Indigenous-specific primary health care: PI19a-Number of Indigenous regular clients with a selected chronic disease who have a kidney function test result within specified levels, December 2020

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Output measure
Short name:PI19a-Number of Indigenous regular clients with a selected chronic disease who have a kidney function test result within specified levels, December 2020
METeOR identifier:739450
Registration status:Indigenous, Endorsed 14/07/2021
Description:

Number of Indigenous regular clients, aged 15 and over, with type 2 diabetes or cardiovascular disease (CVD) who 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 male Indigenous regular clients, aged 15 and over, with type 2 diabetes who 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 female Indigenous regular clients, aged 15 and over, with type 2 diabetes who 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-specific primary health care national key performance indicators December 2020 Indigenous, Endorsed 14/07/2021

Collection and usage attributes

Population group age from:

15 years and over.

Computation description:

Count of Indigenous regular clients, aged 15 and over, with type 2 diabetes or CVD who 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 male Indigenous regular clients aged 15 and over with type 2 diabetes who 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 female Indigenous regular clients  aged 15 and over with type 2 diabetes who 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.

Presented as a number.

Computation:

Numerator only

Numerator:

Calculation A: Number of Indigenous regular clients aged 15 and over with type 2 diabetes who had an eGFR recorded within the previous 12 months with a result of greater than or equal to 90.

Calculation B: Number of Indigenous regular clients aged 15 and over with type 2 diabetes who 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 Indigenous regular clients aged 15 and over with type 2 diabetes who 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 Indigenous regular clients aged 15 and over with type 2 diabetes 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 Indigenous regular clients aged 15 and over with type 2 diabetes 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 Indigenous regular clients aged 15 and over with type 2 diabetes who had an eGFR recorded within the previous 12 months with a result of less than 15.

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

Calculation H: Number of Indigenous regular clients aged 15 and over with CVD who 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 Indigenous regular clients aged 15 and over with CVD who 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 Indigenous regular clients aged 15 and over with CVD 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 Indigenous regular clients aged 15 and over with CVD 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 Indigenous regular clients aged 15 and over with CVD who had an eGFR recorded within the previous 12 months with a result of less than 15.

Calculation M: Number of male Indigenous regular clients aged 15 and over with type 2 diabetes who had an ACR recorded within the previous 12 months with a result of less than 2.5.

Calculation N: Number of male Indigenous regular clients aged 15 and over with type 2 diabetes who 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 male Indigenous regular clients aged 15 and over with type 2 diabetes who had an ACR recorded within the previous 12 months with a result of greater than 25.

Calculation P: Number of female Indigenous regular clients aged 15 and over with type 2 diabetes who had an ACR recorded within the previous 12 months with a result of less than 3.5.

Calculation Q: Number of female Indigenous regular clients aged 15 and over with type 2 diabetes who 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 female Indigenous regular clients aged 15 and over with type 2 diabetes who 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-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Indigenous only.


Data Element / Data SetPerson—cardiovascular disease recorded indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Type 2 diabetes only.


Data Element / Data SetPerson—estimated glomerular filtration rate (eGFR) result, code N[A]
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
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 often combined into a single category analysis, i.e. eGFR greater than or equal to 60.


Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Regular clients only.


Data Element / Data SetPerson—sex, code X
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—albumin/creatinine ratio (ACR) result, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Aged 15 and over only.


Disaggregation:

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:
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Aged 15 and over only.


Comments:

Census date for reporting is 31 December 2020.

Representational attributes

Representation class:Count
Data type:Real
Unit of measure:Person
Format:

N[N(6)]

Indicator conceptual framework

Framework and dimensions:Effective/Appropriate/Efficient

Data source attributes

Data sources:
Data SourceIndigenous-specific primary health care national Key Performance Indicators (nKPI) 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.

Australian Government Department of Health.

Relational attributes

Related metadata references:

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, June 2020 Health, Retired 13/10/2021, Indigenous, Archived 14/07/2021

See also Indigenous-specific primary health care: PI19b-Proportion of Indigenous regular clients with a selected chronic disease who have a kidney function test result within specified levels, December 2020 Indigenous, Endorsed 14/07/2021