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CKD-13.2 Data Details

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CKD-13.2 Increase the proportion of patients who receive a preemptive transplant at the start of ESRD

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: 
No
Measure: 
percent
Baseline (Year): 
4.0 (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.
Target-Setting Method Justification: 
The baseline of the proportion of end-stage renal disease patients (ESRD) under 70 years of age who received a preemptive transplant at the start of ESRD in 2007 was 3.4 percent. In 2008 and 2009, this proportion decreased to 3.3 percent and 3.2 percent, respectively. Because of the uncertainty about whether the supply of kidneys will increase substantially, setting a target is difficult. The measure will be tracked over the decade, and a target may be added if changes in the rate of kidney donation warrant.
Numerator: 

Number of persons under age 70 years with kidney transplant as first treatment modality.

Denominator: 

Number of incident persons on renal replacement therapy, under age 70 years.

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

    The cohort includes patients from 1992–2010 who are younger than 70 at the initiation of end-stage renal disease (ESRD). Pre-emptive transplants are those in which ESRD initiation date is the date of transplant.

    Percentages are calculated in the usual way: 100 X (N/D), where N is the number of preemptive transplants in the year and D is the number of ESRD patients in the year.

    The United States Renal Data System (USRDS) data, data collection procedures, calculation methods, and other technical information can be found in Appendix A of the Annual Data Report Atlas.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 04-06, which tracked the number of persons under age 70 who received a kidney transplant within 3 years of initiation of ESRD. This objective tracks the number of persons under age 70 who receive a preemptive transplant at the start of ESRD.

References

Additional resources about the objective

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