Indicator 3.9 Hospitalisation for end-stage renal disease as the principal diagnosis with diabetes as an additional diagnosis

Overview

In 2017–18, there were approximately 2,800 hospitalisations with a principal diagnosis of end-stage renal disease and an additional diagnosis of diabetes—11 per 100,000 population.

Trends

The age-standardised hospitalisation rate increased slightly from 8 per 100,000 in 2012–13 to 10 per 100,000 population in 2017–18.

Sex

After adjusting for age, the hospitalisation rate was higher in males than females (12 and 8 hospitalisations per 100,000 population, respectively) (Figure 3.9.1).

Population groups

Hospitalisation rates for end-stage renal disease with diabetes as an additional diagnosis were substantially higher among those living in Remote and very remote areas, and in the most disadvantaged areas of Australia, when compared to those living in other areas. This, in part, reflects the higher proportion of Indigenous Australians living in Remote and very remote and disadvantaged areas of Australia (Figure 3.9.2).

State and territory

Among the states and territories, rates were highest in the Northern Territory (74 per 100,000 population) and lowest in Tasmania (4 per 100,000 population). Other states had rates ranging from 6 to 14 per 100,000 population (Figure 3.9.2).

Aboriginal and Torres Strait Islander people

There were approximately 517 hospitalisations with a principal diagnosis of end-stage renal disease and an additional diagnosis of diabetes among Aboriginal and Torres Strait Islander people in 2017–18, a rate of 63 per 100,000 population. The age-standardised hospitalisation rate was 12 times as high among Indigenous Australians as non-Indigenous Australians (97 and 8 per 100,000 population, respectively). The disparity between the Indigenous and non-Indigenous rates was greater among females (17 times as high) than males (9 times as high) (Figure 3.9.2).

Explore the data

3.9 Hospitalisations for end-stage renal disease (principal diagnosis) with diabetes as an additional diagnosis, by age and sex, 2012–13 to 2017–18 and by selected population group, 2017–18

Trends figure 3.9.1 shows hospitalisations for end-stage renal disease (principal diagnosis) with diabetes as an additional diagnosis remained stable from 2012-13 to 2017-18. Hospitalisations were slightly higher among and persons aged 75-84, with rates increasing from 38 to 52 hospitalisations per 100,000 population between 2012-13 and 2017-18.

Population group figure 3.9.2 shows the hospitalisation rate for end-stage renal disease (principal diagnosis) with diabetes as an additional diagnosis was 10 per 100,000 population in 2017-18. Hospitalisation rates increased with age, peaking among those aged 75-84 at 58 and 46 per 100,000 males and females, respectively. Hospitalisations for end-stage renal disease with diabetes as an additional diagnosis increased with socioeconomic disadvantage and were around 7 times as high in Remote and Very remote areas as Major cities (61 and 9 per 200,000 population, respectively). Hospitalisations were over 12 times as high among Indigenous Australians as non-Indigenous Australians (97 and 8 per 100,000 population, respectively), with rates being highest among Indigenous females. Hospitalisations were significantly higher in Northern Territory (74 per 100,000 population) than any other state or territory. Rates were lowest in Tasmania (4 per 100,000 population).

Visualisation not available for printing

Indicator 3.9 data specifications

 

Definition

Data source

Numerator

Number of hospital separations for chronic kidney disease - stage 5 (ICD-10-AM: N18.5) as a principal diagnosis, with an additional diagnosis of diabetes (ICD-10-AM: E10, E11, E13, E14, O24)

AIHW NHMD

Denominator

Estimated Australian resident population.

AIHW Population Database (sourced from ABS Australian Demographic Statistics and Estimates and Projections, Aboriginal and Torres Strait Islander Australians)