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CKD-7 Data Details

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CKD-7 Reduce the number of deaths among persons with chronic kidney disease

About the Data

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

Data Source: 
National Death Index (NDI); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
per 1,000 patient years (age adjusted—see Comments)
Baseline (Year): 
22.2 (1999-2004)
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 mortality among persons with chronic kidney disease (stages 1 through 4) was 2.5 per 100 person years (1988-94). Although improved health of the Nation is expected to lead to reduced deaths among individuals with chronic kidney disease, the reduction may not be sufficient to establish a target. The measure will be tracked over the decade, and a target may be added if changes in the death rate warrant.

Number of deaths among persons aged 18 years and over with chronic kidney disease stages 1-4


Person years of follow-up for persons aged 18 years and over with chronic kidney disease stages 1-4

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

    Chronic kidney disease (CKD) stages 1-4 defined as urinary albumin/creatinine ratio (ACR) = 30 mg/g (single measurement) or estimated glomerular filtration rate (eGFR) between 15 and 59 ml/min/1.73 m². Estimated glomerular filtration rate (eGFR) was computed using the Modification of Diet in Renal Disease (MDRD) study equation.

    Single ACR measurement used (all measurements in mg/g). Follow-up time is from the National Health and Nutrition Examination Survey (NHANES) to the end of mortality follow-up. The baseline 1999-2004 NHANES data are linked to the National Death Index for mortality with follow up through 2011.

    Age Adjustment Notes: 

    This Indicator uses Age-Adjustment Groups:

    • Total: 18-24, 25-44, 45-64, 65+
    • Sex: 18-24, 25-44, 45-64, 65+
    • Race/Ethnicity: 18-24, 25-44, 45-64, 65+
    • Educational Attainment: 25-44, 45-64, 65+
    • Family Income: 18-24, 25-44, 45-64, 65+
    • Country of Birth: 18-24, 25-44, 45-64, 65+
    • Health Insurance Status: 18-24, 25-44, 45-64
    • Stages of CKD: 18-24, 25-44, 45-64, 65+
    • Marital Status: 20-24, 25-44, 45-64, 65+
    • Veteran Status: 18-24, 25-44, 45-64, 65+
    • Obesity Status: 20-24, 25-44, 45-64, 65+

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 2015, the original 1988-1994 baseline was replaced with 1999-2004 estimate to be more consistent with the baseline of other CKD objectives. The measurement was changed from 100 to 1,000 patient years.


Additional resources about the objective

  1. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med. 1999; 130:461-70.