƌĂŶƐƉůĂŶƚ
0.60
0.70
0.80
0.90
1.00
0 1 2 3 4 5Years post transplant
2015-20162013-20142011-20122009-2010
WĂƟĞŶƚƐƵƌǀŝǀĂůĂŌĞƌƉƌŝŵĂƌLJĚĞͲĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚϮϬϬϵ-ϮϬϭϲ
dŚĞŐƌĂƉŚŝĐƐŚŽǁƐƚŚĞƉĂƟĞŶƚƐƵƌǀŝǀĂůĂŌĞƌĂƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶEĞǁĞĂůĂŶĚƚϭLJĞĂƌĂŌĞƌƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶƉĂƟĞŶƚƐƵƌǀŝǀĂůŽǀĞƌĂůůŝŶEĞǁĞĂůĂŶĚŝƐϵϴйĂŶĚĂƚϱLJĞĂƌƐŝƐϵϬй
0.60
0.70
0.80
0.90
1.00
0 1 2 3 4 5Years post transplant
2015-20162013-20142011-20122009-2010
'ƌĂŌƐƵƌǀŝǀĂůĂŌĞƌƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚϮϬϬϵ-ϮϬϭϲ
dŚĞŐƌĂƉŚŝĐƐŚŽǁƐƚŚĞŐƌĂŌƐƵƌǀŝǀĂůĂŌĞƌĂƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶEĞǁĞĂůĂŶĚƚϭLJĞĂƌĂŌĞƌƉƌŝŵĂƌLJĚĞĐĞĂƐĞĚĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŐƌĂŌƐƵƌǀŝǀĂůŽǀĞƌĂůůŝŶEĞǁĞĂůĂŶĚŝƐϵϲйĂŶĚϴϭйĂƚϱLJĞĂƌƐ
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ϰϱ
WĂƟĞŶƚƐƵƌǀŝǀĂůĂŌĞƌƉƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚϮϬϬϵ-ϮϬϭϲ
dŚĞŐƌĂƉŚŝĐƐŚŽǁƐƚŚĞƉĂƟĞŶƚƐƵƌǀŝǀĂůĂŌĞƌĂƉƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶEĞǁĞĂůĂŶĚƚϭLJĞĂƌĂŌĞƌƉƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚĂƟŽŶƉĂƟĞŶƚƐƵƌǀŝǀĂůŽǀĞƌĂůůŝŶEĞǁĞĂůĂŶĚŝƐϵϵйĂŶĚĂƚϱLJĞĂƌƐŝƐϵϯй
'ƌĂŌƐƵƌǀŝǀĂůĂŌĞƌƉƌŝŵĂƌLJůŝǀŝŶŐĚŽͲŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚϮϬϬϵ-ϮϬϭϲ
dŚĞŐƌĂƉŚŝĐƐŚŽǁƐƚŚĞŐƌĂŌƐƵƌǀŝǀĂůĂŌĞƌĂƉƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚŝŶEĞǁĞĂůĂŶĚƚϭLJĞĂƌĂŌĞƌƉƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌŬŝĚŶĞLJƚƌĂŶƐͲƉůĂŶƚĂƟŽŶŐƌĂŌƐƵƌǀŝǀĂůŽǀĞƌĂůůŝŶEĞǁĞĂůĂŶĚŝƐϵϵйĂŶĚϴϲйĂƚϱLJĞĂƌƐ
0.60
0.70
0.80
0.90
1.00
0 1 2 3 4 5Years post transplant
2015-20162013-20142011-20122009-2010
0.60
0.70
0.80
0.90
1.00
0 1 2 3 4 5Years post transplant
2015-20162013-20142011-20122009-2010
WĂƟĞŶƚĂŶĚŐƌĂŌƐƵƌǀŝǀĂů WƌŝŵĂƌLJůŝǀŝŶŐĚŽŶŽƌƚƌĂŶƐƉůĂŶƚ
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ϰϲ
KǀĞƌĂůůŐƌĂŌĨĂŝůƵƌĞĂŶĚĚĞĂƚŚǁŝƚŚƚƌĂŶƐƉůĂŶƚĨƵŶĐƟŽŶĂŌĞƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝŶEĞǁĞĂůĂŶĚ
dŚĞĐƵŵƵůĂƟǀĞŝŶĐŝĚĞŶĐĞŽĨŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĨĂŝůƵƌĞĂŶĚĚĞĂƚŚĂŌĞƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶŝŶƚŚĞĮƌƐƚϱLJĞĂƌƐĂŌĞƌƚƌĂŶƐƉůĂŶƚĂƟŽŶdŚĞĂŶĂůLJƐŝƐƵƟůŝƐĞƐĐŽŵƉĞƟŶŐƌŝƐŬƚĞĐŚŶŝƋƵĞƐƚŽĂĐĐŽƵŶƚĨŽƌƚŚĞĞīĞĐƚƐŽĨďŽƚŚĐŽŵƉŽŶĞŶƚƐŽĨŐƌĂŌĨĂŝůƵƌĞ;ŐƌĂŌůŽƐƐŽƌĚĞĂƚŚͿ&ŽƌDĈŽƌŝĂŶĚWĂĐŝĮĐƉĂͲƟĞŶƚƐŵŽƌƚĂůŝƚLJŝƐŝŶĐƌĞĂƐĞĚŝŵŵĞĚŝĂƚĞůLJĂŌĞƌƚƌĂŶƐƉůĂŶƚĂƟŽŶ&ŽƌDĈŽƌŝƉĂƟĞŶƚƐŐƌĂŌĨƵŶĐƟŽŶĂƉƉĞĂƌƐƚŽďĞĐŽŵƉĂƌĂďůĞƚŽŶŽŶ-DĈŽƌŝƉĂƟĞŶƚƐŝŶƚŚĞĮƌƐƚϯLJĞĂƌƐWĂĐŝĮĐƉĂƟĞŶƚƐĞdžƉĞƌŝĞŶĐĞŚŝŐŚĞƌŐƌĂŌůŽƐƐĂƚĂůůƟŵĞƉŽŝŶƚƐĂŌĞƌŬŝĚŶĞLJƚƌĂŶƐƉůĂŶƚĂƟŽŶ
WĂƟĞŶƚĂŶĚŐƌĂŌƐƵƌǀŝǀĂů dƌĂŶƐƉůĂŶƚĂƟŽŶƐƵƌǀŝǀĂůďLJĞƚŚŶŝĐŝƚLJ
0
.1
.2
0 1 2 3 4 5 0 1 2 3 4 5
Graft failure Death with graft function
Non-Māori, non-PacificMāori
Pacific
Cum
ulat
i ve
i nci
den
ce
Years after transplant
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ϰϳ
^ƵƌǀŝǀĂů LJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
0
.5
1
1.5
2
100 200 300 400 500 600
Number of patients
Stan
dard
ised
mor
talit
y ra
tio
+2 SD limit+3 SD limit
TARANAKI
SOUTHERN CHRISTCHURCH
CAPITAL COAST WAIKATO
COUNTIESHAWKESBAY MIDCENTRAL
NORTHLAND
WAITEMATA
AUCKLAND
Mean-2 SD limit-3 SD limit
^ƵƌǀŝǀĂůĨŽƌĚŝĂůLJƐŝƐƉĂƟĞŶƚƐďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƚƌĞĂƟŶŐŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
dŚĞƐƚĂŶĚĂƌĚŝƐĞĚŵŽƌƚĂůŝƚLJƌĂƟŽ;^DZͿŝƐƚŚĞŶƵŵďĞƌŽĨĚĞĂƚŚƐŝŶĞĂĐŚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƌĞŶĂůƵŶŝƚĚŝǀŝĚĞĚďLJƚŚĞŶƵŵďĞƌŽĨĞdžƉĞĐƚĞĚĚĞĂƚŚƐdŚĞĞdžƉĞĐƚĞĚŶƵŵďĞƌŽĨĚĞĂƚŚƐŝƐŽďͲƚĂŝŶĞĚďLJŵƵůƟǀĂƌŝĂƚĞŵŽĚĞůůŝŶŐĂĚũƵƐƟŶŐĨŽƌƚŚĞĐŚĂƌĂĐƚĞƌŝƐƟĐƐŽĨƉĂƟĞŶƚƐĂƚĞĂĐŚƚƌĞĂƟŶŐ,ůůƉĂƟĞŶƚƐĂŐĞĚшϭϴLJĞĂƌƐǁŚŽĐŽŵŵĞŶĐĞĚĚŝĂůLJƐŝƐĚƵƌŝŶŐϮϬϭϭ-ϮϬϭϲĂŶĚǁŚŽƌĞŵĂŝŶĞĚŽŶĚŝĂůLJƐŝƐхϵϬĚĂLJƐǁĞƌĞŝŶĐůƵĚĞĚ
Ŷ^DZĐůŽƐĞƚŽϭŵĞĂŶƐƚŚĂƚƚŚĞŽďƐĞƌǀĞĚŶƵŵďĞƌŽĨĚĞĂƚŚƐŝƐĐůŽƐĞƚŽƚŚĞĞdžƉĞĐƚĞĚŶƵŵďĞƌŶ^DZŚŝŐŚĞƌƚŚĂŶϭŵĞĂŶƐƚŚĂƚƚŚĞŽďƐĞƌǀĞĚŶƵŵďĞƌŽĨĚĞĂƚŚƐŝƐŚŝŐŚĞƌƚŚĂŶƚŚĞĞdžƉĞĐƚĞĚŶƵŵďĞƌdŚĞĐŽŶƚƌŽůůŝŵŝƚƐĂƌĞƐŚŽǁŶĂƐƚŚĞƉŽƚĞŶƟĂůĨŽƌĂŶ^DZƚŽĨĂůůŽƵƚƐŝĚĞƚŚĞϵϱйƉƌĞĚŝĐͲƟŽŶůŝŵŝƚ;Ϯ^ͿĂŶĚƚŚĞϵϵϴй;ϯ^ͿƉƌĞĚŝĐƟŽŶůŝŵŝƚůůŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐĨĞůůǁŝƚŚŝŶϯƐƚĂŶĚĂƌĚĚĞǀŝĂƟŽŶƐŽĨƚŚĞŵĞĂŶŶĂƟŽŶĂů^DZ
ůůŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐĨĂůůǁŝƚŚŝŶϯƐƚĂŶĚĂƌĚĚĞǀŝĂƟŽŶƐŽĨƚŚĞŵĞĂŶŶĂƟŽŶĂůŵŽƌƚĂůŝƚLJƌĂƚĞĨŽƌƉĂƟĞŶƚƐƐƚĂƌƟŶŐĚŝĂůLJƐŝƐďĞƚǁĞĞŶϮϬϭϭĂŶĚϮϬϭϲ
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ϰϴ
ŶĂĞŵŝĂ
dƌĞĂƚŵĞŶƚŽĨĂŶĂĞŵŝĂ
dƌĞĂƚŵĞŶƚŽĨĂŶĂĞŵŝĂǁŝƚŚĞƌLJƚŚƌŽƉŽŝͲĞƟŶŝƐĂƐƐŽĐŝĂƚĞĚǁŝƚŚǁŽƌƐĞƉĂƟĞŶƚŽƵƚĐŽŵĞƐǁŚĞŶƚŚĞŚĂĞŵŽŐůŽďŝŶŝƐĂďŽǀĞϭϯϬŐů/ŶƚĞƌŶĂƟŽŶĂůŐƵŝĚĞůŝŶĞƐƐƵŐŐĞƐƚŚĂĞŵŽŐůŽďŝŶŝƐŵĂŝŶƚĂŝŶĞĚďĞƚǁĞĞŶϭϭϬĂŶĚϭϮϬŐůĚƵƌŝŶŐĞƌLJƚŚͲƌŽƉŽŝĞƟŶƚƌĞĂƚŵĞŶƚWĂƟĞŶƚƐĂŶĚĐůŝŶŝͲĐŝĂŶƐŵĂLJĐŚŽŽƐĞƚŽĂŝŵĨŽƌĂůŽǁĞƌŚĂĞŵŽŐůŽďŝŶƚĂƌŐĞƚƚŚĂŶƚŚĞŐƵŝĚĞůŝŶĞƌĂŶŐĞ
ƉƉƌŽdžŝŵĂƚĞůLJƚǁŽ-ƚŚŝƌĚƐŽĨĚŝĂůLJƐŝƐƉĂƟĞŶƚƐŚĂǀĞĂŚĂĞŵŽŐůŽďŝŶůĞǀĞůďĞͲƚǁĞĞŶϭϭϬ-ϭϮϬŐůƉƉƌŽdžŝŵĂƚĞůLJϳϱйŽĨŚĂĞŵŽĚŝĂůLJƐŝƐƉĂƟĞŶƚƐĂƌĞƚƌĞĂƚĞĚǁŝƚŚĞƌLJƚŚƌŽƉŽŝĞƟŶdŚŝƐƉƌĞǀĂůĞŶĐĞŚĂƐĚĞĐƌĞĂƐĞĚďLJĂďŽƵƚϭϬйŽǀĞƌƚŚĞůĂƐƚϭϬLJĞĂƌƐƉƉƌŽdžŝŵĂƚĞůLJϴϬйŽĨƉĞƌŝƚŽŶĞĂůĚŝĂůLJƐŝƐƉĂƟĞŶƚƐĂƌĞƚƌĞĂƚĞĚǁŝƚŚĞƌLJƚŚƌŽƉŽŝĞƟŶdŚŝƐƉĞƌĐĞŶƚĂŐĞŝƐƐŽŵĞǁŚĂƚǀĂƌŝĂďůĞŽǀĞƌƟŵĞ
dŚĞƉƌŽƉŽƌƟŽŶŽĨƉĂƟĞŶƚƐǁŝƚŚĂŚĂĞͲŵŽŐůŽďŝŶĂďŽǀĞϭϯϬŐůǁŚŝůĞƚƌĞĂƚĞĚǁŝƚŚĞƌLJƚŚƌŽƉŽŝĞƟŶǀĂƌŝĞĚĂĐƌŽƐƐŝƐͲƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐƌĂŶŐŝŶŐĨƌŽŵϬйĂƚĂŶƚĞƌďƵƌLJƚŽϳϱйĂƚ^ŽƵƚŚĞƌŶ,
50
55
60
65
70
75
80
85
90
95
100
30
35
40
45
50
55
60
65
70
75
80
2011 2012 2013 2014 2015
ESA
trea
tmen
t, %
Haem
oglo
bin
leve
l 100
to 1
29 g
/l, %
HD, Haemoglobin target PD, Haemoglobin target
HD, ESA treatment PD, ESA treatment
0
10
20
30
40
50
60
70
80
Perc
ent
wit
h H
b >1
30 g
/l
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ϰϵ
WƌĞǀĂůĞŶĐĞŽĨŚĂĞŵŽŐůŽďŝŶхϭϯϬŐůǁŝƚŚĞƌLJƚŚƌŽƉŽŝĞƟŶƚŚĞƌĂƉLJďLJŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚ
dŚĞƉĞƌĐĞŶƚĂŐĞŽĨƉĂƟĞŶƚƐǁŚŽŚĂǀĞĂŚĂĞŵŽŐůŽďŝŶхϭϯϬŐůǁŚŝůĞƚƌĞĂƚĞĚǁŝƚŚĞƌLJƚŚƌŽƉŽŝĞƟŶǀĂƌŝĞƐĂĐƌŽƐƐŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐ
dŚĞƉĞƌĐĞŶƚĂŐĞŚĂƐĚĞĐƌĞĂƐĞĚŵĂƌŬĞĚůLJĂƚĂƉŝƚĂůΘŽĂƐƚ,ĞĂůƚŚĂŶĚDŝĚĞŶƚƌĂůŽǀĞƌƚŚĞůĂƐƚϱLJĞĂƌƐdŚĞƉƌĞǀĂůĞŶĐĞĂƚdĂƌĂŶĂŬŝĂŶĚĂŶƚĞƌďƵƌLJŝƐůŽǁ
ƚŵŽƐƚŝƐƚƌŝĐƚ,ĞĂůƚŚŽĂƌĚƐƚŚĞƌĂƚĞŚĂƐƌĞŵĂŝŶĞĚůĂƌŐĞůLJƵŶĐŚĂŶŐĞĚďĞͲƚǁĞĞŶϮϬϭϮĂŶĚϮϬϭϲ
0 20 40 60 80 100
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
20122013201420152016
Nor
thla
ndW
aite
mat
aAu
ckla
ndCo
untie
s Man
kau
Wai
kato
Haw
ke's
Bay
Tara
naki
Mid
Cent
ral
Capi
tal &
Coa
stCa
nter
bury
Sout
hern
Per cent
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