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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, 2018-2019

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termPI19a-Number of regular clients with a selected chronic disease who have had a kidney function test with results within specified levels, 2018-2019
METeOR identifier:Help on this term688000
Registration status:Help on this termHealth, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018
Description:Help on this term

Number of regular clients who are Indigenous, aged 15 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 number of regular clients who are male, Indigenous, aged 15 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 number of regular clients who are female, Indigenous, aged 15 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:Help on this term

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:Help on this termIndigenous primary health care key performance indicators 2018-2019 Health, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018

Collection and usage attributes

Population group age from:Help on this term

15 years

Computation description:Help on this term

Count of regular clients who are Indigenous, aged 15 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 count of regular clients who are male, Indigenous, aged 15 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 count of regular clients who are female, Indigenous, aged 15 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 Australian Government Department of Health-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 Department of Health-funded primary health-care service at least 3 times in 2 years.

Presented as a number.

Computation:Help on this term

Numerator only

Numerator:Help on this term

Calculation A: Number of regular clients who are Indigenous, aged 15 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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:Help on this term
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
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 NBEDS 2018–19
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
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 NBEDS 2018–19
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 NBEDS 2018–19
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
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 NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Disaggregation:Help on this term

1. Sex:
a) Male
b) Female

2. Age group:
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:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[N(6)]

Indicator conceptual framework

Framework and dimensions:Help on this termEffective/Appropriate/Efficient

Data source attributes

Data sources:Help on this term
Data SourceIndigenous primary health care data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare


Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Australian Government Department of Health

Relational attributes

Related metadata references:Help on this term

Supersedes 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, 2015-2017 Health, Superseded 17/10/2018, Indigenous, Archived 17/10/2018

See also 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, 2018-2019 Health, Standard 17/10/2018, Indigenous, Endorsed 17/10/2018

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