Reports

This report presents the results of a 2025 survey of haemodialysis capacity conducted by the Australian and New Zealand Society of Nephrology (ANZSN), the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry, and the New Zealand National Clinical Renal Network. The survey covers all haemodialysis units in Australia and Aotearoa New Zealand.Haemodialysis is the most common form of kidney replacement therapy in Australia and Aotearoa New Zealand, most often delivered in hospital or satellite dialysis centres. Because treatments are frequent and lengthy, access to services reasonably close to where people live is important. Adequate capacity depends on sufficient machines, staff, and physical space.The report details patient-to-machine ratios across capital cities and regions, identifies where machines are non-functional due to staffing or funding constraints, and documents waiting lists for haemodialysis access. Key findings include waiting lists in more than 80% of Australian regions, machines out of service in 24% of Australian units, and several jurisdictions operating above usual capacity levels, with particular pressure in regional and remote areas.

This Special Report is a collaboration between the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry and the Australian and New Zealand Society of Nephrology (ANZSN). This Special Report details results from a survey of adult and paediatric Nephrology Units in Australia and New Zealand. Part 1 details units’ workforce structure and Part 2 has a special focus on dialysis capacity This report complements existing Registry publications including the ANZDATA and ANZSN Special Report on Haemodialysis Capacity. This is part of an ongoing body of work addressing growing rates of kidney failure and areas of service constraint and shortfall in meeting the needs of the growing number of patients undergoing kidney replacement therapy.

This report is a collaboration between the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry and the Australian and New Zealand Society of Nephrology (ANZSN).This Special Report on haemodialysis capacity complements existing Registry publications by focusing on the infrastructure supporting haemodialysis treatments in Australia.

With special thanks to the Parenthood Working Group members for their invaluable contributions and support, this report presents findings from the annual ANZDATA Parenthood Survey conducted in December 2022. It aims to inform contributing units in Australia and New Zealand, as well as other stakeholders, about parenthood outcomes among women and men receiving kidney replacement therapy (KRT; chronic dialysis or kidney transplantation) for kidney failure.

This report summarises key findings from the parenthood survey, providing insights for contributing units in Australia and New Zealand, as well as other stakeholders, on parenthood outcomes among women and men receiving kidney replacement therapy (KRT; chronic dialysis or kidney transplantation) for kidney failure. It is the second publication in the ANZDATA Special Report series.

This is the first of the ANZDATA special report series. These reports aim to complement existing output (such as the Annual Report) and provide an opportunity to release material that is of relevance to contributors but does not fit readily within an annual reporting structure, or suitable for publication in a peer-reviewed research journal. These reports are prepared and reviewed internally.ANZDATA Special Report Series – No. 1 – summarising the of findings from the Australian and New Zealand Dialysis and Transplant unit survey conducted in association with the December 2019 ANZDATA data collection.