| Demographic Group: | All resident persons. |
| Numerator: | Deaths with International Classification of Diseases (ICD)-10 code N03–N05, N13.0–N13.3, N17–N19, N25–N26, N28.0, N28.8 (ICD-9 codes 581–588, 591, 593.8, and 593.9) as the underlying cause of death among residents during a calendar year. |
| Denominator: | Midyear resident population for the same calendar year. |
| Measures of Frequency: | Annual number of deaths. Annual mortality rate — crude and age-adjusted (standardized by the direct method to the year 2000 standard U.S. population, distribution 1*) — with 95% confidence interval. |
| Time Period of Case Definition: | Calendar year. |
| Background: | In 2001, >96,000 incident cases of end-stage renal disease (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 through improved patient education and self-management, and 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. Approximately one third of diabetes cases are undiagnosed. |
| Data Resources: | Death certificate data from vital statistics agencies (numerator) and population estimates from the U.S. Bureau of the Census or suitable alternative (denominator).
http://wonder.cdc.gov |
| Limitations of Data Resources: | Causes of death and other variables listed on the death certificate might be inaccurate. |
| Healthy People 2010 Objectives: | No objective. |
