Epidemiology Financials

697.5 million cases

How many cases of all stage CKD were there globally in 2017?

11th

In 2019 CKD related deaths rose from 19th to ______th leading cause globally, 50% accounted for by diabetes and htn related causes.

850 million

How many cases were there of some form of kidney disease in 2021?

by 2040 it will be the 5th leading cause of death

What do trends suggest that CKD would be ranked in cause of death globally?

southeast Asia, east Asia, and Oceania

Where are most global disparities in CKD seen?

14%

What % of people in the US adult population are estimated to have CKD?

9 in 10

How many adults in the US with CKD do not know they have it?

1 in 3

What amount of adults with SEVERE CKD in the US do not know they have CKD?

65 yrs or older

What is the more common age of people with CKD?

women (14% compared to men 12%)

Is CKD more common in women or men?

non-hispanic black adults

What race is CKD more common in?

14%

What % of hispanic adults have CKD?

renal replacement therapy: dialysis or transplantation

ESRD will require treatment with what?

CKD can remain stable or progress to ESRD

Will CKD lead to ESRD?

-direct out of pocket costs of care

-indirect impact on a pts ability to earn an income

What 2 mechanism are financial impacts mediated through?

transplant

is generally a cost effective tx compared to dialysis

2 in every 1000 (more than 800,000 people)

How many people in the US are living with ESRD?

69%

What % of people with ESRD in the US were on dialysis?

31%

What % of people with ESRD in the US were living with a kidney transplant?

tripled

The rate of ESRD in the USA has more than ________ since 1990.

60%

The incidence rate of ESRD among men is ______ higher than among women.

4 times

Non-Hispanic Black persons have _________ the incidence rate of ESRD than non-Hispanic White persons.

2 times

Hispanic persons have _______ the incidence rate of ESRD than non-Hispanic White persons.

lower

There are higher rates of CKD among those with ________ educational and income groups.

high albuminuria

is associated with low socioeconomic status after controlling for ethnicity, lifestyle, and clinical characteristics

highest

Mississippi has one of the ________ age-adjusted deaths rates for kidney disease-related death.

MS

Between 2002-2016 ________ has the highest rate of disability adjusted life years lost in the US.

2nd

In between 2002-2016 MS had the _____ highest mortality related to CKD in the US.

2,302

The prevalence of ESRD inMississippi in 2018 was _______ cases per million people.

77 billion

What was the medicare spending for beneficiaries with CKD ages 66 or older in 2021?

52.3 billion

What was the Medicare related spending for beneficiaries with ESRD in 2021?

66 or older

The annual per person spending in 2021 for Medicare was more than double for beneficiaries ages ________ with CKD compared to those without CKD.

higher

The ________ the stage of CKD the more cost.

higher

Patients with more comorbidities have a ________ per person per year spending among other older adults with CKD.

End Stage Renal Disease Quality Incentive Program (ESRD QIP)

is avalue-based care program which aims improve quality of ESRD care

-clinical care

-care coordination

-safety

-patient and family engagement

What are the 4 measure domains that ESRD QIP evaluates?