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UK Renal Registry Update 2008 – 09 and future plans. Overview. Registry structure & development Registry Report highlights / new analyses Work in progress Grants in progress New analyses. Registry Staff. Deputy Director / senior project manager Project manager Informatics manager
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Overview • Registry structure & development • Registry Report highlights / new analyses • Work in progress • Grants in progress • New analyses
Registry Staff Deputy Director / senior project manager Project manager Informatics manager 1 additional statistician (total = 4) 1 additional IT database support
Registry IT Re written the UKRR database New hardware (Linux box) New database New language for file loading routines = New error reports Updated for NRD Changes to file submission interface IT support for new web based databases
New data items Pre RRT CKD 5 (at 6 sites only) Monthly extracts of lab data in quarterly data extract (+dates) Access – vascular & PD HD individual session logging
New data items Transplant waiting list status - at dialysis centres too
Registry Reports 2008 Nephron clinical practice supplement Hard copies available as per usual CDs available at RA meeting
Registry Reports Commissioner specific Report Transplant specific Report to BTS
5th quintile Rate = 137 Least deprived
Renal Patient View Keith Simpson & Neil Turner continue to direct strategy and development Management moved to Bristol Registry Informatics manager handling email queries Funded £2.50 (inc VAT) per RRT patient
Renal Data Map Atlas Grant from Dept Health East Midlands PHO Afzal Chaudhry http://www.renalreg.com/interactive-maps/
Modelling RRT Dept of Health Excel based model, July release Configurable locally Inputs Rates, age, deaths, modality use, ethnicity, deprivation, costs Future support ? by Registry
Other analyses Standards and Survival on home HD Daily Dialysis Survival benefit of transplantation Audit of death after transfer to adult care BP and survival on HD International comparisons of standard achievement
Grants submitted CKD 4/5 (HQIP tender -not won) Improving access to transplantation Improving centre outcomes Statistical survival prediction model