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CKD-12 Data Details

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CKD-12 Increase the proportion of dialysis patients waitlisted and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease (ESRD) start (among patients under 70 years of age)

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): 
16.9 (2006)
Target: 
18.6
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons under age 70 years registered on the kidney transplant waiting list or receiving a deceased donor kidney within one year of initiation of renal replacement therapy.

Denominator: 

Number of incident persons on renal replacement therapy under age 70 years in a year; does not include living donor kidney transplant recipients.

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Data Collection Frequency: 
Annual
Methodology Notes: 

    Data on the number of persons on transplant waiting lists include data from the Organ Procurement and Transplant Network (OPTN) and the United Network for Organ Sharing (UNOS).

    The cohort here includes patients younger than 70 in 1991–2009. Percentages are calculated as the number of patients placed on the deceased donor organ wait list or receiving a deceased donor transplant within one year of initiation, divided by the number of patients without a living donor available (i.e., patients receiving a living donor transplant are excluded), and are estimated using the Kaplan-Meier method.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 04-05, which tracked the proportion of dialysis patients under age 70 years, who were registered on the kidney waiting list within one year of the onset of ESRD. This objective tracks those persons as well as tracks persons under age 70 years who received a deceased donor kidney within one year of the initiation of renal replacement therapy.

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 2017, the original baseline was revised from 17.1 to 16.9 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 18.8 to 18.6 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. The USRDS data, data collection procedures, calculation methods, and other technical information can be found in Appendix A of the Annual Data Report Atlas.

  2. U.S. Renal Data System, USRDS 2012 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2012