Visit coronavirus.gov for the latest Coronavirus Disease (COVID-19) updates.

You are here

CKD-14.5 Data Details

Expand All

CKD-14.5 Reduce the number of cardiovascular deaths in persons with a functioning kidney transplant

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): 
5.0 (2007)
Target: 
3.0
Target-Setting Method: 
2 percentage point improvement
Target-Setting Method Justification: 
In 2007, the cardiovascular death rate in persons with functioning kidney transplants was 6.5 per 1,000 patient years at risk. Clinically, a 2-percentage point reduction is meaningful and achievable.
Numerator: 

Cardiovascular deaths among persons with a functioning kidney transplant.

Denominator: 

Period prevalent kidney transplant population.

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
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 for these tables include period prevalent transplant patients in each calendar year, 2000–2010, whose first end-stage renal disease (ESRD) service date is at least 90 days prior to the beginning of the year (point prevalent patients on January 1) or who reach day 91 of ESRD treatment during the year (incident patients).

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

    Patients are followed from January 1 (for point prevalent dialysis patients) or day 91 of ESRD (for incident dialysis patients) until death, transplant, or December 31 of the year. Rates are estimated as the number of patients who die from cardiovascular disease in each year, per 1,000 patient years at risk.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 04-02, which tracked cardiovascular deaths among persons with ESRD. This objective tracks cardiovascular deaths among persons with a functioning kidney transplant.

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 6.5 to 5.0 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 4.5 to 3.0 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.