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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Patients who initiate kidney replacement therapy with haemodialysis catheter are often perceived to have preference for remaining on in-centre haemodialysis and avoid home dialysis. We aimed to investigate the predictors of transition to home dialysis in these patients.
This was a retrospective cohort study. We identified patients who commenced dialysis via haemodialysis catheter from 2011 to 2021 from the ANZDATA registry. We then investigated factors associated with patients’ transition to home dialysis (peritoneal dialysis PD or home haemodialysis HHD) within 2 years. Baseline characteristics associated with this transition significant on univariate modelling were included in a Fine-Gray competing risk regression to estimate adjusted subhazard Ratio (aSHR) and multivariable multinominal logistic regression for adjusted Relative Risk Ratio (aRRR) to examine predictors of transition to home dialysis, compared to remaining at in-centre haemodialysis.
15649 patients were included, of which 3647 patients transitioned to home dialysis within two years. New Zealand patients had higher likelihood of transition to home dialysis (sHR 2.13 CI 1.98 – 2.29 p<0.001) than Australian patients. Late referral , defined as being seen by renal service less than 3 month before first dialysis treatment, positively predicts transition to Home dialysis (RRR 1.20 CI 1.05 – 1.37 p = 0.008) in New Zealand but not in Australia. Older age >61 year old (sHR 0.49 CI 0.43-0.56 p <0.001), female sex (sHR 0.83, CI 0.77-0.89 p <0.001), diabetes mellitus (sHR 0.73 CI 0.68 – 0.78 p <0.001), ischaemic heart disease (sHR 0.85 CI 0.78 -0.92 p <0.001), peripheral vascular disease (sHR 0.91 CI 0.83-0.994 p =0.037), cerebrovascular disease (sHR 0.83 CI 0.74 0.93 p = 0.002), chronic lung disease (sHR 0.85 CI 0.77-0.93 p = 0.001) and cancer (sHR 0.79 CI 0.72 – 0.88 p <0.001) were associated with lower likelihood of transitioning to home dialysis. Obesity was associated with lower likelihood of transition to PD (RRR 0.63 CI 0.56 – 0.71 p <0.001), but higher transition to home HD (RRR 1.48 CI 1.22 – 1.80 p<0.001)
Patients in New Zealand starting dialysis via a temporary catheter are more likely to transition to home dialysis than those in Australia. Late referral was associated with higher transition rates in New Zealand, and obesity increased the likelihood of home haemodialysis but reduced peritoneal dialysis uptake. Older age, female sex, and comorbidities were associated with lower transition rates. These findings highlight the impact of practice pattern and patient factors on dialysis modality choice and the need of targeted strategies to remove barriers of home dialysis uptake.
