| Demographic Group: | All resident persons. |
| Numerator: | Initial claims for either renal dialysis or renal transplant among residents during a calendar year. |
| Denominator: | Midyear resident population for the same calendar year. |
| Measures of Frequency: | Annual number of incident cases. Annual incidence — adjusted (standardized by the method used by the U.S. Renal Data System). |
| Time Period of Case Definition: | Calendar year. |
| Background: | In 2001, >96,000 incident cases of ESRD were reported. Diabetes is the leading cause (44%) of ESRD, and hypertension is the second leading cause (26%). |
| Significance: | The complications of diabetes and hypertension, including ESRD, can be prevented by improved patient education and self-management, and the provision of adequate and timely medical care, including blood glucose and blood pressure control. |
| Limitations of Indicator: | Because ESRD develops over a long period, years might pass before changes in behavior or clinical practice affect population incidence. |
| Data Resources: | End-stage renal disease (ESRD) incidence data in the U.S. Renal Data System (USRDS).
http://www.usrds.org/reference.htm |
| Limitations of Data Resources: | Despite using multiple sources of information to learn of and verify numbers of patients who have ESRD, USRDS might not have complete counts. For example, a patient who dies of renal failure without first receiving dialysis or a transplant might not be verified as a patient with ESRD because of a lack of Medicare claim for renal dialysis or transplant. Occasionally, a reporting delay causes incomplete initial reports. USRDS annually reports data for each of 18 U.S. regions and each of the states and territories. |
| Healthy People 2010 Objectives: | 4-1: Reduce the rate of new cases of ESRD |
