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Some analyses, such as patient survival, were on historic cohorts to allow sufficient time for follow-up. Third, a short list of key findings and fourth, the analyses, which comprised tables and figures. Second, the rationale for analyses, which was based primarily on the Renal Association guidelines. First, an introduction, which included a diagrammatic explanation of the relevant patient cohort, Figure 1 as an example. The incident cohort was those patients new to RRT for ESKD in 2017, while the prevalent cohort was all patients on RRT for ESKD at the end of 2017.Īnalyses of adult data for the 21st Annual Report were grouped into the following chapters: incidence prevalence in-centre haemodialysis (ICHD) peritoneal dialysis (PD) transplant and access to transplant.Įach chapter was split into 4 sections. Patients who recovered kidney function within 90 days of RRT start were excluded from analyses, but patients who died within 90 days of RRT start were included. Recoding could have occurred when the patient’s clinician decided renal recovery would not take place, or automatically at 90 days after RRT start. Patients receiving RRT for AKI were only included in the analyses if they were later recoded as ESKD. Patients starting RRT can be coded as AKI or ESKD by the treating nephrologists. Data linkages with NHS Blood and Transplant and Public Health England enabled analyses of the care of transplant patients and of healthcare associated infections in RRT patients, respectively. Dialysis access data at dialysis initiation were collected separately via the dialysis access audit spreadsheet submitted by renal centres. Scottish data were collected, validated and published by the Scottish Renal Registry before they were shared with the UKRR. English, Welsh and Northern Irish renal centres sent their data directly to the UKRR, where the data were cleaned and validated before analyses were conducted. As in previous years, most data items were collected from renal centres via secure and automatic quarterly downloads from the renal centre IT systems to the UKRR database. The UKRR collected data on adult patients receiving RRT for ESKD at the UK’s 71 adult renal centres during 2017. The corresponding paediatric summary is published separately in this issue. In this article, we summarise the analyses of adult patient data presented in the UKRR 21st Annual Report. In brief, there is now very little clinical commentary, there are fewer chapters and these reflect treatment types and stage, and there is greater alignment of analyses to the Renal Association guidelines – consequently, for example, phosphate and parathyroid hormone are no longer included in the report. To improve the timeliness of data reporting, the format of the UKRR 21st Annual Report – data to Decem differs significantly to that of previous years. Currently, only patients on RRT for ESKD are included. The UKRR annual report comprises renal centre comparisons and analyses of attainment of the Renal Association audit measures published in their guidelines, national averages and long-term trends. Recently, the UKRR dataset was widened to include not only patients on renal replacement therapy (RRT) for end-stage kidney disease (ESKD) but also patients with acute kidney injury (AKI) in primary and secondary care (in England only) and patients with chronic kidney disease (CKD) in secondary care nephrology not on dialysis. At the left side, you can find its indication "Updating".The UK Renal Registry (UKRR) collects, analyses and reports data from the UK’s 71 adult and 13 paediatric renal centres.Browse to the "AVG Update" folder location and Select that folder and click on OK.Select the option "Update from directory".Copy the update file you downloaded here to that folder.

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