ESRD prevalence varied by state. In 2018, the highest prevalence was found in the District of Columbia (>2,500 per million population); 12 other states also had relatively high prevalence, at >2,200 per million population (Alabama, Illinois, Indiana, Louisiana, Michigan, Mississippi, Missouri, New Mexico, Ohio, Pennsylvania, South Dakota, and Wisconsin).
The states with the lowest prevalence of ESRD were New Hampshire (1,179 per million), Vermont (1,261 per million), and Maine (1,341 per million), and Alaska (1,341 per million).
Many of the U.S. states have shown an increase in prevalence. The Midwest region continues to have the highest prevalence of ESRD, relative to other regions, with most states having >2,200 per million in the population. In addition, the Southwest region continues to have a high prevalence, but with most states having ≤2,100 per million prevalence in the population.