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Chronic Kidney Disease

Baseline: 15.1 percent of the U.S. population had chronic kidney disease in 1999–2004 (age adjusted to the year 2000 standard population)
Target: 13.6 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 7.3 percent of persons with CKD knew they had impaired renal function in 1999–2004 (age adjusted to the year 2000 standard population)
Target: 11.3 percent
Target-Setting Method: 4 percentage point improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 11.2 percent of hospital patients who incurred acute kidney injury had a followup renal evaluation in 6 months post discharge in 2007
Target: 12.3 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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CKD-4     Increase the proportion of persons with diabetes and chronic kidney disease who receive recommended medical evaluation
Baseline: 25.7 percent of persons with chronic kidney disease received medical evaluation with serum creatinine, lipids, and microalbuminuria in 2007
Target: 28.3 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 73.6 percent of persons with diabetes and chronic kidney disease received recommended medical treatment with angiotensin-converting enzyme (ACE) inhibitors or angiotensin II receptor blockers (ARBS) in 2007
Target: 81.0 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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CKD-6     Improve cardiovascular care in persons with chronic kidney disease
Baseline: 74.1 percent of persons with chronic kidney disease had elevated blood pressure in 1999–2004 (age adjusted to the year 2000 standard population)
Target: 66.7 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 29.6 percent of persons with chronic kidney disease had elevated lipid levels in 1999–2004 (age adjusted to the year 2000 standard population)
Target: 26.6 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 2.5 deaths per 100 person years occurred among persons with chronic kidney disease in 1988–2006 (age adjusted to the year 2000 standard population)
Target: Not applicable
Target-Setting Method: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Data Sources: National Death Index (NDI), CDC/NCHS; National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 358.9 new cases of end-stage renal disease per million population were reported in 2007 (adjusted for age, sex and race)
Target: 323.0 new cases per million population
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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CKD-9     Reduce kidney failure due to diabetes
Baseline: 154.6 per million population reported kidney failure due to diabetes in 2007 (adjusted for age, sex and race)
Target: 139.1 per million population
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK; National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 2,643.0 persons with diabetes per million population reported kidney failure due to diabetes in 2007 (adjusted for age, sex and race)
Target: 2,378.7 per million population
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK; National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 27.1 percent of chronic kidney disease patients received care from a nephrologist at least 12 months before the start of renal replacement therapy in 2007
Target: 29.8 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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CKD-11     Improve vascular access for hemodialysis patients
Baseline: 46.0 percent of adult hemodialysis patients used arteriovenous fistulas as the primary mode of vascular access in 2006
Target: 50.6 percent
Target-Setting Method: 10 percent improvement
Data Sources: Clinical Performance Measures Project (CPM), CMS; United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 29.0 percent of adult hemodialysis patients used catheters as the only mode of vascular access in 2006
Target: 26.1 percent
Target-Setting Method: 10 percent improvement
Data Sources: Clinical Performance Measures Project (CPM), CMS; United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 31.4 percent of adult hemodialysis patients used arteriovenous fistulas or had a maturing fistula as the primary mode of vascular access at the start of renal replacement therapy in 2007
Target: 34.5 percent
Target-Setting Method: 10 percent improvement
Data Sources: Clinical Performance Measures Project (CPM), CMS; United States Renal Data System (USRDS), NIH/NIDDK
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CKD-13     Increase the proportion of patients with treated chronic kidney failure who receive a transplant
Baseline: 17.9 percent of patients aged 70 years and under received a kidney transplant within 3 years of ESRD in 2004
Target: 19.7 percent
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 3.4 percent of patients aged 70 years and under received a preemptive transplant at the start of ESRD in 2007
Target: Not applicable
Target-Setting Method: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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CKD-14     Reduce deaths in persons with end-stage renal disease (ESRD)
Baseline: 211.1 deaths per 1,000 patient years occurred among persons on dialysis in 2007
Target: 190.0 deaths per 1,000 patient years
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 365.2 deaths per 1,000 patient years occurred among persons on dialysis within the first 3 months of initiation of therapy in 2007
Target: 328.7 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 89.9 deaths per 1,000 patient years occurred from cardiovascular disease among persons on dialysis in 2007
Target: 80.9 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 32.5 deaths per 1,000 patient years occurred among persons with a functioning transplant in 2007
Target: 29.3 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 6.5 cardiovascular deaths per 1,000 patient years occurred among persons with a functioning transplant in 2007
Target: 4.5 cardiovascular deaths per 1,000 patient years at risk
Target-Setting Method: 2 percentage point improvement
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
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