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Prevalence and Incidence
Awareness
Burden of Risk Factors
Health Consequences
Quality of Care
Health System Capacity
View Prevalence and Incidence Summary
Prevalence of CKD in the General Population
CKD Stages Among U.S. Adults, 1988-1994 vs. 1999-2006 vs. 2007-2014 vs. 2015-2016
Prevalence Ratio of CKD Stages Among U.S. Adults, 1988-1994 vs. 2007-2016
CKD Stages Among U.S. Adults by Year
CKD Stages 1-4 Among U.S. Adults
CKD Stages 1-4 Among U.S. Adults Adjusted by Age
Albuminuria Among U.S. Adults by CKD Stage
CKD Prevalence by Hypertension Status
CKD Prevalence by Diabetes Mellitus Status
Prevalence of CKD in the Health Care System Population
CKD Among U.S. Veterans by Gender, Age, Race, Diabetes, and Hypertension
CKD Among U.S. Veterans Stratified by Gender, Age, Race, Diabetes and Hypertension
CKD Stages 3-5 Among U.S. Veterans
Treated ESRD in the U.S.
ESRD Among U.S. Residents Adjusted by Age, Gender, Race
ESRD in the U.S. by State
CKD or ESRD Among U.S. Adults with ICD-9-CM or ICD-10-CM Codes
CKD Among U.S. Adults with an ICD-9-CM or ICD-10-CM Code
Prevalence of CKD by U.S. State and County
Prevalence of CKD Towards Tracking Healthy People 2020 Goals
CKD Among U.S. Adults, 1999-2004 vs. 2005-2010 vs. 2020 Target
Incidence of CKD in the General Population
New Cases of CKD Stages 3-5 in a Study Cohort
Incidence of CKD in the Health Care System Population
New Cases of Treated End-Stage Renal Disease (ESRD)
New Cases Adjusted by Treated End Stage Renal Disease (ESRD)
New Cases of ESRD by U.S. State
New Cases of Individual CKD Stages/eGFR Categories
New Cases of CKD Stage 3-5
=
Published literature or one-time analysis, ongoing surveillance not available
View Awareness Summary
Person Awareness of CKD
Awareness of CKD Among U.S. Adults with Albuminuria
Awareness of CKD Among U.S. Adults with CKD Stage 3 or 4
Awareness of Important Health Problems Among African Americans
Awareness of CKD Risk Factors Among African Americans
Perceived CKD Risk Among African Americans
Provider Awareness of CKD
CKD with ICD-9-CM Codes Among U.S. Veterans with CKD Stages 3-5
Physicians' Reporting of Perceived CKD Risk Factors
Influencing Physicians Treatment of CKD by Guidelines
Correctly Identifying CKD and Recommending Referral to Nephrologist
Trainees Choosing Indicators for Nephrology by Post-graduate Year and CKD Clinical Experience
CKD Awareness Towards Tracking HP2020 Goals
CKD Awareness Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
=
Published literature or one-time analysis, ongoing surveillance not available
View Burden of Risk Factors Summary
Diabetes in the General Population
Diabetes Awareness, Treatment and Control Among U.S. Adults
Self-reported Having Diabetes
Diabetes Adjusted by Age
Diabetes Among U.S. Adults
Diabetes in the Health Care System Population
U.S. Adults with a Diagnosis of Diabetes
Hypertension in the General Population
Hypertension Awareness, Treatment, and Control Among U.S. Adults
Self-reported Hypertension
Hypertension Among U.S. Adults
Hypertension Adjusted by Age
Hypertension in the Health Care System Population
U.S. Veterans with a Diagnosis of Hypertension by Age
U.S. Veterans with a Diagnosis of Hypertension by Age and Gender
U.S. Veterans with a Diagnosis of Hypertension by Age and Race/Ethnicity
U.S. Adults with a Diagnosis of Hypertension
Obesity in the General Population
Overweight or Obesity by Survey Year
Overweight or Obese U.S. Residents
Overweight or Obesity Adjusted by Age
Abdominal Obesity by Survey
Abdominal Obesity in the U.S.
Abdominal Obesity Adjusted by Age
CVD in the General Population
Cardiovascular Disease by Type
Cardiovascular Disease by Survey Year
Crude Percentage with Cardiovascular Disease
Cardiovascular Disease Adjusted by Age
Smoking in the General Population
Smoking in the General Population
Crude Percentage Who Smoke
Current and Past Smoking Adjusted by Age
Age in the General Population
Estimated and Projected Population in the U.S.
Projected U.S. Population by Age
Age in the Health Care System Population
Age of U.S. Adults
Race/Ethnicity in the General Population
Estimated and Projected U.S. Population by Race/Ethnicity
Projected U.S. Population by Race/Ethnicity
Race/Ethnicity in the Health Care System Population
U.S. Adults by Race/Ethnicity
Family History of CKD
Kidney Function by eGFR
Family History of ESRD
Dialysis-requiring AKI in the General Population
Incidence of Dialysis-requiring AKI in the General Population
Food Insecurity in CKD
Annual Trends of Food Insecurity and Chronic Kidney Disease in the United States
=
Published literature or one-time analysis, ongoing surveillance not available
View Health Consequences Summary
Mortality in CKD in the General Population
Cardiovascular Mortality Among U.S. Adults by eGFR and Albuminuria
Mortality in CKD in the Health Care System Population
Mortality Rates by eGFR Category/stage
Physical and Mental Functioning in CKD
Physical Functioning Limitation by CKD Status in U.S. Adults Aged ≥65
Physical Functioning Limitation by CKD Status in U.S. Adults Aged 20-64
Cognitive Function by Kidney Function Among Adults with CKD
Reporting of Various Sleep Symptoms by CKD Stage Among U.S. Adults
Reports of Disability by CKD Status Among U.S. Adults Aged ≥65
Cardiovascular Events in CKD in the Health Care Delivery System Population
Acute Coronary Syndrome Rates by eGFR Category
Heart Failure Hospitalization Rates by eGFR Category
Mortality in CKD in the Health Care Delivery System Population
Mortality Rates by eGFR Category
Risk Factors for Progression of CKD
Diabetes Among U.S. Adults with CKD
Hypertension Among U.S. Adults with CKD
Smoking Status Among U.S. Adults with CKD
Progression
One-year Progression of CKD in U.S. Veterans
Medical Expenditures
Annual Expenditures of CKD in U.S. Medicare Population
Risk Factors for CKD Complications Towards Tracking HP2020 Goals
Hypertension Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
Hyperlipidemia Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
=
Published literature or one-time analysis, ongoing surveillance not available
View Quality of Care Summary
Laboratory Testing for CKD in the Health Care System
Percentage of Patients with a Procedure Code for a Serum Creatinine Test
Serum Creatinine Testing in U.S. Veterans
Albuminuria Testing Among U.S. Veterans
Nephrology Care Prior to ESRD
Timing of Pre-ESRD Care Among Incident ESRD Patients
Timing of Pre-ESRD Care and First-year Mortality
Nephrologist Care Among U.S. Veterans
Predictors of Pre-ESRD Care
Trends in Nephrology Care
Use of Medications in CKD
NSAID Use in Persons With and Without CKD Among U.S. Adults
Prescribed NSAIDs Use Among U.S. Adults
ACE/ARB Use Among Veterans with CKD
ACE/ARB Use Among Veterans with CKD and Diabetes
Blood Pressure Treatment and Control in CKD
Blood Pressure Treatment and Control Among Adults with CKD
CKD Detection
Detection of CKD Among Primary Care Patients with Diabetes
Medication Use
Antihypertensive Medication Use Among U.S. Adults
Types of Antihypertensive Medication Use Among U.S. Adults
=
Published literature or one-time analysis, ongoing surveillance not available
View Health Care System Capacity Summary
Reporting of eGFR and Use of Calibrated Creatinine by U.S. Laboratories
Laboratory Reporting of eGFR Using Creatinine
Frequency of Laboratory Reporting of eGFR Using Creatinine
Laboratory Reporting Using IDMS-Traceable Creatinine Calibration
eGFR Reporting Using Serum Creatinine by Volume of Testing
Frequency of eGFR Reporting with Serum Creatinine
Estimating Equations Used by Laboratories Reporting eGFR
eGFR Reporting Convention Used Among Laboratories
Laboratory Reporting of eGFR in the Health Care System
Patients with Coreported eGFR with Serum Creatinine in VA Facilities
Coreporting of eGFR with Serum Creatinine in VA Facilities
Coreporting of eGFR in VA Facilities
Insurance Status in the General Population
Reports of Health Insurance in U.S. Adults Aged <65
Reports of Health Insurance in U.S. Adults Aged <65 with CKD
Availability of Dialysis and Transplant Facilities in the United States
Dialysis Facilities and Patients Treated by Dialysis in the U.S.
Transplant Facilities and Patients Receiving Kidney Transplants in the U.S.
ESRD Facilities by U.S. State
Staffing Positions at Dialysis Facilities in the U.S.
Number of Nephrologists and Primary Care Providers in the United States
Primary Care Physicians by Specialty in the U.S.
Nephrologists in the U.S.
Primary Care Physicians by U.S. State
=
Published literature or one-time analysis, ongoing surveillance not available
Prevalence and Incidence
View Prevalence and Incidence Summary
Prevalence of CKD in the General Population
CKD Stages Among U.S. Adults, 1988-1994 vs. 1999-2006 vs. 2007-2014 vs. 2015-2016
Prevalence Ratio of CKD Stages Among U.S. Adults, 1988-1994 vs. 2007-2016
CKD Stages Among U.S. Adults by Year
CKD Stages 1-4 Among U.S. Adults
CKD Stages 1-4 Among U.S. Adults Adjusted by Age
Albuminuria Among U.S. Adults by CKD Stage
CKD Prevalence by Hypertension Status
CKD Prevalence by Diabetes Mellitus Status
Prevalence of CKD in the Health Care System Population
CKD Among U.S. Veterans by Gender, Age, Race, Diabetes, and Hypertension
CKD Among U.S. Veterans Stratified by Gender, Age, Race, Diabetes and Hypertension
CKD Stages 3-5 Among U.S. Veterans
Treated ESRD in the U.S.
ESRD Among U.S. Residents Adjusted by Age, Gender, Race
ESRD in the U.S. by State
CKD or ESRD Among U.S. Adults with ICD-9-CM or ICD-10-CM Codes
CKD Among U.S. Adults with an ICD-9-CM or ICD-10-CM Code
Prevalence of CKD by U.S. State and County
Prevalence of CKD Towards Tracking Healthy People 2020 Goals
CKD Among U.S. Adults, 1999-2004 vs. 2005-2010 vs. 2020 Target
Incidence of CKD in the General Population
New Cases of CKD Stages 3-5 in a Study Cohort
Incidence of CKD in the Health Care System Population
New Cases of Treated End-Stage Renal Disease (ESRD)
New Cases Adjusted by Treated End Stage Renal Disease (ESRD)
New Cases of ESRD by U.S. State
New Cases of Individual CKD Stages/eGFR Categories
New Cases of CKD Stage 3-5
=
Published literature or one-time analysis, ongoing surveillance not available
Awareness
View Awareness Summary
Person Awareness of CKD
Awareness of CKD Among U.S. Adults with Albuminuria
Awareness of CKD Among U.S. Adults with CKD Stage 3 or 4
Awareness of Important Health Problems Among African Americans
Awareness of CKD Risk Factors Among African Americans
Perceived CKD Risk Among African Americans
Provider Awareness of CKD
CKD with ICD-9-CM Codes Among U.S. Veterans with CKD Stages 3-5
Physicians' Reporting of Perceived CKD Risk Factors
Influencing Physicians Treatment of CKD by Guidelines
Correctly Identifying CKD and Recommending Referral to Nephrologist
Trainees Choosing Indicators for Nephrology by Post-graduate Year and CKD Clinical Experience
CKD Awareness Towards Tracking HP2020 Goals
CKD Awareness Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
=
Published literature or one-time analysis, ongoing surveillance not available
Burden of Risk Factors
View Burden of Risk Factors Summary
Diabetes in the General Population
Diabetes Awareness, Treatment and Control Among U.S. Adults
Self-reported Having Diabetes
Diabetes Adjusted by Age
Diabetes Among U.S. Adults
Diabetes in the Health Care System Population
U.S. Adults with a Diagnosis of Diabetes
Hypertension in the General Population
Hypertension Awareness, Treatment, and Control Among U.S. Adults
Self-reported Hypertension
Hypertension Among U.S. Adults
Hypertension Adjusted by Age
Hypertension in the Health Care System Population
U.S. Veterans with a Diagnosis of Hypertension by Age
U.S. Veterans with a Diagnosis of Hypertension by Age and Gender
U.S. Veterans with a Diagnosis of Hypertension by Age and Race/Ethnicity
U.S. Adults with a Diagnosis of Hypertension
Obesity in the General Population
Overweight or Obesity by Survey Year
Overweight or Obese U.S. Residents
Overweight or Obesity Adjusted by Age
Abdominal Obesity by Survey
Abdominal Obesity in the U.S.
Abdominal Obesity Adjusted by Age
CVD in the General Population
Cardiovascular Disease by Type
Cardiovascular Disease by Survey Year
Crude Percentage with Cardiovascular Disease
Cardiovascular Disease Adjusted by Age
Smoking in the General Population
Smoking in the General Population
Crude Percentage Who Smoke
Current and Past Smoking Adjusted by Age
Age in the General Population
Estimated and Projected Population in the U.S.
Projected U.S. Population by Age
Age in the Health Care System Population
Age of U.S. Adults
Race/Ethnicity in the General Population
Estimated and Projected U.S. Population by Race/Ethnicity
Projected U.S. Population by Race/Ethnicity
Race/Ethnicity in the Health Care System Population
U.S. Adults by Race/Ethnicity
Family History of CKD
Kidney Function by eGFR
Family History of ESRD
Dialysis-requiring AKI in the General Population
Incidence of Dialysis-requiring AKI in the General Population
Food Insecurity in CKD
Annual Trends of Food Insecurity and Chronic Kidney Disease in the United States
=
Published literature or one-time analysis, ongoing surveillance not available
Health Consequences
View Health Consequences Summary
Mortality in CKD in the General Population
Cardiovascular Mortality Among U.S. Adults by eGFR and Albuminuria
Mortality in CKD in the Health Care System Population
Mortality Rates by eGFR Category/stage
Physical and Mental Functioning in CKD
Physical Functioning Limitation by CKD Status in U.S. Adults Aged ≥65
Physical Functioning Limitation by CKD Status in U.S. Adults Aged 20-64
Cognitive Function by Kidney Function Among Adults with CKD
Reporting of Various Sleep Symptoms by CKD Stage Among U.S. Adults
Reports of Disability by CKD Status Among U.S. Adults Aged ≥65
Cardiovascular Events in CKD in the Health Care Delivery System Population
Acute Coronary Syndrome Rates by eGFR Category
Heart Failure Hospitalization Rates by eGFR Category
Mortality in CKD in the Health Care Delivery System Population
Mortality Rates by eGFR Category
Risk Factors for Progression of CKD
Diabetes Among U.S. Adults with CKD
Hypertension Among U.S. Adults with CKD
Smoking Status Among U.S. Adults with CKD
Progression
One-year Progression of CKD in U.S. Veterans
Medical Expenditures
Annual Expenditures of CKD in U.S. Medicare Population
Risk Factors for CKD Complications Towards Tracking HP2020 Goals
Hypertension Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
Hyperlipidemia Among U.S. Adults with CKD, 1999-2004 vs. 2005-2010 vs. 2020 Target
=
Published literature or one-time analysis, ongoing surveillance not available
Quality of Care
View Quality of Care Summary
Laboratory Testing for CKD in the Health Care System
Percentage of Patients with a Procedure Code for a Serum Creatinine Test
Serum Creatinine Testing in U.S. Veterans
Albuminuria Testing Among U.S. Veterans
Nephrology Care Prior to ESRD
Timing of Pre-ESRD Care Among Incident ESRD Patients
Timing of Pre-ESRD Care and First-year Mortality
Nephrologist Care Among U.S. Veterans
Predictors of Pre-ESRD Care
Trends in Nephrology Care
Use of Medications in CKD
NSAID Use in Persons With and Without CKD Among U.S. Adults
Prescribed NSAIDs Use Among U.S. Adults
ACE/ARB Use Among Veterans with CKD
ACE/ARB Use Among Veterans with CKD and Diabetes
Blood Pressure Treatment and Control in CKD
Blood Pressure Treatment and Control Among Adults with CKD
CKD Detection
Detection of CKD Among Primary Care Patients with Diabetes
Medication Use
Antihypertensive Medication Use Among U.S. Adults
Types of Antihypertensive Medication Use Among U.S. Adults
=
Published literature or one-time analysis, ongoing surveillance not available
Health Care System Capacity
View Health Care System Capacity Summary
Reporting of eGFR and Use of Calibrated Creatinine by U.S. Laboratories
Laboratory Reporting of eGFR Using Creatinine
Frequency of Laboratory Reporting of eGFR Using Creatinine
Laboratory Reporting Using IDMS-Traceable Creatinine Calibration
eGFR Reporting Using Serum Creatinine by Volume of Testing
Frequency of eGFR Reporting with Serum Creatinine
Estimating Equations Used by Laboratories Reporting eGFR
eGFR Reporting Convention Used Among Laboratories
Laboratory Reporting of eGFR in the Health Care System
Patients with Coreported eGFR with Serum Creatinine in VA Facilities
Coreporting of eGFR with Serum Creatinine in VA Facilities
Coreporting of eGFR in VA Facilities
Insurance Status in the General Population
Reports of Health Insurance in U.S. Adults Aged <65
Reports of Health Insurance in U.S. Adults Aged <65 with CKD
Availability of Dialysis and Transplant Facilities in the United States
Dialysis Facilities and Patients Treated by Dialysis in the U.S.
Transplant Facilities and Patients Receiving Kidney Transplants in the U.S.
ESRD Facilities by U.S. State
Staffing Positions at Dialysis Facilities in the U.S.
Number of Nephrologists and Primary Care Providers in the United States
Primary Care Physicians by Specialty in the U.S.
Nephrologists in the U.S.
Primary Care Physicians by U.S. State
=
Published literature or one-time analysis, ongoing surveillance not available
CKD Surveillance Search Results
Search Term(s):
Last Search Term:
"NATIONAL VA"
Search Hints:
Try double quotes " " around multiple terms to search for an exact phrase. (
e.g.,
"Acute Kidney Injury"
)
Use
OR
to search for pages with
any
of the provided terms. (
e.g.,
"AKI"
or
"Acute Kidney Injury"
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Indicators From Search Results
Most Recent Year
Data Source
Prevalence and Incidence
Prevalence refers to the presence of a health-related condition (e.g., CKD) in a particular population at a specific point in time (point prevalence) or, less frequently, during a specific period (period prevalence); it may be expressed as a count (number of prevalent cases) or as the proportion of cases in the population (prevalence of the condition).
Prevalence of CKD in the Health Care System Population
Prevalence by CKD Stage and eGFR Category, Stratified
2019
NATIONAL VA
Prevalence of CKD by Stage and eGFR Category
2019
NATIONAL VA
Prevalence of CKD Stages 3–5
2019
NATIONAL VA
Percentage of Patients with an ICD-9-CM or ICD-10-CM Code Indicating CKD
2019
CMS-Medicare, NATIONAL VA, Clinformatics Commercial, Clinformatics Medicare Advantage, CMS-Medicaid
Incidence of CKD in the Health Care System Population
Incidence of Individual CKD Stages/eGFR Categories
2018
NATIONAL VA
Incidence of CKD Stage 3-5
2019
NATIONAL VA
Awareness
Without awareness and knowledge of chronic kidney disease (CKD in the general and medical communities, the burden of CKD (prevalence and incidence) cannot be diminished. Early awareness of CKD could slow progression to kidney failure and mitigate associated complications and outcomes.
Provider Awareness of CKD
Percentage of Patients with CKD with ICD-9-CM or ICD-10-CM Codes for CKD
2018
NATIONAL VA
Burden of Risk Factors
Identification of those at risk for development of CKD forms an integral part of a CKD surveillance system. First, examining changes in the burden of risk factors for CKD can help predict the potential future burden of CKD. For example, if the prevalence of an important risk factor is rising, it is likely that the prevalence of CKD will rise accordingly. Second, assessing the burden of risk factors can also help identify which interventions are likely to have the most impact on reducing the burden of CKD. Early intervention in those with risk factors may help prevent or delay the onset of CKD, or in the case of established CKD, help slow progression or reduce related morbidity and mortality.
Diabetes in the Health Care System Population
Percentage of Patients with a Diagnosis of Diabetes
2019
CMS-Medicare, NATIONAL VA, Clinformatics Commercial, Clinformatics Medicare Advantage, CMS-Medicaid
Hypertension in the Health Care System Population
Percentage of Patients with a Diagnosis of Hypertension by Age
2012
CMS-Medicare, NATIONAL VA
Percentage of Patients with a Diagnosis of Hypertension by Age and Gender
2012
CMS-Medicare, NATIONAL VA
Percentage of Patients with a Diagnosis of Hypertension by Age and Race/Ethnicity
2012
CMS-Medicare, NATIONAL VA
Percentage of Patients with a Diagnosis of Hypertension
2019
CMS-Medicare, NATIONAL VA, Clinformatics Commercial, Clinformatics Medicare Advantage, CMS-Medicaid
Age in the Health Care System Population
Age of Patients
2019
CMS-Medicare, NATIONAL VA, Clinformatics Commercial, Clinformatics Medicare Advantage, CMS-Medicaid
Race/Ethnicity in the Health Care System Population
Percentage of Patients by Race/Ethnicity
2019
CMS-Medicare, NATIONAL VA, Clinformatics Commercial, Clinformatics Medicare Advantage, CMS-Medicaid
Health Consequences
CKD is characterized by a high burden of comorbidities such as cardiovascular disease, obesity, diabetes, hypertension, and others. Many of these conditions can be both a cause and consequence of CKD. In the presence of CKD, outcomes among patients with other comorbidities are typically worse than in the absence of CKD. The most important consequences of CKD include renal disease progression that has the potential to lead to end stage renal disease (ESRD), or death.
Mortality in CKD in the Health Care System Population
All Cause Mortality Rates by eGFR Category/stage
2019
NATIONAL VA
Progression
One-year Progression of CKD in U.S. Veterans
2018
NATIONAL VA
Quality of Care
Assessment of the processes of care and practice patterns related to the detection and management of CKD is an integral part of a national CKD surveillance system. Tracking the processes of care related to CKD could be instrumental in facilitating the implementation of early diagnostic steps and institution of appropriate therapies to either prevent the development of disease or slow progression of established disease. Examination of administrative health care data is a cost-efficient method for tracking processes of care in the practice setting.
Laboratory Testing for CKD in the Health Care System
Percentage of Patients with a Procedure Code for a Serum Creatinine Test
2018
NATIONAL VA
Percentage of Patients with Serum Creatinine Laboratory Results
2018
NATIONAL VA
Percentage of Patients with Urine Albumin Laboratory Results
2019
NATIONAL VA
Nephrology Care Prior to ESRD
Percentage of Patients Seeing a Nephrologist
2019
NATIONAL VA
Use of Medications in CKD
Percentage of Patients with CKD Stages 3–5 Filling at Least One Prescription for Either an ACE Inhibitor or an ARB by Year, Stratified
2019
NATIONAL VA
Percentage of Patients with Diabetes and CKD Stages 3–5 Filling at Least One Prescription for Either an ACE Inhibitor or an ARB by Year, Stratified
2019
NATIONAL VA
Health Care System Capacity
Improvements in population health rely on a strong health care system to deliver quality care and prevention services. Indicators in this section monitor the capacity for service delivery, health care workforce, and health care financing related to kidney disease. Examples include health insurance coverage, number of primary care physicians and nephrologists, laboratory reporting of estimated glomerular filtration rate, and the availability of transplant centers and dialysis facilities.
Laboratory Reporting of eGFR in the Health Care System
Percentage of Patients with at Least One eGFR Coreported with a Serum Creatinine Result
2019
NATIONAL VA
Percentage of Serum Creatinine Results with Associated eGFR Coreported
2019
NATIONAL VA
Percentage of VA Facilities Coreporting eGFR
2019
NATIONAL VA
Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website.
http://www.cdc.gov/ckd