Long-term Trends in the Prevalence of Chronic Kidney Disease in the United States

January 2017

Long-term Trends in the Prevalence of Chronic Kidney Disease in the United States

Nationally representative data suggest that for the 2013-2014 time period the prevalence of chronic kidney disease (CKD) stages 1-4 in the United States was 15.5%-18.3%.* The prevalence of stages 3 and 4 CKD increased between 1988 and 2002, stabilized from 2003 to 2012, and may now be rising again.These trends highlight the importance of continued public health action to both raise awareness and improve the care and outcomes for people with CKD and its risk factors.

Chart: Prevalence of CKD Stages 1-4 By Year

People with kidney damage (those having albumin in the urine) or with an estimated glomerular filtration rate --a measure of kidney function-- less than 60 mL/min per 1.73 m2 for 3 months or longer are considered to have CKD. CKD has various levels or stages of seriousness; the higher the stage, the more advanced the disease. End-stage renal disease (CKD Stage 5 or dialysis) was excluded from this analysis.

* Prevalence estimates were obtained from the National Health and Nutrition Examination Survey using the Modification of Diet in Renal Disease Study equation and were not adjusted for age.

 

Recent Publications on the Prevalence of CKD:

Murphy D, McCulloch CE, Lin F, et al. Trends in prevalence of chronic kidney disease in the United States .    Ann Intern Med . 2016;165(7):473-81.  

Ricardo AC, Flessner MF, Eckfeldt JH, et al. Prevalence and correlates of CKD in Hispanics/Latinos in the United States .    Clin J Am Soc Nephrol . 2015;65(3):403-11.

Hoerger TJ, Simpson SA, Yarnoff BO, et al. The future burden of CKD in the United States: a simulation model for the CDC CKD Initiative .    Am J Kidney Dis. . 2015;65(3):403-11.  

Schroeder EB, Powers JD, O'Connor PJ, et al.; SUPREME-DM Study Group. Prevalence of chronic kidney disease among individuals with diabetes in the SUPREME-DM Project, 2005-2011   . J Diabetes Complications . 2015;29(5):637-43.  

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