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2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 2: Healthy People 2020.

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Presentation on theme: "2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 2: Healthy People 2020."— Presentation transcript:

1 2015 ANNUAL DATA REPORT V OLUME 2: E ND -S TAGE R ENAL D ISEASE Chapter 2: Healthy People 2020

2 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients aged 65 & older with a hospitalized AKI event in a given year. Abbreviation: CKD, chronic kidney disease. Table 2.1 HP2020 CKD-3 Increase the proportion of hospital patients who incurred acute kidney injury who have follow up renal evaluation in 6 months post discharge: Target 12.2% Vol 2, ESRD, Ch 22 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 2.43.14.48.49.110.511.210.611.511.912.712.816.1 Race/Ethnicity American Indian or Alaskan Native only 0.0 2.916.74.813.212.015.26.911.016.79.57.8 Asian only 3.82.04.58.112.819.015.211.516.615.516.014.822.0 Black or African American only 2.92.54.07.89.79.211.210.312.111.312.113.316.2 White only 2.33.24.58.38.810.511.110.411.211.912.6 15.7 Hispanic or Latino 1.46.67.112.912.210.312.415.613.413.117.216.423.0 Sex Male 2.83.54.68.89.911.312.611.912.512.813.9 17.6 Female 2.02.84.38.08.39.710.09.410.611.111.711.914.7 Age 65-74 3.74.26.211.612.814.716.114.816.016.517.617.321.0 75-84 2.03.24.28.58.610.411.110.811.312.413.213.016.8 85+ 0.81.12.23.14.45.1 5.06.45.96.26.99.1

3 3Vol 2, ESRD, Ch 1 Table 2.2 HP2020 D-12 Increase the proportion of persons with diagnosed diabetes who obtain an annual urinary microalbumin measurement: Target 37.0% 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 15.318.121.225.528.531.033.335.336.938.640.542.345.0 Race/Ethnicity American Indian or Alaskan Native only 11.412.013.015.518.920.220.921.224.022.924.524.027.2 Asian only 16.820.623.928.830.533.434.937.339.541.743.847.349.4 Black or African American only 13.115.618.523.526.429.031.533.335.336.939.040.543.1 White only 15.518.521.625.728.731.233.535.537.138.740.642.344.9 Hispanic or Latino 15.317.820.725.529.631.333.235.237.640.242.344.347.9 Sex Male 14.817.620.724.727.830.232.434.436.237.739.641.544.0 Female 15.918.821.926.529.432.034.536.437.939.541.643.346.1 Age 65-74 18.121.224.729.432.635.137.739.941.843.345.347.249.7 75-84 13.716.719.623.826.829.631.833.735.337.139.141.044.4 85+ 7.29.010.913.916.118.120.522.223.525.026.728.031.5 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients with diabetes mellitus, aged 65 & older. Abbreviations: D, diabetes mellitus.

4 4Vol 2, ESRD, Ch 1 Table 2.3 HP2020 CKD-4.1 Increase the proportion of persons with chronic kidney disease who receive medical evaluation with serum creatinine, lipids, and microalbuminuria: Target 28.3% 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 7.39.110.619.822.123.425.726.728.129.030.231.133.1 Race/Ethnicity American Indian or Alaskan Native only 8.25.57.013.719.215.816.916.718.320.221.018.423.4 Asian only 8.414.414.127.627.932.535.334.037.536.939.541.243.9 Black or African American only 6.68.710.120.822.824.426.727.830.130.632.333.135.0 White only 7.18.810.419.321.622.925.126.327.428.329.430.332.2 Hispanic or Latino 13.117.317.726.830.431.133.132.136.136.738.941.244.2 Sex Male 7.08.910.018.620.922.424.425.226.727.628.629.531.4 Female 7.59.311.321.123.424.527.128.429.630.632.033.035.1 Age 65-74 10.312.614.226.129.231.433.935.136.737.638.939.941.5 75-84 6.28.09.818.520.822.624.926.227.728.930.331.233.7 85+ 2.33.14.08.210.010.112.113.114.014.816.217.018.6 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients aged 65 & older with CKD. Abbreviations: CKD, chronic kidney disease.

5 5Vol 2, ESRD, Ch 1 Table 2.4 HP2020 CKD-4.2 Increase the proportion of persons with type 1 or type 2 diabetes and chronic kidney disease who receive medical evaluation with serum creatinine, microalbuminuria, A1c, lipids, and eye examinations: Target 25.3% 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 9.010.412.118.420.021.123.023.725.126.526.927.629.9 Race/Ethnicity American Indian or Alaskan Native only 7.32.45.75.615.812.510.210.9 15.114.211.216.3 Asian only 8.312.412.825.021.826.126.725.327.029.630.832.437.0 Black or African American only 6.77.29.916.317.918.819.721.122.423.825.125.327.1 White only 9.411.012.518.620.321.423.424.225.627.027.127.930.0 Hispanic or Latino 10.411.8 20.520.219.822.221.724.624.026.525.229.8 Sex Male 8.710.311.818.019.720.922.523.624.726.226.627.529.4 Female 9.310.612.418.820.321.423.523.725.626.827.327.830.3 Age 65-74 10.912.314.322.023.424.626.627.228.530.030.130.732.7 75-84 8.19.911.616.918.920.722.623.325.226.727.428.430.8 85+ 4.04.24.99.511.511.313.014.215.516.617.718.320.5 Data Source: Special analyses, Medicare 5 percent sample. Medicare patients aged 65 & older with CKD & diabetes mellitus. Abbreviations: CKD, chronic kidney disease; A1c, glycosylated hemoglobin.

6 6Vol 2, ESRD, Ch 1 Table 2.5 HP2020 CKD-8 Reduce the rate of new cases of end-stage renal disease (ESRD): Target 344.3 new cases per million population (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 387.9388.8388.7388.2391.3399.0391.1386.6389.3381.5364.7356.9354.5 Race American Indian or Alaskan Native only 709.5672.0622.4633.6609.0524.8538.0543.4527.8487.6457.3462.6403.7 Asian only 319.5312.7304.2281.9336.5354.5356.3354.6363.6353.0345.0332.4325.0 Native Hawaiian or other Pacific Islander only~ 3430. 6 3547. 7 3552. 0 3716. 5 2902. 8 2830. 5 2388. 6 2175. 3 2420. 5 2578. 2 2356. 9 2465. 1 2523. 9 Black or African American only 1126. 0 1134. 1 1131. 7 1093. 8 1103. 1 1113. 9 1091. 6 1072. 7 1070. 5 1031. 1 989.1939.6915.3 White only 292.0293.3 298.0301.8311.6306.0303.3306.6303.2289.9284.4282.5 Two or more races.....146.6149.9158.2145.1140.8113.317.13.8 Ethnicity Hispanic or Latino 632.9643.2640.9618.4603.5604.2589.6586.4583.5576.7563.9528.0515.4 Not Hispanic or Latino 372.8373.1374.1375.2377.9383.4376.5373.0377.3370.0354.0352.9354.9 Black or African American only, not Hispanic or Latino 1143. 9 1153. 5 1152. 0 1111. 2 1122. 6 1134. 8 1114. 3 1095. 7 1093. 6 1054. 5 1011. 0 962.9939.9 White only, not Hispanic or Latino 268.9268.1268.2274.2276.2281.9276.2272.5275.3270.9256.7254.4253.4

7 7Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 463.7470.2469.3477.3483.6494.4486.7483.8488.3480.1459.6448.9448.0 Female 327.1323.9324.8317.1317.7322.4314.9309.0310.0302.2287.7282.2278.4 Age <18 11.611.912.012.512.311.312.111.911.711.311.411.310.8 0-4 8.97.89.210.910.08.810.910.110.410.710.811.410.5 5-11 7.68.97.67.97.86.56.97.57.17.06.77.27.5 12-17 18.418.719.619.419.618.919.218.718.116.717.316.114.9 18-44 112.5111.8110.8112.0116.9120.8119.2118.4121.8118.1114.5112.6113.0 18-24 43.641.9 39.441.943.342.441.040.139.039.235.636.3 25-44 136.6136.3134.9137.4143.2147.9146.1145.5150.4145.8140.8139.5139.9 45-64 615.1605.7606.8600.3600.9612.2597.6592.9592.2574.8554.4551.3546.2 45-54 388.8388.1390.1388.1386.3403.2390.2386.2388.2372.9370.4365.5375.4 55-64 841.4823.3823.5812.5815.6821.3805.0799.6796.2776.8738.3737.0716.9 65+ 1580.11626.01614.81611.71628.71654.31622.41598.81608.21599.31517.81451.61438.7 65-74 1436.31426.71406.81397.61384.01413.21379.31351.71358.41351.81267.81230.71224.8 75-84 1756.01853.71843.71844.61889.81913.01876.81853.21864.01859.11783.01687.01674.4 85+ 1259.21341.21406.01424.01463.61478.71508.61525.01547.81477.31365.01306.41221.2 Table 2.5 HP2020 CKD-8 Reduce the rate of new cases of end-stage renal disease (ESRD): Target 344.3 new cases per million population (Continued) Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset, Incident ESRD patients. Rates adjusted for: overall, age/sex/race; rates by age adjusted for sex/race; rates by sex adjusted for age/race; rates by race/ethnicity adjusted for age/sex. Reference: 2012 patients. “.” Zero values in this cell. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease.

8 8Vol 2, ESRD, Ch 1 Table 2.6 HP2020 CKD-9.1 Reduce kidney failure due to diabetes: Target 150.6 per million population (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 177.9175.2174.4174.2 177.6171.7169.1169.6166.9159.5156.4155.9 Race American Indian or Alaskan Native only 526.0494.4469.3478.9431.1366.4378.8391.1384.3347.5321.5320.9291.6 Asian only 151.7142.5139.7128.9159.7177.2172.7179.7180.0172.3172.4167.5167.9 Native Hawaiian or other Pacific Islander only~ 2190.52000.12019.72256.41699.71729.31490.51309.21537.51618.01446.71480.81626.3 Black or African American only 525.9520.2511.2496.4497.1502.9478.5474.2471.4456.9435.4407.2392.7 White only 133.3132.0132.2134.2135.1139.6136.3134.0135.0134.4129.1128.8130.0 Two or more races.....74.780.878.677.169.458.27.8* Ethnicity Hispanic or Latino 404.5407.4407.5393.8377.7375.5366.2367.7359.8355.8346.1320.5308.2 Not Hispanic or Latino 164.7161.9161.3162.1162.0164.4158.9156.5157.8155.2148.1146.4146.8 Black or African American only, not Hispanic or Latino 533.8528.2518.7503.3504.9510.5487.0482.7480.4465.6443.4416.6402.3 White only, not Hispanic or Latino 114.8112.5112.2114.6 116.7113.2109.5110.4109.2103.5105.0107.0

9 9Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 194.2195.1195.0200.5202.0206.9202.3200.9203.1200.7193.1189.3190.5 Female 163.9158.4157.1152.1150.9152.8146.1142.5141.5138.4131.2128.3126.6 Age <18 0.1 * *** * 0-4 ************* 5-11.*..*..*...*. 12-17 ****0.2******** 18-44 33.632.733.434.435.238.437.937.640.039.639.737.738.6 18-24 3.62.9 2.13.1 2.72.42.62.52.32.52.4 25-44 44.143.144.045.746.450.750.249.953.152.652.850.151.2 45-64 343.7333.7329.4323.9323.2324.0310.5308.8306.9295.2281.1281.3275.1 45-54 190.9188.8187.2185.1183.0189.7179.2178.9180.2175.6173.1173.8178.4 55-64 496.6478.7471.7462.6463.4458.3441.7438.7433.7414.9389.1388.8371.8 65+ 678.5689.8683.1690.0693.8706.7691.2674.4673.7679.2646.5611.6616.6 65-74 748.3736.3728.5721.6711.2725.9698.5678.5675.4669.0631.1608.6608.0 75-84 649.1682.5674.3692.8712.8722.2716.4699.9700.4719.1690.7641.0654.1 85+ 274.5297.8317.8344.5328.8359.1366.7378.6389.5383.2358.3348.2327.0 Table 2.6 HP2020 CKD-9.1 Reduce kidney failure due to diabetes: Target 150.6 per million population (Continued) Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset, Incident ESRD patients. Adjusted for age/sex/race; reference: 2012. “.” Zero values in this cell. *Values for cells with 10 or fewer patients are suppressed. ~Estimate shown is imprecise due to small sample size and may be unstable over time. Abbreviations: CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease.

10 10Vol 2, ESRD, Ch 1 Table 2.7 HP2020 CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes: Target 2,380.5 per million population (Continued on next slide) 2007200820092010201120122013 All 2616248624012344227122422073 Race American Indian or Alaskan Native only 2559292629312594224622731774 Asian only 2067218522072106207021302079 Native Hawaiian or other Pacific Islander only~....... Black or African American only 4476433542423978382036623181 White only 2276213820472025197119651845 Two or more races 61055351748446359* Ethnicity Hispanic or Latino 3313317729602898290027702408 Not Hispanic or Latino 2518239123212261217921562015 Black or African American only, not Hispanic or Latino 4686452844734191405738653342 White only, not Hispanic or Latino 2049189918221799172917491676

11 11Vol 2, ESRD, Ch 1 2007200820092010201120122013 Sex Male 2927274426212541252125142339 Female 2327223521772139201919711806 Age <18 **3035*5456 0-4....... 5-11 *....*. 12-17 ******* 18-44 1613153115071461155714941532 18-24 341268285290334295267 25-44 1748167716421578166516281682 45-64 2377225721952134206820932078 45-54 2005184618541864187518691919 55-64 2643257124362308217922312172 65+ 3101293928002720257424872507 65-74 3186299028942771261925432565 75-84 3351315629342873279926952807 85+ 1946207319762073176516911485 Data Source: Special analyses, USRDS ESRD Database and CDC Bridged Race Intercensal Estimates Dataset, Incident ESRD patients. Adjusted for age/sex/race; Ref: 2012. National Health Interview Survey 2006–2013 used to estimate diabetes mellitus prevalence. “.” Zero values in this cell; *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease; Ref, reference. Table 2.7 HP2020 CKD-9.2 Reduce kidney failure due to diabetes among persons with diabetes: Target 2,380.5 per million population (Continued)

12 12Vol 2, ESRD, Ch 1 Table 2.8 HP2020 CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy: Target 29.8% (Continued on next slide) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 25.726.527.328.6 29.631.033.134.3 Race American Indian or Alaskan Native only 25.327.226.127.926.923.827.830.230.5 Asian only 25.923.826.627.629.129.831.431.935.5 Native Hawaiian or other Pacific Islander only 23.525.223.922.524.025.427.027.530.1 Black or African American only 22.123.224.024.724.925.527.229.630.2 White only 27.328.028.830.430.231.332.734.735.9 Two or more races 23.022.724.629.128.631.431.533.345.5 Ethnicity Hispanic or Latino 20.021.3 22.322.623.725.125.827.1 Not Hispanic or Latino 26.627.228.229.629.530.532.134.335.5 Black or African American only, not Hispanic/Latino 22.223.224.124.725.025.627.229.730.3 White only, not Hispanic or Latino 28.829.430.532.232.033.334.737.038.2

13 13Vol 2, ESRD, Ch 1 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) Sex Male 26.126.527.328.4 29.630.833.134.2 Female 25.326.427.328.828.929.531.433.134.4 Age <18 39.836.035.240.039.537.644.740.846.1 0-4 25.020.325.726.723.522.725.027.329.2 5-11 50.548.641.153.148.048.859.451.557.7 12-17 41.436.836.940.342.439.547.542.748.4 18-44 23.323.023.624.423.924.325.727.827.6 18-24 24.623.224.923.924.725.427.626.628.0 25-44 23.123.023.524.423.824.225.527.927.6 45-64 25.726.126.727.327.427.929.531.132.1 45-54 24.025.025.525.325.826.228.429.530.6 55-64 26.826.927.428.628.529.030.132.133.0 65+ 26.227.528.630.5 32.033.435.937.4 65-74 27.128.428.930.630.732.133.435.636.8 75-84 26.027.328.931.230.932.733.936.738.4 85+ 22.924.226.727.628.329.731.534.136.4 Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form; nephrologist care determined from Medical Evidence form. Abbreviations: CMS, Centers for Medicare and Medicaid Services; CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.8 HP2020 CKD-10 Increase the proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy: Target 29.8% (Continued)

14 14Vol 2, ESRD, Ch 1 Figure 2.1 HP2020 CKD-10 Geographic distribution of the adjusted proportion of chronic kidney disease patients receiving care from a nephrologist at least 12 months before the start of renal replacement therapy, by state, in the U.S. population, 2013: Target 29.8% Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form; nephrologist care determined from Medical Evidence form. Adjusted for age, sex, and race. Abbreviations: CDC, Centers for Disease Control and Prevention; CKD, chronic kidney disease; ESRD, end-stage renal disease.

15 15Vol 2, ESRD, Ch 1 Table 2.9 HP2020 CKD-11.1: Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access: Previous data source target 50.6% (Continued on next slide) 20122013 All 61.462.8 Race American Indian or Alaskan Native only 71.874.2 Asian only 65.867.3 Native Hawaiian or other Pacific Islander only 65.267.7 Black or African American only 56.457.8 White only 63.865.2 Two or more races 67.668.6 Ethnicity Hispanic or Latino 66.767.9 Not Hispanic or Latino 60.261.7 Black or African American only, not Hispanic/Latino 56.357.8 White only, not Hispanic or Latino 62.564.0

16 16Vol 2, ESRD, Ch 1 20122013 Sex Male 67.768.8 Female 53.255.1 Age 18-44 65.366.3 18-24 64.566.1 25-44 65.466.3 45-64 63.464.9 45-54 65.166.4 55-64 62.363.8 65+ 57.659.2 65-74 59.861.4 75-84 56.557.9 85+ 47.548.9 Data Source: Special analyses, CROWNWeb. Prevalent hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form, vascular access type determined from CROWNWeb. Abbreviations: CMS, Centers for Medicare and Medicaid Services; CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.9 HP2020 CKD-11.1: Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas as the primary mode of vascular access: Previous data source target 50.6% (Continued)

17 17Vol 2, ESRD, Ch 1 Table 2.10 HP2020 CKD-11.2: Reduce the proportion of adult hemodialysis patients who use catheters as the only mode of vascular access: Previous data source target 26.1% (Continued on next slide) 20122013 All 15.915.1 Race American Indian or Alaskan Native only 12.711.7 Asian only 13.913.3 Native Hawaiian or other Pacific Islander only 14.714.2 Black or African American only 15.014.3 White only 16.716.0 Two or more races 11.410.0 Ethnicity Hispanic or Latino 13.913.4 Not Hispanic or Latino 16.315.5 Black or African American only, not Hispanic/Latino 14.914.2 White only, not Hispanic or Latino 17.817.1

18 18Vol 2, ESRD, Ch 1 20122013 Sex Male 13.813.3 Female 18.517.5 Age 18-44 14.914.2 18-24 17.916.4 25-44 14.613.9 45-64 14.513.9 45-54 13.813.2 55-64 15.014.4 65+ 17.616.9 65-74 15.715.2 75-84 18.417.7 85+ 27.626.7 Data Source: Special analyses, CROWNWeb. Prevalent hemodialysis patients with a valid ESRD Medical Evidence CMS 2728 form, vascular access type determined from CROWNWeb. Abbreviations: CMS, Centers for Medicare and Medicaid Services; CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.10 HP2020 CKD-11.2: Reduce the proportion of adult hemodialysis patients who use catheters as the only mode of vascular access: Previous data source target 26.1% (Continued)

19 19Vol 2, ESRD, Ch 1 Table 2.11 HP2020 CKD-11.3 Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas or have a maturing fistula as the primary mode of vascular access at the start of renal replacement therapy: Target 34.5% (Continued on next slide) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 31.131.931.631.232.333.835.136.637.2 Race American Indian or Alaskan Native only 36.239.137.641.4 41.140.240.842.4 Asian only 36.037.535.235.935.537.437.138.041.3 Native Hawaiian or other Pacific Islander only 41.034.735.432.932.4 36.037.739.5 Black or African American only 28.429.329.729.230.632.033.935.835.6 White only 31.932.732.131.732.734.335.336.837.5 Two or more races 25.836.433.228.936.137.839.142.933.3 Ethnicity Hispanic or Latino 31.432.329.929.731.032.833.434.234.8 Not Hispanic or Latino 31.031.9 31.432.534.035.437.137.6 Black or African American only, not Hispanic or Latino 28.329.229.729.130.631.933.935.835.6 White only, not Hispanic or Latino 32.032.932.732.333.134.836.037.738.4

20 20Vol 2, ESRD, Ch 1 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) Sex Male 34.935.134.833.934.936.437.839.139.2 Female 26.327.927.427.628.830.431.433.334.4 Age 18-44 29.5 28.227.529.231.131.932.533.0 18-24 25.622.320.221.022.723.625.025.428.1 25-44 29.930.329.028.229.831.832.633.133.5 45-64 33.233.332.632.533.234.435.937.8 45-54 32.433.132.432.232.834.035.937.137.4 55-64 33.833.532.7 33.534.635.938.238.1 65+ 29.931.431.631.032.234.035.136.637.6 65-74 31.733.534.032.934.335.937.038.739.1 75-84 29.430.630.530.731.833.734.836.037.7 85+ 23.725.025.124.025.326.628.329.129.9 Data Source: Special analyses, Medicare 5 percent sample. Incident hemodialysis patients aged 18 & older. Abbreviations: CKD, chronic kidney disease. Table 2.11 HP2020 CKD-11.3 Increase the proportion of adult hemodialysis patients who use arteriovenous fistulas or have a maturing fistula as the primary mode of vascular access at the start of renal replacement therapy: Target 34.5% (Continued)

21 21Vol 2, ESRD, Ch 1 Table 2.12 HP2020 CKD-12 Increase the proportion of dialysis patients waitlisted and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease (ESRD) start (among patients under 70 years of age): Target 18.4% of dialysis patients (Continued on next slide) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 15.214.5 15.315.816.917.016.717.216.917.517.718.0 Race American Indian or Alaskan Native only 12.99.710.19.510.310.910.411.410.511.511.411.312.312.4 Asian only 26.828.728.228.332.228.231.330.831.132.0 33.032.134.1 Native Hawaiian or other Pacific Islander only 17.417.318.719.618.216.115.114.914.314.815.214.816.918.3 Black or African American only 11.210.510.710.511.612.013.113.313.213.913.814.414.815.0 White only 17.016.216.116.316.717.518.418.518.118.217.818.518.619.0 Two or more races 14.019.413.823.523.923.017.620.537.5 Ethnicity Hispanic or Latino 12.912.713.314.114.515.717.617.717.318.217.518.418.118.2 Not Hispanic or Latino 15.514.814.6 15.415.816.716.816.616.916.717.217.517.9 Black or African American only, not Hispanic or Latino 11.210.510.710.511.611.913.013.2 13.8 14.414.814.9 White only, not Hispanic or Latino 18.017.116.816.717.218.018.718.818.318.217.918.318.719.3

22 22Vol 2, ESRD, Ch 1 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) Sex Male 13.4 12.713.013.614.215.315.715.615.815.716.316.517.1 Female 16.415.215.715.516.416.817.917.817.418.017.718.318.718.9 Age <18 41.940.240.848.944.952.758.256.059.058.255.354.055.156.6 0-4 24.026.131.539.130.934.540.936.540.144.337.734.429.635.5 5-11 42.249.244.250.050.763.661.565.166.664.260.362.662.567.4 12-17 47.140.041.651.247.353.662.759.463.261.360.958.664.461.8 18-44 26.425.224.523.825.224.926.225.625.325.925.227.026.227.4 18-24 30.529.130.229.533.527.832.432.030.032.532.633.534.038.6 25-44 26.024.923.923.324.524.625.725.024.925.324.526.425.526.3 45-64 14.113.4 13.514.014.615.715.915.515.815.716.316.816.7 45-54 18.217.417.116.616.8 18.318.617.218.317.918.619.1 55-64 11.210.510.711.412.113.113.814.114.314.214.314.915.415.2 65+ 5.05.36.06.27.48.08.99.49.910.9 10.810.912.1 65-69 5.05.36.06.27.48.08.99.49.910.9 10.810.912.1 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. Abbreviations: CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.12 HP2020 CKD-12 Increase the proportion of dialysis patients waitlisted and/or receiving a deceased donor kidney transplant within 1 year of end-stage renal disease (ESRD) start (among patients under 70 years of age): Target 18.4% of dialysis patients (Continued)

23 23Vol 2, ESRD, Ch 1 Table 2.13 HP2020 CKD-13.1 Increase the proportion of patients receiving a kidney transplant within 3 years of end-stage renal disease (ESRD): Target 19.7% (Continued on next slide) 1998 (%) 1999 (%) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) All 19.919.419.118.3 18.018.217.617.116.615.614.614.1 Race American Indian or Alaskan Native only 11.310.015.48.711.68.89.18.710.010.16.77.2 Asian only 18.817.818.318.120.821.420.318.218.717.417.816.717.2 Native Hawaiian or other Pacific Islander only 12.312.88.312.612.011.412.59.49.710.5 8.27.3 Black or African American only 9.89.59.88.89.59.29.99.58.99.08.67.77.6 White only 26.325.224.423.723.122.822.622.021.320.619.218.017.1 Two or more races 16.416.514.617.617.014.4 Ethnicity Hispanic or Latino 16.714.715.014.214.014.414.7 14.513.812.511.711.2 Not Hispanic or Latino 20.019.619.418.618.818.318.517.917.216.815.914.814.3 Black or African American only, not Hispanic or Latino 9.79.49.88.79.59.19.99.58.9 8.57.67.5 White only, not Hispanic or Latino 28.327.826.926.325.925.324.924.323.723.021.720.419.4

24 24Vol 2, ESRD, Ch 1 1998 (%) 1999 (%) 2000 (%) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) Sex Male 21.921.120.519.719.919.619.519.018.517.516.215.314.5 Female 17.517.3 16.516.215.916.415.815.3 14.813.713.5 Age <18 72.073.871.969.169.574.374.075.677.277.975.177.573.2 0-4 73.580.374.569.673.976.373.673.973.876.165.873.868.3 5-11 78.275.972.676.975.778.881.881.280.287.584.382.979.5 12-17 68.471.071.165.1 71.970.974.177.375.275.176.872.6 18-44 33.632.531.329.929.628.729.227.626.825.424.022.722.0 18-24 44.342.243.041.839.542.041.940.037.835.134.234.634.8 25-44 32.431.430.028.628.527.127.826.225.524.322.921.420.6 45-64 16.315.715.915.315.115.015.114.914.514.113.212.311.8 45-54 21.020.120.219.518.418.318.517.417.117.015.514.813.8 55-64 12.512.012.511.812.512.412.613.112.612.011.610.610.5 65+ 5.35.96.26.57.37.68.07.88.3 8.27.88.0 65-69 5.35.96.26.57.37.68.07.88.3 8.27.88.0 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. Abbreviations: CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.13 HP2020 CKD-13.1 Increase the proportion of patients receiving a kidney transplant within 3 years of end-stage renal disease (ESRD): Target 19.7% (Continued)

25 25Vol 2, ESRD, Ch 1 Figure 2.2 HP2020 CKD-13.1 Geographic distribution of the adjusted proportion of patients receiving a kidney transplant within 3 years of end-stage renal disease (ESRD), by state, in the U.S. population, 2010: Target 19.7% Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. Adjusted for age, sex, and race. Alaska and Hawaii are not reported due to small sample size. Abbreviations: CKD, chronic kidney disease.

26 26Vol 2, ESRD, Ch 1 Table 2.14 HP2020 CKD-13.2 Increase the proportion of patients who receive a preemptive transplant at the start of ESRD: No applicable target (Continued on next slide) 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) All 3.3 3.43.73.94.1 4.03.83.94.03.7 Race American Indian or Alaskan Native only **1.5**1.4**1.7*1.61.31.2 Asian only 2.02.82.62.52.73.03.13.53.13.43.83.14.5 Native Hawaiian or other Pacific Islander only ****1.0*1.92.62.0**** Black or African American only 0.60.7 0.80.91.01.1 1.2 0.91.0 White only 4.14.24.14.64.95.15.25.04.7 4.84.34.2 Two or more races ******** Ethnicity Hispanic or Latino 1.41.5 1.81.92.3 2.2 2.42.2 Not Hispanic or Latino 3.23.3 3.63.83.94.13.93.73.8 3.43.5 Black or African American only, not Hispanic or Latino 0.60.7 0.80.91.01.1 1.2 0.91.0 White only, not Hispanic or Latino 4.84.94.85.45.76.06.36.05.55.65.75.14.9

27 27Vol 2, ESRD, Ch 1 2001 (%) 2002 (%) 2003 (%) 2004 (%) 2005 (%) 2006 (%) 2007 (%) 2008 (%) 2009 (%) 2010 (%) 2011 (%) 2012 (%) 2013 (%) Sex Male 3.53.43.53.63.94.2 3.93.83.94.03.6 Female 3.13.33.23.73.84.03.94.03.83.94.03.84.0 Age <18 20.819.421.219.723.825.422.222.626.924.126.325.325.0 0-4 18.614.118.818.717.817.419.511.919.616.719.117.619.5 5-11 22.827.228.722.028.833.531.332.936.532.929.930.632.3 12-17 20.717.018.719.223.925.119.722.825.723.628.126.724.0 18-44 6.05.95.56.15.96.46.1 5.85.76.15.75.6 18-24 8.88.69.09.59.210.68.49.29.39.79.49.68.2 25-44 5.6 5.25.85.56.05.95.85.55.35.75.3 45-64 2.7 2.83.13.33.53.63.43.23.4 3.13.2 45-54 3.7 4.04.3 4.64.24.04.34.03.8 55-64 1.92.02.12.42.72.93.02.92.82.93.02.72.9 65+ 0.80.91.21.31.62.01.82.01.92.22.32.22.5 65-69 0.80.91.21.31.62.01.82.01.92.22.32.22.5 Data Source: Special analyses, Medicare 5 percent sample. Incident ESRD patients younger than 70. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease; ESRD, end-stage renal disease. Table 2.14 HP2020 CKD-13.2 Increase the proportion of patients who receive a preemptive transplant at the start of ESRD: No applicable target (Continued)

28 28Vol 2, ESRD, Ch 1 Table 2.15 HP2020 CKD-14.1 Reduce the total number of deaths for persons on dialysis: Target 190.0 deaths per 1,000 patient years (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 232.3229.9228.4224.2220.5216.3207.8200.6195.5188.6184.9177.6174.1 Race American Indian or Alaskan Native only 202.0194.6188.2182.4177.8170.1162.6167.5171.6151.3146.1146.6144.2 Asian only 168.4154.8166.2157.8161.5153.4149.6137.4138.5129.5132.7127.6123.4 Native Hawaiian or other Pacific Islander only 159.9177.2166.3162.3150.3157.3160.5145.8151.9148.8136.0132.5119.7 Black or African American only 185.1181.3181.8181.2176.7171.3164.8158.4153.9146.7141.6136.4134.4 White only 274.6273.4270.2263.3259.9255.6244.9236.9230.3224.0221.0211.8198.7 Two or more races 153.0160.3139.9145.9141.7131.1125.3119.0116.2 Ethnicity Hispanic or Latino 170.9168.8167.8163.6160.5153.7143.3138.1140.1132.2130.8131.0126.4 Not Hispanic or Latino 236.2236.5236.9233.8230.5227.4219.6212.4206.2199.7195.9187.3184.3 Black or African American only, not Hispanic or Latino 185.7181.8182.2181.4177.0171.8165.4158.9154.4147.0142.0136.1134.2 White only, not Hispanic or Latino 299.1298.7296.3290.3287.2285.5276.0269.0261.1256.3254.2243.7239.8

29 29Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 226.0223.5223.9220.5216.8212.5205.0198.4195.1187.5184.0177.1172.3 Female 239.4237.2233.6228.4224.8220.8211.1203.4196.0190.0186.0178.2176.5 Age <18 41.638.246.440.237.937.830.633.536.7 23.728.528.6 0-4 155.091.099.291.882.288.367.093.987.178.140.958.469.1 5-11 38.6*64.943.633.539.0*35.546.044.234.5** 12-17 16.734.428.327.829.425.321.615.617.620.213.416.1* 18-44 88.790.287.684.082.579.875.871.270.163.961.559.458.1 18-24 48.745.651.852.349.149.747.144.140.137.536.832.633.3 25-44 92.193.990.686.685.382.378.273.472.666.063.561.660.0 45-64 174.9169.9171.5167.8161.6160.2152.1145.7142.2136.3133.3127.8123.3 45-54 145.6139.7138.9137.1133.6131.2126.0117.8114.7108.0106.398.996.8 55-64 199.8195.2198.3192.5183.4182.4171.7166.3162.0156.2151.8147.3140.8 65+ 349.0345.6339.7334.3332.0324.1313.3304.0295.0285.9280.5268.0263.0 65-74 287.8284.0278.3272.3268.5257.1246.6240.4235.7226.6220.9212.1210.1 75-84 404.2395.4386.8381.5377.9371.5357.8346.6333.0323.0317.7302.2296.4 85+ 562.5567.4547.3527.3524.8515.1508.9485.2464.4455.3449.8433.5423.3 Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease. Table 2.15 HP2020 CKD-14.1 Reduce the total number of deaths for persons on dialysis: Target 190.0 deaths per 1,000 patient years (Continued)

30 30Vol 2, ESRD, Ch 1 Table 2.16 HP2020 CKD-14.2 Reduce the number of deaths in dialysis patients within the first 3 months of initiation of renal replacement therapy: Target 328.7 deaths per 1,000 patient years at risk (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 382.8382.5388.6385.3381.3376.9368.7366.8358.5358.7341.3328.2321.2 Race American Indian or Alaskan Native only 185.2146.0196.0216.7218.0172.2177.3248.0168.8157.1159.2228.5208.8 Asian only 232.4227.8234.7234.5257.1213.8244.7203.8214.7219.5179.9189.7189.3 Native Hawaiian or other Pacific Islander only 210.2180.6186.5185.0173.4222.7172.8153.9194.5162.8179.2122.2158.3 Black or African American only 276.7269.0281.5276.2278.8271.4255.7257.1249.8244.9232.8216.2223.9 White only 449.2454.8457.7451.8442.3439.6434.3432.4423.9426.0407.6392.5377.4 Two or more races 301.9303.7280.9295.6209.6262.1260.4247.2237.9 Ethnicity Hispanic or Latino 247.1227.4243.6229.6242.0219.6220.8212.9207.3209.7205.3198.7188.7 Not Hispanic or Latino 400.0403.7407.7405.9399.5397.7389.9387.9379.9381.4363.5347.3341.9 Black or African American only, not Hispanic or Latino 277.6268.8281.9277.3278.6271.7257.5257.9250.4245.8234.4214.8224.2 White only, not Hispanic or Latino 484.5498.0498.4495.1484.1489.9483.4486.2478.0482.1462.9444.6427.3

31 31Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 384.3377.0387.8385.4375.8373.0370.5368.9363.7356.2340.1323.6319.8 Female 381.2389.1389.6385.3388.2381.8366.5364.1351.9361.9342.9334.3323.1 Age <18 ***59.3***.***** 0-4 ***.*.***.*** 5-11 ************* 12-17 ******.****** 18-44 102.0104.3106.1107.5 105.8101.4101.8108.394.8 76.182.2 18-24 72.554.563.176.165.493.769.959.745.668.062.2*52.1 25-44 105.1109.7110.7 111.9107.1104.8106.2114.597.598.381.185.3 45-64 219.3215.1224.4217.4221.1214.3205.4214.9210.2213.7200.7193.3192.5 45-54 162.4168.3171.6172.9177.7163.4160.3175.3161.7167.0158.6144.3143.8 55-64 261.5250.1263.6249.6251.6250.4236.2241.3242.1243.3227.6223.3222.9 65+ 590.7588.8596.4595.7587.5585.9579.6566.9552.2548.7526.9512.0493.0 65-74 443.9443.4430.2436.6432.4419.8415.7418.5408.4403.5381.3380.5366.7 75-84 694.6687.9698.9692.8673.0681.3671.7633.3628.0636.2609.6588.2569.0 85+ 1054.8990.01070.91022.31008.71018.8987.0993.2927.6901.0902.8873.4871.7 Data Source: Special analyses, Medicare 5 percent sample. Incident dialysis patients, unadjusted. “.” Zero values in this cell; *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease. Table 2.16 HP2020 CKD-14.2 Reduce the number of deaths in dialysis patients within the first 3 months of initiation of renal replacement therapy: Target 328.7 deaths per 1,000 patient years at risk (Continued)

32 32Vol 2, ESRD, Ch 1 Table 2.17 HP2020 CKD-14.3 Reduce the number of cardiovascular deaths for persons on dialysis: Target 80.9 deaths per 1,000 patient years at risk (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 117.6114.2111.6106.8100.694.589.284.581.779.075.773.570.6 Race American Indian or Alaskan Native only 102.891.888.984.276.472.568.360.768.762.157.857.055.0 Asian only 94.684.891.381.683.169.467.865.165.959.860.857.655.6 Native Hawaiian or other Pacific Islander only 99.7110.5102.188.076.486.280.472.079.879.366.465.361.9 Black or African American only 90.388.286.584.981.076.972.069.266.462.959.559.056.8 White only 140.4136.2132.6125.9117.7109.8103.797.494.091.988.885.481.9 Two or more races 69.571.763.767.461.764.457.149.447.2 Ethnicity Hispanic or Latino 91.087.583.780.777.870.965.262.964.460.959.159.057.6 Not Hispanic or Latino 119.1116.9115.5110.9104.498.893.688.685.282.679.276.673.4 Black or African American only, not Hispanic or Latino 90.688.386.885.081.077.072.369.366.563.159.658.956.7 White only, not Hispanic or Latino 152.2148.1145.2138.1128.6121.1115.5108.6104.0102.799.595.791.4

33 33Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 116.9113.6111.9107.7101.395.690.286.283.980.877.575.572.2 Female 118.4114.9111.3105.799.893.388.082.479.076.773.570.868.4 Age <18 14.111.99.113.015.516.6*9.415.98.5*9.7* 0-4 ********45.4**** 5-11 ***********.* 12-17 *11.8**15.713.7******* 18-44 40.140.639.038.037.234.932.330.530.628.926.626.925.9 18-24 19.919.324.324.223.618.718.116.117.918.517.913.214.1 25-44 41.842.440.339.138.336.333.531.7 29.727.327.926.9 45-64 88.985.783.980.475.372.867.864.763.060.458.456.954.7 45-54 72.368.966.063.660.759.256.352.751.447.247.644.843.4 55-64 103.199.898.694.086.683.376.573.671.569.765.865.162.1 65+ 178.5172.3167.6159.6150.1138.9132.1124.5119.2115.6110.6106.1101.2 65-74 149.5143.0138.3132.6123.9114.0107.4103.4100.295.792.188.885.7 75-84 205.0195.7190.4179.9170.1155.6149.6137.9130.0128.4122.1115.6111.5 85+ 277.5278.8265.6244.6225.4214.3199.6187.2178.6171.8163.1161.0146.5 Data Source: Special analyses, Medicare 5 percent sample. Period prevalent dialysis patients; unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease. Table 2.17 HP2020 CKD-14.3 Reduce the number of cardiovascular deaths for persons on dialysis: Target 80.9 deaths per 1,000 patient years at risk (Continued)

34 34Vol 2, ESRD, Ch 1 Table 2.18 HP2020 CKD-14.4 Reduce the total number of deaths for persons with a functioning kidney transplant: Target 29.3 deaths per 1,000 patient years at risk (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 34.232.233.432.032.531.931.530.331.7 31.831.931.8 Race American Indian or Alaskan Native only 40.536.642.141.140.845.037.838.757.048.344.443.536.6 Asian only 21.521.218.320.522.619.324.019.416.717.422.022.918.8 Native Hawaiian or other Pacific Islander only *25.2*19.224.717.313.217.025.017.718.220.326.0 Black or African American only 38.636.337.634.034.734.130.531.230.830.531.330.730.4 White only 34.032.033.432.332.732.232.530.832.732.932.732.933.0 Two or more races 22.720.615.624.023.823.424.727.132.2 Ethnicity Hispanic or Latino 22.320.819.318.822.623.320.921.623.623.723.623.525.1 Not Hispanic or Latino 30.028.931.930.630.830.330.929.731.131.732.433.233.0 Black or African American only, not Hispanic or Latino 39.136.737.934.335.134.530.731.630.7 31.431.030.3 White only, not Hispanic or Latino 35.333.335.234.234.133.434.332.334.434.5 34.834.9

35 35Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 36.533.934.634.235.033.833.532.033.233.834.134.033.6 Female 30.829.831.728.929.029.228.427.829.528.628.529.029.2 Age <18 4.88.56.73.67.64.7**3.06.32.92.6* 0-4 ************* 5-11 ************* 12-17 *7.36.6*8.65.0***6.2*** 18-44 15.414.412.712.512.211.710.910.010.19.28.58.17.6 18-24 9.75.25.67.07.38.26.76.46.36.14.25.55.1 25-44 16.015.413.413.112.812.111.410.410.59.59.08.57.9 45-64 39.735.636.633.333.732.330.328.928.828.1 25.925.6 45-54 30.828.327.424.725.624.922.221.922.419.819.116.616.9 55-64 52.345.548.343.743.040.438.836.035.135.936.234.033.2 65+ 91.785.991.087.183.679.880.073.377.075.474.276.773.4 65-74 85.980.582.278.976.470.571.363.866.965.763.464.761.2 75-84 137.7126.5153.2138.0124.2130.3122.0117.0121.3113.6115.3120.0117.3 85+ ****182.9134.9211.2146.8152.4196.1169.4225.2192.3 Data Source: Special analyses, Medicare 5 percent sample. Period prevalent transplant patients, unadjusted. *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease. Table 2.18 HP2020 CKD-14.4 Reduce the total number of deaths for persons with a functioning kidney transplant: Target 29.3 deaths per 1,000 patient years at risk (Continued)

36 36Vol 2, ESRD, Ch 1 Table 2.19 HP2020 CKD-14.5 Reduce the number of cardiovascular deaths in persons with a functioning kidney transplant: Target 4.5 deaths per 1,000 patient years at risk (Continued on next slide) 2001200220032004200520062007200820092010201120122013 All 5.95.35.45.85.75.45.34.34.4 3.73.53.0 Race American Indian or Alaskan Native only *9.4*********** Asian only *3.6*2.63.13.73.61.9*1.82.12.4* Native Hawaiian or other Pacific Islander only **********.** Black or African American only 7.26.36.56.36.16.25.55.15.25.04.44.03.4 White only 5.75.15.45.95.75.35.44.24.34.43.73.52.9 Two or more races *4.8**4.1***4.0 Ethnicity Hispanic or Latino 3.74.53.43.53.94.13.33.43.53.03.32.3 Not Hispanic or Latino 5.75.25.6 5.3 4.34.44.73.8 3.2 Black or African American only, not Hispanic or Latino 7.46.36.66.46.26.35.65.2 4.94.34.03.4 White only, not Hispanic or Latino 6.05.25.66.35.95.45.74.34.54.73.7 3.1

37 37Vol 2, ESRD, Ch 1 2001200220032004200520062007200820092010201120122013 Sex Male 6.45.85.76.56.15.76.04.84.44.94.13.63.3 Female 5.14.75.04.95.14.94.23.64.33.73.03.32.5 Age <18 ***.****.*.*. 0-4 **....*..*... 5-11 *.*.......... 12-17 ***.****.*.*. 18-44 2.62.72.42.52.42.1 1.81.41.31.01.2 18-24 ************* 25-44 2.82.92.52.72.52.2 1.91.51.41.01.21.3 45-64 7.16.06.16.45.95.85.34.34.14.23.52.92.6 45-54 6.64.55.05.44.64.4 3.4 2.92.32.01.9 55-64 7.87.97.57.67.47.36.25.24.85.54.63.73.2 65+ 13.912.913.214.113.912.112.28.910.29.68.07.85.9 65-74 13.711.611.713.313.410.410.98.38.9 7.66.75.4 75-84 15.122.524.219.416.222.018.411.916.512.29.112.38.1 85+ **.**.******* Data Source: Special analyses, Medicare 5 percent sample. Period prevalent transplant patients, unadjusted. “.” Zero values in this cell; *Values for cells with 10 or fewer patients are suppressed. Abbreviations: CKD, chronic kidney disease. Table 2.19 HP2020 CKD-14.5 Reduce the number of cardiovascular deaths in persons with a functioning kidney transplant: Target 4.5 deaths per 1,000 patient years at risk (Continued)


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