ESRD prevalence varied by state. In 2017, the highest prevalence was found in the District of Columbia (>2,500 per million population); 7 other states also had relatively high prevalence, at >2,100 per million population (Illinois, Missouri, South Dakota, Ohio, Indiana, Wisconsin, and Michigan).
The states with the lowest prevalence of ESRD were New Hampshire (1,175 per million), Vermont (1,185 per million), Alaska (1,268 per million), and Maine (1,256 per million).
Many of the U.S. states have shown minor decreases in prevalence since 2017, particularly in states with the highest and lowest prevalences. Nonetheless, the Midwest region developed to having consistently the highest prevalence of ESRD, relative to other regions, with most states having >2,500 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.