Indicator Metadata

Summary View
Detailed View

Name	Final Treatment Modality for End-Stage Kidney Disease (ESKD) Patients on December 31
Short/Other Names	Not applicable
Description	Breakdown of all patients with end-stage kidney disease (ESKD) receiving renal replacement therapy (RRT) (either dialysis or living with a functioning kidney graft) by treatment modality at year-end
Interpretation	Counts of the number of patients by treatment modality provide an indication of both the burden of ESKD and the type of RRT.
HSP Framework Dimension	Health System Outcomes: Improve health status of Canadians
Areas of Need	Not applicable
Geographic Coverage	All provinces/territories except Quebec
Reporting Level/Disaggregation	National, Province/Territory, Breakdown by final treatment modality, breakdown by sex
Indicator Results	CORR Final Treatment Modality for End-Stage Kidney Disease (ESKD) Patients on December 31

Identifying Information

Name	Final Treatment Modality for End-Stage Kidney Disease (ESKD) Patients on December 31
Short/Other Names	Not applicable

Indicator Description and Calculation

Description	Breakdown of all patients with end-stage kidney disease (ESKD) receiving renal replacement therapy (RRT) (either dialysis or living with a functioning kidney graft) by treatment modality at year-end
Calculation: Description	Counts are based on patients registered with the Canadian Organ Replacement Register (CORR) during a given calendar year in a Canadian facility
Calculation: Geographic Assignment	Place of service
Calculation: Type of Measurement	Number - Frequency total
Calculation: Adjustment Applied	None
Calculation: Method of Adjustment	Not applicable
Denominator
Numerator	Description: ESKD patients registered in CORR who, as of December 31 of each calendar year • Are living and receiving hemodialysis • Are living and receiving peritoneal dialysis • Have had kidney transplants and are still alive with a functioning graft Inclusions: Patients registered in CORR during a given calendar year and alive on December 31 of that year Exclusions: None

Background, Interpretation and Benchmarks

Rationale	Tracking the number of ESKD patients in each of these treatment groups is important for quantifying the cost associated with dialysis and kidney transplants, as well as the need for kidney donations. Different patient outcomes and different costs are associated with each form of RRT.
Interpretation	Counts of the number of patients by treatment modality provide an indication of both the burden of ESKD and the type of RRT.
HSP Framework Dimension	Health System Outcomes: Improve health status of Canadians
Areas of Need	Not applicable
Targets/Benchmarks	Not applicable
References	Not applicable

Availability of Data Sources and Results

Data Sources	CORR
Available Data Years	Type of Year: First Available Year: 2009 Last Available Year: 2018
Geographic Coverage	All provinces/territories except Quebec
Reporting Level/Disaggregation	National, Province/Territory, Breakdown by final treatment modality, breakdown by sex

Result Updates

Update Frequency	Every year
Indicator Results	Web Tool: Quick Stats URL: CORR Final Treatment Modality for End-Stage Kidney Disease (ESKD) Patients on December 31
Updates	Not applicable

Quality Statement

Caveats and Limitations

Data from Quebec was not included because of significant under-reporting between 2011 and 2018.

Patients being treated in the Northwest Territories and Nunavut are included in the Alberta count. Patients being treated in Yukon are included in the British Columbia count. Patients being treated in Prince Edward Island are included in the Nova Scotia count.

CORR is a longitudinal database, following patients over time. Reporting centres may submit changes/updates for any particular year on an ongoing basis. As a result, data is subject to change and may differ from data in previously published reports.

The number of patients registered in CORR may vary from the actual number of patients receiving dialysis/living with a functioning kidney graft at year-end, for the following reasons:
• Incident (new) patients are under-reported by some centres.
• Deaths are under-reported by some centres.

For more information on under-reporting to CORR, please refer to Data Quality Documentation for Users: Canadian Organ Replacement Register, 2009 to 2018 Data.

Trending Issues

An overview of under-reporting of incidence and mortality of ESKD cases can be found in Data Quality Documentation for Users: Canadian Organ Replacement Register, 2009 to 2018 Data.

Comments

Not applicable