kidney statistics USA

Kidney and Urologic Diseases Statistics for the United States

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* Kidney Problems
* Urologic Problems
* Other Related Problems
* Sources

Kidney Problems
Kidney disease

Prevalence (1999–2004): An estimated 7.69 percent of adults aged 20 or older (15.5 million adults) have physiological evidence of chronic kidney disease determined as a moderately or severely reduced glomerular filtration rate. 1
Hemolytic Uremic Syndrome, Postdiarrheal

Incidence

* 2005: 221 cases in 34 states 2
* 2004: 200 cases in 30 states 3
* 2003: 178 cases in 32 states 4
* 2002: 216 cases in 33 states 5
* 2001: 202 cases in 28 states 6
* 2000: 249 cases in 24 states 7
* 1999: 181 cases in 26 states 7
* 1998: 119 cases in 17 states 7

End-stage Renal Disease (ESRD)

Prevalence (2005): 485,012 U.S. residents were under treatment as of the end of the calendar year. 8

Resulting from these primary diseases:
Diabetes: 179,157
Hypertension: 117,438
Glomerulonephritis: 78,345
Cystic kidney: 22,458
All other: 87,614

Incidence (2005): 106,912 U.S. residents were new beneficiaries of treatment. 8

Resulting from these primary diseases:
Diabetes: 46,851
Hypertension: 28,622
Glomerulonephritis: 8,100
Cystic kidney: 2,495
All other: 20,844

Mortality (2005): Among U.S. residents with ESRD, there were 167.3 deaths per 1,000 patient years. 8 There were 85,790 deaths in all patients undergoing ESRD treatment. 8

Costs for the ESRD program (2005): $32 billion in public and private spending 8

ESRD treatment:

Dialysis treatment (2005): 341,319 U.S. residents with ESRD received dialysis. 8
In-center hemodialysis: 312,057
Home hemodialysis: 2,105
Peritoneal dialysis: 25,895

CAPD* 10,732
CCPD** 15,163
Other PD*** 37

*CAPD=continuous ambulatory peritoneal dialysis
**CCPD=continuous cycler-assisted peritoneal dialysis
***PD=peritoneal dialysis
Uncertain dialysis: 1,225

Number of kidney transplants performed 8:
2005: 17,429
2000: 14,592
1995: 12,141
1990: 10,021
1985: 7,501
1980: 3,784

Source of organ donations for kidney transplants performed (2005) 8:
From deceased donor: 10,811
From living related donor: 4,195
From spouse/life partner: 835
From living unrelated donor: 1,495
Paired exchange: 25
Living-deceased exchange: 12
Unknown relationship: 54

Number of people awaiting transplants (December 21, 2007) 9:
Kidney (only): 74,182
Kidney and pancreas: 2,292

Dialysis survival (probability of patients surviving, from day 91 of ESRD, unadjusted) 8:
1 year (2004–2005): 78.3
2 years (2003–2005): 63.6
5 years (2000–2005): 32.1
10 years (1995–2005): 10.3

Patient survival following deceased-donor transplant (probability of recipients surviving, from day 1 of transplantation, unadjusted) 8:
1 year (2004–2005): 94.6
2 years (2003–2005): 91.2
5 years (2000–2005): 80.3
10 years (1995–2005): 61.2

Patient survival following living-donor transplant (probability of recipients surviving, from day 1 of transplantation, unadjusted) 8:
1 year (2004–2005): 97.9
2 years (2003–2005): 96.6
5 years (2000–2005): 89.5
10 years (1995–2005): 75.1

Graft survival following deceased-donor transplant (probability of transplanted kidney surviving, from day 1 of transplantation, unadjusted) 8:
1 year (2004–2005): 89.6
2 years (2003–2005): 83.7
5 years (2000–2005): 66.6
10 years (1995–2005): 41.7

Graft survival following living-donor transplant (probability of transplanted kidney surviving, from day 1 of transplantation, unadjusted) 8:
1 year (2004–2005): 95.1
2 years (2003–2005): 91.9
5 years (2000–2005): 79.4
10 years (1995–2005): 55.2

A study of kidney disease in Delhi

clipped from ndt.oxfordjournals.org CRF and ESRD are among major causes of morbidity and mortality worldwide. Two approaches are adopted for defining the magnitude of CRF. The first is to establish the prevalence of ESRD p.m.p. and the second is to establish the acceptance rate of patients with ESRD for RRT. Since in our country the government does not support the treatment of the majority of these patients, and the majority of patients are not able to afford any form of RRT, the acceptance rate would grossly underestimate the magnitude of ESRD. Furthermore, in India, there is no registry of patients with CRF itself or of patients with ESRD accepted into an RRT programme. Given a health care system quite different from Western ones, finding out the incidence of CRF in India will be very difficult: individual patients do not always go to one specific dispensary, so medical records are fragmented.

kidney failure statistics USA

clipped from health.dailynewscentral.com In 2005, at least 107,000 Americans learned they had kidney failure. That year, more than 485,000 had dialysis or a kidney transplant, costing $32 billion, according to the National Institutes of Health’s US Renal Data System. By 2020, nearly 785,000 people will be receiving treatment for kidney failure, costing $53.6 billion, the agency predicts.

end stage kidney failure

More suffering from end-stage kidney failure
Salma Khalik, Health Correspondent
Thu, Mar 13, 2008
The Straits Times

http://www.asiaone.com/Health/News/Story/A1Story20080317-54778.html

MORE than 1,000 people here lost the use of their kidneys in 2006 and about 400 of them died within a year.

The state-run Health Promotion Board (HPB) released these figures to commemorate World Kidney Day today, which aims to raise awareness of the dangers of kidney diseases.

It said that 38 per cent of people on kidney dialysis die within the first year, compared to only 7 per cent of people who had transplants.

Dr Lye Wai Choong, a renal physician in private practice, said that of the 38 per cent, many die within the first three months.

Five years after they suffer from kidney failure, 89 per cent of those who received transplants are still alive, compared to 36 per cent of those on dialysis.

In the past, those on dialysis would not live beyond seven years. But with better treatment, some now do.

The figures from the board showed two worrying trends.

The number of people suffering from end-stage kidney failure has almost doubled in the past decade – from 562 new cases in 1997 to 1,084 new cases in 2006.

Diabetes, where the body is not able to break down sugars in the blood, accounts for six in 10 cases of kidney failure, up from just four a decade ago.

This is far higher than international figures of between 30 and 50 per cent. It is also well above rates in Hong Kong and Taiwan.

This means that either more people here are suffering from diabetes, or more are not able to control their blood-sugar levels, and hence end up with this deadly disease.

To encourage more diabetics to get proper treatment, the Ministry of Health allows people to draw up to $300 per Medisave account each year to pay for their outpatient treatment.

Unfortunately, close to half the people with diabetes here do not know they have the disease, according to a 2004 study. The HPB urged people to get their doctors to screen them for the disease.

Aside from kidney failure, diabetics are also at higher risk of getting heart attacks or stroke and going blind. They are also more prone to getting wounds that do not heal, with many losing toes or legs to gangrene.

Dr Lye said earlier detection and treatment would stave off the deadly effects of the disease.

End-stage kidney failure, where the organs are functioning at 15 per cent or less of capacity, could also result from inflammation of blood vessels in the kidney or severely high blood pressure.

Malays account for a disproportionate number of kidney-failure patients, followed by Indians. This reflects the higher incidence of diabetes within these ethnic groups.

The only good news from the figures is that people are suffering from kidney failure at an older age – at an average age of 62 years in 2006, compared to 56 in 1997.

Although transplants are far better treatment for such sufferers, only 53 of the 563 who were on the waiting list last year received one. Of these, 27 got a kidney from a relative, and the rest from a dead donor. In 2006, 117 patients got a transplant.

The board would like to encourage more relatives to donate their organs. It said that a person who donates a kidney does not suffer ‘any significant adverse effect on his health’.

kidney swap

Donor Networking Results in 5-Way http://health.dailynewscentral.com/content/view/2516/0
health news
Contributed by Tom Harrison| 21 November, 2006 13:52 GMT

In 10 surgeries that took place simultaneously at the Johns Hopkins Comprehensive Transplant Center on Tuesday, five donors and five recipients participated in the first-ever quintuple kidney transplant.

The groundbreaking event, which involved half a dozen operating rooms and more than 100 medical professionals, involved a complex organ swap among four recipients who had relatives who were willing to donate kidneys but were incompatible, as well as one recipient who was on a waiting list and one donor who was willing to donate a kidney to anyone who needed it.

The matched donors and recipients were all strangers to one another who traveled from California, Canada, Maine, Maryland, West Virginia and Florida to Baltimore for the surgeries.

Honore Rothstein donated a kidney to Kristine Jantzi; Jantzi’s adoptive mother, Florence Jantzi, donated her kidney to George Brooks; Brooks’ wife, Sharon Brooks, donated her kidney to Gary Persell; Persell’s wife, Leslie, gave her kidney to Gerald Loevner; Loevner’s wife, Sandra, gave a kidney to Sheila Thornton.

All of the recipients and donors were doing well following the procedures, according to a Johns Hopkins spokesperson.