{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T18:33:56Z","timestamp":1791657236598,"version":"4.3.4"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic caused widespread global disruptions to healthcare systems. There has been no assessment of this on dialysis practice at a binational level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi\u2010centre retrospective observational cohort study using data from the ANZDATA Registry was performed, with adult incident dialysis patients (1 January 2018 to 31 December 2022). Patients commencing dialysis during 2020\u20132022 were compared to 2018\u20132019 for the primary outcome of dialysis incidence rate. Secondary outcomes included estimated glomerular filtration rate (eGFR) at dialysis start, initial treatment location (home vs. facility), modality (haemodialysis vs. peritoneal dialysis), haemodialysis access, frequency, and duration. Commencement during lockdown in 2020\u20132021 was also analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      11\u2009690 patients commenced dialysis during 2020\u20132022 and 7366 commenced during 2018\u20132019, with no differences in incidence rate across the pandemic years (2020:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.163, 2021:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.139, 2022:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.190). Compared to pre\u2010pandemic years, uptake of home\u2010based therapies was higher in 2020 (OR\u2009=\u20091.16, 95% CI 1.06\u20131.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) with no difference in 2021 and 2022. Peritoneal dialysis uptake was higher in 2020 (OR\u2009=\u20091.15, 95% CI 1.04\u20131.26,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and 2021 (OR\u2009=\u20091.11, 95% CI 1.01\u20131.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) with no difference in 2022. Haemodialysis patients were less likely to commence with an arteriovenous fistula or graft in 2022, compared to pre\u2010pandemic years (OR\u2009=\u20090.87, 95% CI 0.78\u20130.96,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005). Odds of commencing haemodialysis with an arteriovenous fistula or graft were reduced during lockdown (OR\u2009=\u20090.79, 95% CI 0.65\u20130.95,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was no change in the incidence rate of dialysis patients during 2020\u20132022, although there were differences in home dialysis uptake and starting access type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nep.70077","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T02:08:03Z","timestamp":1753063683000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Changes in Dialysis Practice Patterns in Australia and New\u00a0Zealand During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic Period"],"prefix":"10.1111","volume":"30","author":[{"given":"Daniela","family":"Potter","sequence":"first","affiliation":[{"name":"Department of Renal Medicine Liverpool Hospital  Liverpool New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"},{"name":"University of Western Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevan R.","family":"Polkinghorne","sequence":"additional","affiliation":[{"name":"Department of Medicine Monash University  Melbourne Victoria Australia"},{"name":"Department of Nephrology, Monash Medical Centre Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Conway","sequence":"additional","affiliation":[{"name":"Australia &amp; New Zealand Dialysis &amp; Transplant (ANZDATA) Registry South Australian Health &amp; Medical Research Institute (SAHMRI)  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6595-8656","authenticated-orcid":false,"given":"Christopher E.","family":"Davies","sequence":"additional","affiliation":[{"name":"Australia &amp; New Zealand Dialysis &amp; Transplant (ANZDATA) Registry South Australian Health &amp; Medical Research Institute (SAHMRI)  Adelaide South Australia Australia"},{"name":"Faculty of Health &amp; Medical Sciences University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Au","sequence":"additional","affiliation":[{"name":"Australia &amp; New Zealand Dialysis &amp; Transplant (ANZDATA) Registry South Australian Health &amp; Medical Research Institute (SAHMRI)  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Pilmore","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmant","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Nephrology East Metropolitan Health Services  Perth Western Australia Australia"},{"name":"University of Western Australia &amp; 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