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CKD-14.2 Data Details

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CKD-14.2 Reduce the number of deaths in dialysis patients within the first 3 months of initiation 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: 
per 1,000 patients years at risk
Baseline (Year): 
372.2 (2007)
Target: 
335.0
Target-Setting Method: 
10 percent improvement
Numerator: 

Deaths among persons in the first 3 months of dialysis

Denominator: 

Incident dialysis population

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

    This measure is translated into patient years at risk (instead of a rate per population) in order to obtain a more uniform rate to track over time. Cohorts here include incident dialysis patients in each calendar year, 2000–2010.

    Patients with recovered kidney function are excluded. Patients with unknown age, gender, or race, and those with an age calculated to be less than zero are also excluded, as are patients who are not residents of the 50 states, the District of Columbia, Puerto Rico, or the Territories.

    Age is calculated as of the first end-stage renal disease (ESRD) service date. Patients are followed from the first service date until death, transplant, or 90 days after ESRD. Rates are estimated as the number of patients who die from any cause per 1,000 patient years at risk.

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 2018, the original baseline was revised from 355.5 to 372.2 deaths per 1,000 patients years at risk 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 319.9 to 335.0 deaths per 1,000 patients years at risk to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. More information on the analytic methods used to calculate these rates can be found in Appendix A of the USRDS 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