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Original ArticlesEpidemiology and Outcomes
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The Outcomes of Patients with ESRD and ANCA-Associated Vasculitis in Australia and New Zealand

Wen Tang, Bhadran Bose, Stephen P. McDonald, Carmel M. Hawley, Sunil V. Badve, Neil Boudville, Fiona G. Brown, Philip A. Clayton, Scott B. Campbell, Chen Au Peh and David W. Johnson
CJASN May 2013, 8 (5) 773-780; DOI: https://doi.org/10.2215/CJN.08770812
Wen Tang
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
†Division of Nephrology, Peking University Third Hospital, Beijing, China;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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Bhadran Bose
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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Stephen P. McDonald
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
§Department of Nephrology and Transplantation Services, University of Adelaide at Central Northern Adelaide Renal and Transplantation Services, Adelaide, Australia;
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Carmel M. Hawley
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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Sunil V. Badve
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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Neil Boudville
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‖School of Medicine and Pharmacology, Sir Charles Gairdner Hospital Unit, The University of Western Australia, Perth, Australia;
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Fiona G. Brown
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
¶Department of Nephrology, Monash Medical Centre, Melbourne, Victoria, Australia;
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Philip A. Clayton
**Department of Renal Medicine, Royal Prince Alfred Hospital, Sydney, Australia; and
††School of Public Health, University of Sydney, Sydney, Australia
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Scott B. Campbell
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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Chen Au Peh
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
§Department of Nephrology and Transplantation Services, University of Adelaide at Central Northern Adelaide Renal and Transplantation Services, Adelaide, Australia;
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David W. Johnson
*Australia and New Zealand Dialysis and Transplant Registry, Adelaide, Australia;
‡Department of Nephrology, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia;
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  • Figure 1.
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    Figure 1.

    Kaplan–Meier survival curves in dialyzed ESRD patients with granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and other causes of ESRD in Australian and New Zealand during 1996–2010.

  • Figure 2.
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    Figure 2.

    Kaplan–Meier first graft survival curves in transplanted ESRD patients with granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and other causes of ESRD in Australia and New Zealand during 1996–2010.

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    Figure 3.

    Kaplan–Meier patient survival curves in transplanted ESRD patients with granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and other causes of ESRD in Australia and New Zealand during 1996–2010.

Tables

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    Table 1.

    Characteristics of all patients with ESRD secondary to granulomatosis with polyangiitis and microscopic polyangiitis or other causes in Australia and New Zealand during 1996–2010

    CharacteristicGranulomatosis with Polyangiitis (n=221)Microscopic Polyangiitis (n=228)Other ESRD (n=36,435)P Value
    Age (yr)60.7±16.461.8±15.458.0±16.7<0.001
    Age category (yr)0.05
     0–90 (0)1 (0)312 (1)
     10–195 (2)4 (2)584 (2)
     20–299 (4)7 (3)1570 (4)
     30–3912 (5)9 (4)2800 (8)
     40–4924 (11)22 (10)4921 (14)
     50–5939 (18)38 (17)7239 (20)
     60–6954 (24)64 (28)8565 (24)
     70–7963 (29)69 (30)8212 (23)
     ≥8015 (7)14 (6)2232 (6.1)
    Male153 (61.1)153 (67.1)21,677 (59.5)0.06
    Racial origin<0.001
     European209 (95)214 (94)26,746 (73)
     ATSI0 (0)2 (1)2736 (8)
     MPI4 (2)3 (1)3784 (10)
     Asian6 (3)4 (2)1824 (5)
     Other2 (1)5 (2)1345 (4)
    RRT era0.23
     1996–200060 (27)71 (31)9730 (27)
     2001–200585 (39)75 (33)12,241 (34)
     2006–201076 (34)82 (36)14,464 (40)
    Ever smoked0.13
    Current19 (9)34 (15)4747 (13)
     Former88 (40)104 (46)14,409 (40)
     Never114 (52)90 (40)17,271 (47)
     Missing0 (0)0 (0)8 (0)
    Hypertension<0.001
     Yes104 (47)112 (49)17,670 (48)
     No31 (14)27 (12)2720 (8)
     Missing86 (39)89 (39)16,045 (44)
    Diabetes mellitus<0.001
     Yes34 (15)33 (14)14,771 (41)
     No187 (85)195 (86)21,664 (59)
    Chronic lung disease<0.001
     Yes59 (27)54 (24)5746 (16)
     No162 (73)174 (76)30,689 (84)
    Coronary artery disease<0.001
     Yes61 (28)64 (28)14,242 (39)
     No160 (72)164 (72)22,192 (61)
     Missing0 (0)0 (0)1 (0)
    Peripheral vascular disease<0.001
     Yes39 (18)29 (13)9336 (26)
     No182 (82)199 (87)27,098 (74)
     Missing0 (0)0 (0)1 (0)
    Cerebrovascular disease0.03
     Yes18 (8)24 (10)5402 (15)
     No203 (92)204 (90)31,032 (85)
     Missing0 (0)0 (0)1 (0)
    BMI (kg/m2)25.8±5.325.5±5.227.1±6.4<0.001
    First RRT<0.001
     Hemodialysis186 (84)181 (79)25,626 (70)
     Peritoneal dialysis33 (15)43 (19)9627 (26)
     Renal transplant2 (1)4 (2)1182 (3)
    Renal biopsy<0.001
     Yes210 (95)219 (96)11,198 (31)
     No10 (5)8 (4)24,397 (67)
     Missing1 (0)1 (0)840 (2)
    Follow-up (years)3.0 (1.0–5.8)3.3 (1.3–5.7)3.1 (1.3–5.9)0.08
    • Data are presented as mean ± SD, n (%), or median (range). ATSI, Aboriginal and Torres Strait Islander; MPI, Maori and Pacific Islander; RRT, renal replacement therapy; BMI, body mass index.

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    Table 2.

    Characteristics of all renal transplant patients with ESRD secondary to ANCA-associated vasculitis or other causes in Australia and New Zealand during the period 1996–2010

    CharacteristicGranulomatosis with Polyangiitis (n=47)Microscopic Polyangiitis (n=46)Other ESRD (n=8193)P Value
    Age (yr)46.5±14.552.8±15.844.1±15.4<0.001
    Male33 (70)28 (61)5076 (62)0.50
    Racial origin0.08
     European45 (96)44 (96)6722 (82)
     ATSI0 (0)0 (0)241 (3)
     MPI0 (0)0 (0)341 (4)
     Asian2 (4)0 (0)524 (6)
     Other0 (0)2 (4)365 (5)
    Transplant era0.41
     1996–200015 (32)17 (37)1543 (19)
     2001–200524 (51)18 (39)2937 (36)
     2006–20108 (17)11 (24)3713 (45)
    Ever smoked0.56
     Current3 (6)7 (15)873 (11)
     Former14 (30)18 (39)2423 (30)
     Never30 (64)21 (46)4890 (60)
     Missing0 (0)0 (0)7 (0)
    Hypertension0.64
     Yes27 (57)29 (63)4879 (60)
     No8 (17)4 (9)859 (10)
     Missing12 (26)13 (28)2455 (30)
    Diabetes mellitus0.04
     Yes3 (6)3 (7)1323 (16)
     No44 (94)43 (94)6870 (84)
    Chronic lung disease<0.001
     Yes6 (13)9 (20)352 (4)
     No41 (87)37 (80)7841 (96)
    Coronary artery disease0.57
     Yes6 (13)3 (7)749 (9)
     No41 (87)43 (94)7444 (91)
    Peripheral vascular disease0.19
     Yes5 (11)1 (2)458 (6)
     No42 (89)45 (98)7735 (94)
    Cerebrovascular disease0.40
     Yes3 (6)2 (4)256 (3)
     No44 (94)44 (96)7937 (97)
    BMI (kg/m2)24.9±4.026.1±4.625.3±5.20.68
    Late referral<0.001
     Yes13 (28)18 (39)1338 (16)
     No34 (72)28 (61)6808 (83)
     Missing0 (0)0 (0)47 (1)
    Donor type0.76
     Deceased28 (57)25 (51)4748 (56)
     Living2 (43)24 (49)3694 (44)
    Subsequent grafts0.76
     Second2 (1)3 (1)254 (3)
     Third0 (0)0 (0)6 (0)
    • Data are presented as mean ± SD, n (%), or median (range). ATSI, Aboriginal and Torres Strait Islander; MPI, Maori and Pacific Islander; BMI, body mass index; RRT, renal replacement therapy.

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Clinical Journal of the American Society of Nephrology: 8 (5)
Clinical Journal of the American Society of Nephrology
Vol. 8, Issue 5
May 07, 2013
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The Outcomes of Patients with ESRD and ANCA-Associated Vasculitis in Australia and New Zealand
Wen Tang, Bhadran Bose, Stephen P. McDonald, Carmel M. Hawley, Sunil V. Badve, Neil Boudville, Fiona G. Brown, Philip A. Clayton, Scott B. Campbell, Chen Au Peh, David W. Johnson
CJASN May 2013, 8 (5) 773-780; DOI: 10.2215/CJN.08770812

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The Outcomes of Patients with ESRD and ANCA-Associated Vasculitis in Australia and New Zealand
Wen Tang, Bhadran Bose, Stephen P. McDonald, Carmel M. Hawley, Sunil V. Badve, Neil Boudville, Fiona G. Brown, Philip A. Clayton, Scott B. Campbell, Chen Au Peh, David W. Johnson
CJASN May 2013, 8 (5) 773-780; DOI: 10.2215/CJN.08770812
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