Healthy People 2010 Focus Area 4 Chronic Kidney Disease Progress Review November 20, 2002
Source: United States Renal Data System (USRDS) ESRD % transplanted within 3 yrs AV fistula use hemodialysis (new patients...
2010 Target Diabetes Prevalence, 2000 Trends in ESRD: Incidence Source: United States Renal Data System, (USRDS) 334 (curr...
End Stage Renal Disease Source: United States Renal Data System, (USRDS), modified maps from the USRDS 2002 Annual Data Re...
Trends in ESRD Incident Rates, by Age and Race/Ethnicity *Adjusted for gender and race. * ** **Adjusted for age and gender...
Trends in ESRD Incident rates, by Primary Diagnosis Adjusted for age, gender, and  race Source: United States Renal Data S...
Incident   Rates of ESRD with Primary Diagnosis Diabetes  Source: United States Renal Data System, (USRDS), modified maps ...
Trends in Incident Rates of ESRD Due to Diabetes by Race/Ethnicity  Adjusted for age and gender. Source: United States Ren...
0-44 Years Total 45-64 Years 65-74 Years 75+ Years Note: Data are three-year averages. Data from 1997 and later years my n...
Source: National Health Interview Survey (NHIS), CDC, NCHS. American Indian/ Alaska Native White, not Hispanic Black, not ...
Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.  *Body Mass Index  >  30 Obesity*: Adults, A...
Trends in All-Cause and Cardiovascular Mortality Rates  in ESRD Patients by Race/Ethnicity Source: United States Renal Dat...
2010 Target Diabetes Prevalence, 2000 Source: United States Renal Data System, (USRDS), modified graph from the 2002 USRDS...
American Indian/ Alaska Native White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander  2010 Target Diabet...
2010 Target Diabetes Prevalence, 2000 Percent of Dialysis Patients Receiving a Transplant Within Three Years of Initiation...
Dialysis Patients Receiving a Transplant Within 3 years  by Age, Gender, Race/Ethnicity and Diagnosis Source: United State...
Diabetic Patients Receiving All Three Preventive Tests (Age 67 and Older)* **Pre-ESRD data: incident ESRD patients with di...
American Indian/ Alaska Native White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander  2010 Target Diabet...
Data Notes Full citation for USRDS data, graphs, and maps:  U.S. Renal Data System, USRDS 2002 Annual Data Report: Atlas o...
Upcoming SlideShare
Loading in...5
×

Data Presentation [PPT - 1.2 MB]

1,951

Published on

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,951
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
38
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Data Presentation [PPT - 1.2 MB]

  1. 1. Healthy People 2010 Focus Area 4 Chronic Kidney Disease Progress Review November 20, 2002
  2. 2. Source: United States Renal Data System (USRDS) ESRD % transplanted within 3 yrs AV fistula use hemodialysis (new patients ) ESRD due to diabetes CV deaths in persons with ESRD Chronic Kidney Disease Objectives Targets and Levels Achieved % on transplant wait list % of diabetics with exam / tests to prevent ESRD 2010 Target Current level Direction of change desired % with counseling prior to start of renal replacement therapy (per 1,000,000 population) - - - - - Incidence - - - - - - (per 1,000 patient years) 334 217 145 78 52 82.6 50 % 66 % 27.2 % 21.3 % 19.6 % 26.3 % 60 % 45 % Targets-to-be-determined
  3. 3. 2010 Target Diabetes Prevalence, 2000 Trends in ESRD: Incidence Source: United States Renal Data System, (USRDS) 334 (current) 217 (target) Adjusted for age, gender, and race. Incident rate Rate per million population
  4. 4. End Stage Renal Disease Source: United States Renal Data System, (USRDS), modified maps from the USRDS 2002 Annual Data Report (ADR). Incident rate: 1990 Incident rate: 2000 370+ (371) 300 to <370 213 to <300 156 to <213 below 156 (135) 370+ (452) 300 to <370 213 to <300 156 to <213 below 156 (136) Unadjusted, per million population
  5. 5. Trends in ESRD Incident Rates, by Age and Race/Ethnicity *Adjusted for gender and race. * ** **Adjusted for age and gender. Source: United States Renal Data System, (USRDS), graphs from the USRDS 2002 Annual Data Report.
  6. 6. Trends in ESRD Incident rates, by Primary Diagnosis Adjusted for age, gender, and race Source: United States Renal Data System, (USRDS), graphs from the USRDS 2002 Annual Data Report. Adjusted for age, gender, and race.
  7. 7. Incident Rates of ESRD with Primary Diagnosis Diabetes Source: United States Renal Data System, (USRDS), modified maps from USRDS 2002 Annual Data Report. 205+ (245) 125 to <205 57 to <125 49 to <57 below 49 (NA) Unadjusted, per million population 1990 2000 205+ (260) 125 to <205 57 to <125 49 to <57 below 49 (44)
  8. 8. Trends in Incident Rates of ESRD Due to Diabetes by Race/Ethnicity Adjusted for age and gender. Source: United States Renal Data System, (USRDS), graph from the USRDS 2002 Annual Data Report.
  9. 9. 0-44 Years Total 45-64 Years 65-74 Years 75+ Years Note: Data are three-year averages. Data from 1997 and later years my not be comparable with earlier years due to a redesign of the NHIS in 1997. Source: National Health Interview Survey (NHIS), CDC, NCHS. Prevalence of Diagnosed Diabetes by Age: United States, 1980-1999 20 40 60 160 140 120 100 80
  10. 10. Source: National Health Interview Survey (NHIS), CDC, NCHS. American Indian/ Alaska Native White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander 2010 Target Diabetes Prevalence, 2000 Age-adjusted per 1,000 standard population
  11. 11. Source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS. *Body Mass Index > 30 Obesity*: Adults, Age 20 and Older by Race/Ethnicity White, not Hispanic Black, not Hispanic 2010 Target Total Mexican American 1988-94 1999-2000
  12. 12. Trends in All-Cause and Cardiovascular Mortality Rates in ESRD Patients by Race/Ethnicity Source: United States Renal Data System, (USRDS), graphs from the USRDS 2002 Annual Data Report.
  13. 13. 2010 Target Diabetes Prevalence, 2000 Source: United States Renal Data System, (USRDS), modified graph from the 2002 USRDS ADR. 27.2% (current) 50% (2010 target) Adjusted for age, gender, and race. Percent of patients Trends in Arteriovenous Fistula Use Incident Hemodialysis Patients (Age 20 and Older) New Patients Using AV fistulas
  14. 14. American Indian/ Alaska Native White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander 2010 Target Diabetes Prevalence, 2000 Proportion of Dialysis Patients Registered on the Waiting List for Transplantation: by Race/Ethnicity, 2000 Percent Source: United States Renal Data System, (USRDS) Note: Patients younger than 70.
  15. 15. 2010 Target Diabetes Prevalence, 2000 Percent of Dialysis Patients Receiving a Transplant Within Three Years of Initiation of Therapy* Source: United States Renal Data System, (USRDS). Note: Patients younger than 70. *Target to be determined Adjusted for age, gender, and race. Percent of patients
  16. 16. Dialysis Patients Receiving a Transplant Within 3 years by Age, Gender, Race/Ethnicity and Diagnosis Source: United States Renal Data System, (USRDS). Note: Patients younger than 70, graphs from the USRDS 2002 ADR.
  17. 17. Diabetic Patients Receiving All Three Preventive Tests (Age 67 and Older)* **Pre-ESRD data: incident ESRD patients with diabetes one year prior to start of ESRD. Graphs from the 2002 USRDS ADR. *Developmental objective, target to be determined **
  18. 18. American Indian/ Alaska Native White, not Hispanic Black, not Hispanic Hispanic Asian/Pacific Islander 2010 Target Diabetes Prevalence, 2000 Counseling for Chronic Kidney Failure Care, by Race/Ethnicity, 1996 Percent of new ESRD persons who’ve had counseling at least a year before renal replacement therapy Source: United States Renal Data System, (USRDS). 2010 Target
  19. 19. Data Notes Full citation for USRDS data, graphs, and maps: U.S. Renal Data System, USRDS 2002 Annual Data Report: Atlas of End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD 2002. USRDS data are adjusted by the direct adjustment method with 1999 as the standard population. NCHS data are age adjusted by the direct adjustment method with 2000 as the standard population. For the NCHS data, the race/ethnicity groups, American Indian/Alaska Native and Asian/Pacific Islander includes persons of Hispanic and non-Hispanic origin. Persons of Hispanic origin may be of any race. A detailed race/ethnicity description of the USRDS data can be found in the USRDS 2002 ADR. The graphs listed below have additional documentation in the 2002 ADR: Trends in arteriovenous fistula use in hemodialysis patients- Includes only patients for whom an access type is known. Dialysis patients receiving a transplant within three years …-”Medicare dialysis patients initiating therapy in the given year; patients older than 69 or with prior transplants are excluded. Cumulative percents are estimated using the Kaplan-Meier methodology. Followup is censored at death or the end of the three-year period.” Diabetic patients receiving all three preventive health tests …-”General Medicare data: individuals diagnosed with diabetes in 1997, 1998, or 1999, age 67 or older on December 31 of the diagnosis year, and continuously enrolled in Medicare during 1996-1997, 1997-1998, or 1998-1999. Patients diagnosed with ESRD during one of these three periods, enrolled in a managed care program, or with Medicare as secondary payor are excluded. Pre-ESRD data: incident ESRD patients with diabetes one year prior to start of ESRD. Patients enrolled in a managed care program or with Medicare as secondary payor are excluded. The three tests are (1) eye exam, (2) lipids, and (3) A1C test.
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×