At the end of 2016, there were 312 facilities performing transplants, at which 19,355 patients received kidney transplants. There was an average of 62 patients per facility within the United States.
Chart Explanation: The number of facilities performing transplants increased from 1991 to 2016, although not nearly as dramatically as the increase in dialysis facilities, from 230 in 1991 to 312 in 2016. However, this represents a much larger inccrease in the number of patients being transplanted (10,011 in 1991 to 19,355 in 2016). The number of patients per facility has varied from 43 in 1991 to 62 in 2016.
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, 2018
) are publicly available for download.
|Description of Measure||Dialysis and transplant centers (stage 5)|
|Data Source||USRDS (NIDDK/CMS)|
|Type of Data Source||Public|
|Health Care System Data||No|
|Regional or National?||National|
|Demographic Group||Facilities with Medicare-eligible U.S. citizens with ESRD|
|Definition of CKD||Stage 5, <15 ml/min per 1.73 m² with Medicare-eligibility for ESRD-related treatment|
|Primary Data Source Indicator||December 31 point prevalent counts of facilities performing dialysis/transplants|
|Primary Indicator Method of Measurement||Claims|
|Frequency of Measurement (Primary)||Annual (cross-sectional)|
|U.S. Region Covered by Primary Variable||All|
|Period Currently Available||2016|
|Additional Data Items of Interest||Type/ownership of facilities, treatment modalities offered, center staffing|
|Limitations of Indicator||Only those who are Medicare-eligible are captured & eligibility may be delayed|
|Analytic Considerations||Point vs. period prevalent counts; census data can be used for population denominator (per U.S. population)|
References and Sources:
United States Renal Data System. 2018 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, 2018.
United States Renal Data System. 2019 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, 2019.