Indicator Details: Map of Number of ESRD Facilities per 1,000 ESRD Patients by U.S. Statea
Data Sources
 
Stratification and Year Choices:

  Source
  • USRDS

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Multi-year: Use Quintiles Across All Years


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Single-year: Use Quintiles For Each Year


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Footnotes:
a Adapted from the 2018 USRDS Annual Data Report (United States Renal Data System, 2018).




The numbers of ESRD facilities varied widely by state in 2016, with north central and southeastern states generally having the greatest concentration of facilities per resident.
Chart Explanation: In 2016, the number of ESRD facilities per 1,000 ESRD patients varied dramatically by state. Hawaii, New York, and California had the lease facilities per 1,000 ESRD patients (approximately 6-7); whereas South Dakota (17.4), Iowa (14.6), North Dakota (14.3) had the most facilities per 1,000 ESRD patients. 
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.
FieldData
Description of MeasureDialysis and transplant centers (stage 5)
Data SourceUSRDS (NIDDK/CMS)
Type of Data SourcePublic
Data SetUSRDS
Health Care System DataNo
Regional or National?National
Demographic GroupFacilities with Medicare-eligible U.S. citizens with ESRD
Definition of CKDStage 5, <15 ml/min per 1.73 m² with Medicare-eligibility for ESRD-related treatment
Primary Data Source IndicatorDecember 31 point prevalent counts of facilities performing dialysis/transplants
Primary Indicator Method of MeasurementClaims
Frequency of Measurement (Primary)Annual (cross-sectional)
U.S. Region Covered by Primary VariableAll
Period Currently Available2016
Pending Data2017
Additional Data Items of InterestType/ownership of facilities, treatment modalities offered, center staffing
Limitations of IndicatorOnly those who are Medicare-eligible are captured & eligibility may be delayed
Analytic ConsiderationsPoint vs. period prevalent counts; census data can be used for population denominator (per U.S. population)
References and Sources:
  • United States Renal Data System. 2017 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, 2017.
    https://www.usrds.org/reference.aspx
  • 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.
    https://www.usrds.org/reference.aspx
Suggested Citation:
Centers for Disease Control and Prevention. Chronic Kidney Disease Surveillance System—United States.
website. http://www.cdc.gov/ckd