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CKD-9.2 Data Details

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CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes

About the Data

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

Data Source: 
National Health Interview Survey
United States Renal Data System
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
per 1,000,000
Baseline (Year): 
2,614.2 (2007)
Target: 
2,354.4
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of end-stage renal disease patients in the U.S. whose cause of renal failure was due to diabetes

Denominator: 

Number of diabetic persons in U.S.

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2007 National Health Interview Survey:

    [Denominator:]

    Other than during pregnancy, have you EVER been told by a doctor or health professional that you have diabetes or sugar diabetes?/Have you EVER been told by a doctor or health professional that you have diabetes or sugar diabetes?]

    1. Yes
    2. No
    3. Borderline
Data Collection Frequency: 
Annual
Methodology Notes: 

    The end-stage renal disease (ESRD) population includes dialysis and kidney transplant recipients. Qualification for renal replacement therapy is based on the submission of the Centers for Medicare and Medicaid Services (CMS) Medical Evidence Form (CMS-2728).

    The USRDS uses data collected by the CMS. Since 1996, Health Care providers have been required to provide patient information on all persons with ESRD, regardless of health insurance. Therefore, incident rates reflect the universe of ESRD cases in the United States.

    The denominator uses data from the National Health Interview Survey (NHIS); all ages are included. Three-year data are used to estimate the prevalence of diabetes in the middle year, and the size of the population with diabetes is based on U.S census data. The incident rate per million of ESRD caused by diabetes is calculated as the number of incident ESRD patients with a primary diagnosis of diabetes divided by the size of the population with diabetes in that group.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 4-7, which used incident count data on ESRD patients with diabetes among U.S. population. This objective measures ESRD cases among persons with diabetes. The number of persons who report ever being diagnosed with diabetes from the National Health Interview Survey, is as the Healthy People 2020 denominator.

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 2,637.9 to 2,616.0 per 1,000,000 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 2,374.1 to 2,354.4 per 1,000,000 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