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Chronic Kidney Disease

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CKD-1 Reduce the proportion of the U.S. population with chronic kidney disease
Revised

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Baseline: 14.8 percent of the U.S. population had chronic kidney disease in 2001–06 (age adjusted to the year 2000 standard population)
Target: 13.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 9.4 percent of persons with CKD knew they had impaired renal function in 2001–06 (age adjusted to the year 2000 standard population)
Target: 13.4 percent
Target-Setting Method: 4 percentage point improvement
Data Sources:
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 Sources:
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 Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-08a.
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Baseline: 23.0 percent of persons with type 1 or type 2 diabetes and chronic kidney disease received medical evaluation with serum creatinine, microalbuminuria, A1c, lipids, and eye examinations in 2007
Target: 25.3 percent
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 4-8a.
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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 Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-08b.
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Revision History: This objective was revised. Read more about the revision history.
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CKD-6 Improve cardiovascular care in persons with chronic kidney disease
Baseline: 22.7 percent of persons with chronic kidney disease had elevated blood pressure in 2001–06 (age adjusted to the year 2000 standard population)
Target: 17.6 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 21.6 percent of persons aged 50 years and over with chronic kidney disease were taking statins to lower their blood cholesterol in 2001–06 (age adjusted to the year 2000 standard population)
Target: 25.6 percent
Target-Setting Method: Minimal statistical significance
Data Sources:
National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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CKD-7 Reduce the number of deaths among persons with chronic kidney disease
Revised

This objective was revised. See Revision History for Details.

Baseline: 22.2 deaths per 1,000 person years occurred among persons with chronic kidney disease in 1999-2004 (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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CKD-8 Reduce the number of new cases of end-stage renal disease (ESRD)
Revised

This objective was revised. See Revision History for Details.

Baseline: 386.3 new cases of end-stage renal disease per million population were reported in 2007 (adjusted for age, sex and race)
Target: 347.7 new cases per million population
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-01.
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Revision History: This objective was revised. Read more about the revision history.
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CKD-9 Reduce kidney failure due to diabetes
CKD-9.1 Reduce kidney failure due to diabetes
Revised

This objective was revised. See Revision History for Details.

Baseline: 168.7 per million population reported kidney failure due to diabetes in 2007 (adjusted for age, sex and race)
Target: 151.8 per million population
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-07.
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CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes
Revised

This objective was revised. See Revision History for Details.

Baseline: 2,618.0 persons with diabetes per million population reported kidney failure due to diabetes in 2007 (adjusted for age, sex and race)
Target: 2,356.2 per million population
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK; National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 04-07.
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Baseline: 27.3 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: 30.0 percent
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-03.
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Revision History: This objective was revised. Read more about the revision history.
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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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Healthy People 2010 The HP2010 objective with the same definition was 04-04.
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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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Healthy People 2010 The HP2010 objective with the same definition was 04-04.
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Baseline: 31.8 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: 35.0 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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Healthy People 2010 The HP2010 objective with the same definition was 04-04.
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Revision History: This objective was revised. Read more about the revision history.
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Baseline: 17.0 percent of dialysis patients aged 70 years and under were waitlisted and/or received a deceased donor kidney transplant within 1 year of ESRD start in 2006
Target: 18.7 percent of dialysis patients
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-05.
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Revision History: This objective was revised. Read more about the revision history.
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CKD-13 Increase the proportion of patients with treated chronic kidney failure who receive a transplant
Baseline: 18.3 percent of patients aged 70 years and under received a kidney transplant within 3 years of ESRD in 2004
Target: 20.1 percent
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-06.
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Baseline: 4.0 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 Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-06.
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CKD-14 Reduce deaths in persons with end-stage renal disease (ESRD)
CKD-14.1 Reduce the total number of deaths for persons on dialysis
Revised

This objective was revised. See Revision History for Details.

Baseline: 214.7 deaths per 1,000 patient years at risk occurred among persons on dialysis in 2007
Target: 193.2 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 365.6 deaths per 1,000 patient years at risk occurred among persons on dialysis within the first 3 months of initiation of therapy in 2007
Target: 329.0 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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CKD-14.3 Reduce the number of cardiovascular deaths for persons on dialysis
Revised

This objective was revised. See Revision History for Details.

Baseline: 92.4 deaths per 1,000 patient years at risk occurred from cardiovascular disease among persons on dialysis in 2007
Target: 83.2 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-02.
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Baseline: 30.1 deaths per 1,000 patient years at risk occurred among persons with a functioning transplant in 2007
Target: 27.1 deaths per 1,000 patient years at risk
Target-Setting Method: 10 percent improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Baseline: 4.9 cardiovascular deaths per 1,000 patient years at risk occurred among persons with a functioning transplant in 2007
Target: 2.9 cardiovascular deaths per 1,000 patient years at risk
Target-Setting Method: 2 percentage point improvement
Data Sources:
United States Renal Data System (USRDS), NIH/NIDDK
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Healthy People 2010 The HP2010 objective with the same definition was 04-02.
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Revision History: This objective was revised. Read more about the revision history.
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