This HHS renal service uses Audit4, which was developed by Software for Specialists (S4S) in Australia, for clinical

management and audit functions in medical and surgical specialties. Methods: From December 2011, CKD patients (not on RRT) attending public renal clinics were offered entry into the CKD.QLD registry, with informed consent. Data collected during usual care were extracted from Audit 4. Results: There were 349 patients, 202 males and 147 females, with median age of 64 years. Fifty six (16%) were Indigenous. 64% of Indigenous patients and 32% of non-Indigenous patients had diabetes (type2). Proportions with CKD Stages 2, 3A, 3B, 4, 5 were 2%, 19.3%, 26.7%, 37.6%, and 14.4%. The main primary renal diseases were renovascular (24.6%), GN (19.8%), other selleckchem (16.9%), diabetic nephropathy (32% for Indigenous and 9.2% for nonindigenous patients), and renal calculi (7% for both Indigenous and nonindigenous patients). Twenty five people died (increasing rates by stage), 31 started RRT (predominantly stages 4 and 5 at baseline), and 10 were discharged. Conclusions: This analysis demonstrates the utility of AUDIT4. High proportions of Indigenous participants, the different weightings LDK378 of diabetes and diabetic nephropathy by Indigenous status, and the very high rate of renal stone disease, are special features of this far North Queensland

setting. 191 HAVE WE FORGOTTEN THE BASICS – WHAT IS THE IMPACT OF DIETARY CALCIUM INTAKE ON PARATHYROID HORMONE IN CHRONIC KIDNEY DISEASE? A ALLIA1, R KOSZO2, L ROSS1, B MASON1, P JUFFS1, A KARK3 1Nutrition and Dietetics, Royal Brisbane and Women’s Hospital, Brisbane, QLD; 2Queensland University of Technology, Brisbane, QLD; 3Renal Medicine, Royal Brisbane and Women’s Hospital, Brisbane, QLD, Australia Aim: To assess the calcium intake of chronic kidney disease (CKD) patients and determine the relationship with parathyroid hormone (PTH). Background: It is accepted that low calcium intake contributes to elevated PTH levels. Despite this, calcium intake is not routinely assessed in patients with CKD. Many

patients are required to reduce elevated phosphate levels by excluding foods also high in calcium. Methods: This study utilised data gathered previously on 46 patients (24 males, 22 females; 26–97y) seen in a multidisciplinary CKD service: 30 stage 3, 15 stage 4, and 1 stage 5. Routine biochemistry, diet history 4-Aminobutyrate aminotransferase conducted by a Dietitian and medication summaries including phosphate binders, calcium and vitamin supplements were used. Associations were assessed by Pearson’s correlation coefficient and one-way ANOVA. Factor analysis was a univariate model with PTH (dependent variable), fixed factors (gender, BMI, dietary calcium, total calcium intake from all sources, cholecalciferol from supplements, phosphate binders), and co-variants (age, GFR, serum corrected calcium, phosphate, 25(OH)). Results: Twenty-three had elevated PTH (group M 10.67 pmol/L, SD 8.91), 1 had low serum corrected calcium (2.11–2.