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CKD-11.2 Data Details

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CKD-11.2 Reduce the proportion of adult hemodialysis patients who use catheters as the only mode of vascular access

About the Data

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

Data Source: 
Clinical Performance Measures Project
United States Renal Data System
Changed Since the Healthy People 2020 Launch: 
No
Measure: 
percent
Baseline (Year): 
29.0 (2006)
Target: 
26.1
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over who are reported to use a catheter as the only mode of vascular access.

Denominator: 

Number of persons in the study population aged 18 years and over on hemodialysis.

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

    From the in-center hemodialysis CMS Clinical Performance Measures data collection form CMS-820:

    [NUMERATOR:]

    What type of access was used on the last hemodialysis session on or between mm/dd/yyyy and mm/dd/yyyy at the patient’s primary in-center facility?

    1. AV Fistula
    2. Graft with AV Fistula
    3. Graft without AV Fistula
    4. Catheter
    5. Port Access
    6. Unknown
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Data are from the Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease (ESRD) Clinical Performance Measures (CPM) project. Included patients are those whose date of dialysis initiation, according to the CPM data, occurs in the same year as the data collection, and access type represents the access used during the last quarter of the year, according to the CPM data. CPM is a CMS project developed to collect information on the quality of care provided to the ESRD dialysis patient. The data originate from surveys completed by the patients’ primary care facilities, which have been collected on a yearly basis, resulting in a rich source of detailed information useful in the analysis of health care delivery to the dialysis patient. The measure was added to monitor the recommendation that catheter use as the only access mode be reduced.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 4-4, which tracked the use of arteriovenous fistulas as the primary mode of vascular access by new hemodialysis patients aged 20 years and over. This objective tracks the proportion of all hemodialysis patients aged 18 years and over who use catheters as the only mode of vascular access.

References

Additional resources about the objective

  1. More details on the methods used for calculating rates can be found in Appendix A of the USRDS Annual Data Report Atlas.