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CKD-10 Data Details

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CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy

About the Data

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

Data Source: 
United States Renal Data System
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
27.3 (2007)
Target: 
30.0
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of new chronic kidney disease patients who saw a nephrologist at least 12 months prior to starting renal replacement therapy

Denominator: 

Number of new chronic kidney disease patients

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the CMS-2728 Medical Evidence Form:

    [NUMERATOR:]

    Prior to ESRD therapy, was patient under care of a nephrologist?

    1. Yes
    2. No
    3. Unknown

    If Yes, answer:

    1. 6-12 months
    2. >12 months
Methodology Notes: 

    Qualification for renal replacement therapy is based on the submission of the Center for Medicare and Medicaid Services (CMS) Medical Evidence Form (CMS-2728). The cohorts include incident hemodialysis patients for whom it is known whether they saw a nephrologist prior to initiation.

    The United States Renal Data System (USRDS) data, data collection procedures, calculation methods, and other technical information are included in its Annual Data Report Atlas, Appendix A.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 4-3, which measured number of treated chronic kidney failure patients who have received counseling on nutrition, treatment choices, and cardiovascular care 12 months before the start of renal replacement therapy. This objective tracks proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy using the CMS Medical Evidence Form (CMS-2728).

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 baseline was revised from 27.1 to 27.3 percent due to USRDS rates re-estimation. There is some lag in reporting new cases of ESRD. Therefore, each year’s Annual Data Report includes re-estimates of earlier year rates. For more information see the USRDS Annual Data Reports. The target was adjusted from 29.8 to 30 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. More information can be found in Appendix A of the USRDS Annual Data Report Atlas.