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Indicator Details: Percentage of Patients by Race/Ethnicity
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The population aged 20 to 64 years is primarily white for the years analyzed. About a third of Clinformatics Commercial™ insurance patients are of any other race/ethnicity.
 
Chart Explanation: The chart shows the distribution of race/ethnicity, by year, by age, and by year and gender. The y-axis (vertical line) shows the percentage of patients. The x-axis (horizontal line) shows the race/ethnicity groups by either year, age groups, or year and gender.
The Clinformatics Commercial™ provides paid medical and prescription claims and enrollment information for participants in commercial insurance plans.

CKD is defined using ICD-9-CM or ICD-10-CM diagnosis codes, and ESRD is based on ICD diagnosis, CPT procedure, and DRG codes in Clinformatics Commercial.
 
FieldData
Description of MeasurePercent of Clinformatics Medicare Advantage patients by mutually exclusive race/ethnicity categories
Data SourceClinformatics Commercial™ from Optum Clinformatic data mart database (OptumInsight, Eden Prairie, MN)
Type of Data SourceAdministrative
Data SetClinformatics Commercial enrollees age 20 to 64 years
Health Care System DataYes
Regional or NationalRegional
Demographic GroupPatients aged 20 to 64 years enrolled in Clinformatics Commercial™ insurance
NumeratorPatients in denominator by race
DenominatorPatients aged 20 to 64 years with full year of enrollment in a given calendar year
Primary Data Source IndicatorDiagnosis code from inpatient and outpatient files
Primary Indicator Method of MeasurementMedical claim
Secondary (1) VariableAge in years at the end of the current calendar year
Secondary (2) VariableRace/ethnicity
Secondary (3) VariableSex/gender
Secondary (4) VariableDiabetes status determined by the presence of an ICD-9-CM or ICD-10-CM code for diabetes or diabetic complications, on at least one inpatient, outpatient or medical services claim during a given calendar year
Secondary (5) VariableHypertension status determined by the presence of an ICD-9-CM or ICD-10-CM code for hypertension on at least one inpatient, outpatient or medical services claim during a given calendar year
Period Currently Available

2018

Limitations of IndicatorThe use of an ICD-9-CM or ICD-10-CM diagnosis code as a measure of prevalence will underestimate chronic kidney disease in the general population.
Analytical ConsiderationsIn published literature, ckd is diagnosed by ICD-9-CM or ICD-10-CM codes in alternate ways (one outpatient, two or more outpatient or one inpatient). Care must be taken in comparisons.
ICD-9-CM Codes for CKD016.0, 095.4, 189.0,189.9, 223.0, 236.91, 250.4, 271.4, 274.1, 283.11, 403, 404, 440.1, 442.1, 477.3, 572.4, 581-588, 591, 642.1, 646.2, 753.12-753.19, 753.2, 794.4
ICD-10-CM Codes for CKDA18.11, A52.75, B52.0, C64.x, C68.9, D30.0x, D41.0x-D41.2x, D59.3, E08.2x, E09.2x, E10.2x, E10.65, E11.2x, E11.65, E13.2x, E74.8, I12.xx, I13.0, I13.1x, I13.2, K76.7, M10.3x, M32.14, M32.15, N01.x-N08.x, N13.1, N13.1x-N13.39, N14.x,N15.0, N15.8, N15.9, N16, N17.x, N18.1-N18.5, N18.8, N18.9, N19, N25.xx, N26.1, N26.9, O10.4xx, O12.xx, O26.83x, O90.89, Q61.02, Q61.1x-Q61.8, Q26.0-Q26.39, R94.4

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