About 24% of children and adolescents with incident ESRD initiated treatment with a kidney transplant in 2018, whereas 76% were treated with dialysis.
In 2018, 1,218 patients aged 21 years or younger began treatment for ESRD in the United States; since 2009 the incident count has decreased for dialysis by 17% overall) and 2% overall increase for transplants. During 2018, 76% of children and adolescents (0- to 21-year-olds) were on dialysis, whereas 24% initiated ESRD therapy with a transplant.
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.
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.