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Indicator Details: Point Prevalent Counts of Dialysis Facilities and Patients Treated by Dialysisa
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a Adapted from the 2020 USRDS Annual Data Report (United States Renal Data System, 2020).

At the end of 2018, there were 7,433 dialysis facilities in the United States, at which 518,749 patients received dialysis. The average number of patients per facility in the United States was approximately 70. 

Chart Explanation: 

At the end of 2018, 518,749 patients received dialysis in 7,433 dialysis facilities in the United States. There was a steady increase in the number of facilities and the number of patients treated, from 1991 to 2018. However, the average number of patients per facility has only slightly increased from 69 in 1991 to 70 in 2018.

The United States Renal Data System (USRDS) is a national registry of all patients treated for end-stage renal disease (ESRD) in the United States. It is sponsored by the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) and the Centers for Medicare & Medicaid Services (CMS) that reports prevalence of all treated ESRD in the United States. U.S. population denominators are determined through U.S. Census data. Tables from the USRDS annual report (United States Renal Data System, 2020) are publicly available for download.

Description of MeasureDialysis and transplant centers (stage 5)
Type of Data SourcePublic
Health Care System DataNo
Regional or National?National
Demographic GroupFacilities with Medicare-eligible U.S. citizens with ESRD
Definition of CKDStage 5, <15 ml/min per 1.73 m² with Medicare-eligibility for ESRD-related treatment
Primary Data Source IndicatorDecember 31 point prevalent counts of facilities performing dialysis/transplants
Primary Indicator Method of MeasurementClaims
Frequency of Measurement (Primary)Annual (cross-sectional)
U.S. Region Covered by Primary VariableAll
Period Currently Available


Additional Data Items of InterestType/ownership of facilities, treatment modalities offered, center staffing
Limitations of IndicatorOnly those who are Medicare-eligible are captured & eligibility may be delayed
Analytic ConsiderationsPoint vs. period prevalent counts; census data can be used for population denominator (per U.S. population)
References and Sources:
  • United States Renal Data System. 2020 USRDS Annual Data Report: Epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2020.

Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd