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CKD-1 Data Details

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

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health and Nutrition Examination Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent (age adjusted—see Comments)
Baseline (Year): 
14.8 (2001–06)
Target: 
13.3
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over with chronic kidney disease stages 1-4

Denominator: 

Number of persons aged 18 years and over with measured urinary albumin/creatinine ratio (ACR) and information to compute estimated glomerular filtration rate (eGFR)

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Chronic kidney disease (CKD) stages 1-4 defined as urinary albumin/creatinine ratio (ACR) = 30 mg/g (single measurement) or estimated glomerular filtration rate (eGFR) between 15 and 59 ml/min/1.73 m².

    The estimated glomerular filtration rate (eGFR) was computed using the Modification of Diet in Renal Disease (MDRD) study equation.Single albumin/creatinine ratio ACR measurement was used (all measurements in mg/g).

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-44, 45-64, 65+
    • Sex: 18-44, 45-64, 65+
    • Race/Ethnicity: 18-44, 45-64, 65+
    • Educational Attainment: 25-44, 45-64, 65+
    • Family Income (percent poverty threshold): 18-44, 45-64, 65+
    • Country of Birth: 18-44, 45-64, 65+
    • Disability Status: 20-44, 45-64, 65+
    • Health Insurance Status: 18-44, 45-64
    • Marital Status: 20-44, 45-64, 65+
    • Veteran Status: 18-44, 45-64, 65+
    • Obesity Status: 20-44, 45-64, 65+

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2015, the original 1999-2004 baseline of 15.1% was replaced with the 2001-2006 estimate (14.8%) to be more consistent with the baselines of other CKD objectives. The target was adjusted from 13.6% to 13.3% to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med. 1999; 130:461-70.