USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU**...

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USRDS 1998 II - 1 0 50 100 150 200 250 300 350 400 1987 88 89 90 91 92 93 94 95 1996 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported ESRD Period and Point Prevalence, Incidence, Death, and Lost-to-Followup Counts, 1987-96 18,34 8 *

Transcript of USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU**...

Page 1: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 1

0

50

100

150

200

250

300

350

400

1987 88 89 90 91 92 93 94 95 1996

335,014

287,515

74,11651,762

Period Prev.

Point Prev.

IncidenceDeaths

LFU**

Counts (1000s)

Year *Preliminary**Lost-to-Followup

Reported ESRD Period and Point Prevalence, Incidence, Death, and Lost-to-Followup Counts, 1987-96

18,348

*

Page 2: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 2

0

50

100

150

200

250

1987 88 89 90 91 92 93 94 95 1996*Preliminary

Reported ESRD Point Prevalence Countsby Data Source and Medicare Eligibility, 1987-96

Patients (1000s)

Medicare Functioning Kidney Graft

Medicare Dialysis

USRDS DatabaseHCFA Facility Survey

Year

215,557208,710197,443

78,810

Medicare and Non-Medicare Dialysis

*

Page 3: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 3

ESRD Prevalence Rates by Year, 1987-96

0

200

400

600

800

1000

1200

1987 88 89 90 91 92 93 94 95 1996

Year

Fitted Curve

Actual Rates95 % High Range

95% Low Range

Rate/Million Pop./Year

*Preliminary

*

1996 estimate is inflated by 1% and is denoted by “O”

Page 4: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 4

ESRD Incidence Rates by Year, 1987-96

0

50

100

150

200

250

300

350

1987 88 89 90 91 92 93 94 95 1996

Year

Fitted Curve

Actual Rates

95 % High Range

95% Low Range

Rate/Million Pop./Year

1996 estimate is inflated by 5% and is denoted by “O”

*Preliminary

*

Page 5: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 5

3.0

14.7

7.6

1.2

6.07.7

2.4

6.9

10.6 10.4

0

5

10

15

20

25

1987 vs 1992 1992 vs 1993 1993 vs 1994 1994 vs 1995 1995 vs 1996

Pt. Database AFS

Increases in Incident Dialysis Patient Counts According to Two Sources, 1987-96

% Increase / Year

Year

1987-92 increase

(Medicare only prior to 1994)

*1996 data preliminary

*

Page 6: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 6

ESRD Incidence Rates* by Age, 1987-96

0

200

400

600

800

1000

1200

1987 88 89 90 91 92 93 94 95 1996

Age 0-19Age 20-44

Age 45-64

Age 75+

Age 65-74

Rate/Million Pop./Year

* Adjusted for sex and race** Preliminary

**

Year

Page 7: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 7

54

57

60

63

1987 88 89 90 91 92 93 94 95 1996

Mean Age at Incidence for All ESRD Patients by Race, 1987-96

Mean Age (years)

Year of Incidence

Total

Asian

Black

White

Native Am

62.2

60.059.9

56.255.8

* Preliminary

*

Page 8: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 8

263

818745

354

194

6 7

10

11

6

0

200

400

600

800

1000

Total Black NativeAm

Asian/PI

White Total Black NativeAm

Asian/PI

White

0

2

4

6

8

10

12

ESRD Incidence Rates* and Annualized Change by Race, 1991-96

Rate per Million Pop/Year (1994-96) Change/Year (%) (1991-93 vs 1994-96)

*Adjusted for age and sex

Page 9: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 9

73

29

7 5

28

104

108

0

40

80

120

Diabetes Hyper-tension

Glomer-uloneph

CysticKidney

OtherUrologic

Other Unknown Missing

Rate/Million Pop./Year

Treated Medicare ESRD Incidence Rates* by Primary Diagnosis, 1994-96

Primary Disease Causing ESRD

Overall Rate=263

*Adjusted for age, sex, and race

Page 10: USRDS 1998 II - 1 335,014 287,515 74,116 51,762 Period Prev. Point Prev. Incidence Deaths LFU** Counts (1000s) Year *Preliminary **Lost-to-Followup Reported.

USRDS 1998 II - 10

10

3

6

3

1211

-9-1

-10

-5

0

5

10

15

Diabetes Hyper-tension

Glome-ruloneph

CysticKidney

OtherUrologic

Other Unknown

Annualized Change in Medicare ESRD Incidence Rates by Primary Diagnosis, 1991-96*

Primary Disease Causing ESRD

Change/Year (%)

*Annualized 1991-93 vs. 1994-96

6% Overall Change

Missing