Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015
METeOR identifier:594108
Registration status:Health, Superseded 05/10/2016
Indigenous, Archived 20/01/2017
Description:

Proportion of regular clients who are Indigenous, aged 15 years and over, who are recorded as having Type II diabetes or cardiovascular disease (CVD) and who have had an estimated glomerular filtration rate (eGFR) recorded within the previous 12 months with a result of (ml/min/1.73m²):

  • greater than or equal to 90;
  • greater than or equal to 60 but less than 90;
  • greater than or equal to 45 but less than 60;
  • greater than or equal to 30 but less than 45;
  • greater than or equal to 15 but less than 30 or;
  • less than 15

OR the proportion of regular clients who are male, Indigenous, aged 15 years and over, who are recorded as having Type II diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 2.5
  • greater than or equal to 2.5 but less than or equal to 25
  • greater than 25

OR the proportion of regular clients who are female, Indigenous, aged 15 years and over, who are recorded as having Type II diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 3.5
  • greater than or equal to 3.5 but less than or equal to 35
  • greater than 35
Rationale:

Indigenous Australians have very high levels of kidney disease due to a range of risk factors and antecedents. Kidney disease contributes substantially to the high burden of ill health experienced by Indigenous Australians. Tests of a person’s urine and blood can identify most cases of chronic kidney disease when the disease is in its early stages, enabling treatment to prevent or slow down the progression. Glomerular filtration and albumin/creatinine ratio rate are accepted as the best measures of kidney disease.

Indicator set:Indigenous primary health care key performance indicators (2015) Health, Superseded 05/10/2016
Indigenous, Archived 20/01/2017

Collection and usage attributes

Population group age from:15 years
Computation description:

Proportion of regular clients who are Indigenous, aged 15 years and over, who are recorded as having Type II diabetes or CVD and who have had an eGFR recorded within the previous 12 months with a result of (ml/min/1.73m²):

  • greater than or equal to 90;
  • greater than or equal to 60 but less than 90;
  • greater than or equal to 45 but less than 60;
  • greater than or equal to 30 but less than 45;
  • greater than or equal to 15 but less than 30 or;
  • less than 15

OR the proportion of regular clients who are male, Indigenous, aged 15 years and over, who are recorded as having Type II diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 2.5
  • greater than or equal to 2.5 but less than or equal to 25
  • greater than 25

OR the proportion of regular clients who are female, Indigenous, aged 15 years and over, who are recorded as having Type II diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 3.5
  • greater than or equal to 3.5 but less than or equal to 35
  • greater than 35

‘Regular client’ refers to a client of an OATSIH-funded primary health care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the OATSIH-funded primary health care service at least 3 times in 2 years.

Presented as a percentage.

Computation:(Numerator ÷ Denominator) x 100
Numerator:

Calculation A: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 90.

Calculation B: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 60 but less than 90.

Calculation C: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 45 but less than 60.

Calculation D: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who had an eGFR recorded within the previous 12 months with a result of greater than or equal to 30 but less than 45.

Calculation E: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who had an eGFR recorded within the previous 12 months with a result of greater than or equal to 15 but less than 30.

Calculation F: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an eGFR recorded within the previous 12 months with a result of less than 15.

Calculation G: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 90.

Calculation H: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 60 but less than 90.

Calculation I: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who have had an eGFR recorded within the previous 12 months with a result of greater than or equal to 45 but less than 60.

Calculation J: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who had an eGFR recorded within the previous 12 months with a result of greater than or equal to 30 but less than 45.

Calculation K: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who had an eGFR recorded within the previous 12 months with a result of greater than or equal to 15 but less than 30.

Calculation L: Number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who have had an eGFR recorded within the previous 12 months with a result of less than 15.

Calculation M: Number of regular clients who are male, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of less than 2.5.

Calculation N: Number of regular clients who are male, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of greater than or equal to 2.5 but less than or equal to 25.

Calculation O: Number of regular clients who are male, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of greater than 25.

Calculation P: Number of regular clients who are female, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of less than 3.5.

Calculation Q: Number of regular clients who are female, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of greater than or equal to 3.5 but less than or equal to 35.

Calculation R: Number of regular clients who are female, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months with a result of greater than 35.

 

Numerator data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—cardiovascular disease recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Guide for use
Type II diabetes only.
Data Element / Data SetPerson—estimated glomerular filtration rate (eGFR) result, code N[A]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Guide for use
For the purposes of this indicator, categories 1 (eGFR greater than or equal to 90) and 2 (eGFR greater than or equal to 60 but less than 90) of this data element are to be combined into a single category, i.e. eGFR greater than or equal to 60.
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—sex, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—albumin/creatinine ratio (ACR) result, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Denominator:

Calculation A, B, C, D, E and F: Total number of regular clients who are Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who had an eGFR result recorded within the previous 12 months.

Calculation G, H, I, J, K and L: Total number of regular clients who are Indigenous, aged 15 years and over, are recorded as having CVD and who had an eGFR result recorded within the previous 12 months.

Calculation M, N and O: Total number of regular clients who are male, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months.

Calculation P, Q and R: Total number of regular clients who are female, Indigenous, aged 15 years and over, are recorded as having Type II diabetes and who have had an ACR recorded within the previous 12 months.

Denominator data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—cardiovascular disease recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Guide for use
Type II diabetes only.
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—estimated glomerular filtration rate (eGFR) recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—sex, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—albumin/creatinine ratio (ACR) result, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Disaggregation:1. Sex:
a) Male
b) Female

2. Age:
a) 15-24 years
b) 25-34 years
c) 35-44 years
d) 45-54 years
e) 55-64 years
f) 65 years and over
Disaggregation data elements:
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17
Data Element / Data SetPerson—sex, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2015-17

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person

Indicator conceptual framework

Framework and dimensions:Effective/Appropriate/Efficient

Data source attributes

Data sources:
Data SourceIndigenous primary health care data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare.


Source and reference attributes

Submitting organisation:

Australian Institute of Health and Welfare

Department of Health

Relational attributes

Related metadata references:

See also Indigenous primary health care: PI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015 Health, Superseded 05/10/2016, Indigenous, Archived 20/01/2017

Has been superseded by Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2015-2017 Health, Superseded 25/01/2018, Indigenous, Archived 27/02/2018

Supersedes Indigenous primary health care: PI19b-Proportion of regular clients with a selected chronic disease who have had an eGFR recorded with results within specified levels, 2014 Health, Superseded 13/03/2015, Indigenous, Archived 13/03/2015