PPT-Chapter 8: Cardiovascular Disease in Patients with ESRD

2017 Annual Data Report Volume 2 EndStage Renal Disease 2 vol 2 Figure 81 Prevalence of cardiovascular diseases in adult ESRD patients by treatment modality 2015 Data Source Special analyses USRDS ESRD Database Point prevalent hemodialysis peritoneal dialysis and transplant patients aged 22 and older who are continuously enrolled in Medicare Parts A and B and with Medicare as primary payer from January 1 2015 to December 31 2015 and ESRD service date is at least 90 days prior to January 1 2015 Abbreviations AF atrial fibrillation AMI acute myocardial infarction CAD coronary artery disease CVATIA cerebrovascular accidenttransient ischemic attack CVD cardiovascular disease HF heart failure PAD peripheral arterial disease SCAVA sudden cardiac arrest and ventricular arrhythmias VHD . What Matters, and What Matters to our Patients. Alan S. Kliger MD. Clinical Professor of Medicine. Yale School of Medicine. What is “Quality” ?. Depends on who defines it. Clinician’s View: Best outcomes. 2016 Annual Data Report, Vol . 2, ESRD. , . Ch. . 5. 2. Data Source. : Reference . Tables G.1, G.3, G.4, G.5, G.6, G.8, G.9, G.10, and special analyses, USRDS ESRD Database. Period prevalent ESRD patients; adjusted for age, sex, race, primary cause of kidney failure & their two-way interactions; reference group, ESRD patients, 2011. Abbreviation: ESRD, end-stage renal disease.. 2017 . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 2.1 ESRD clinical indicator levels among prevalent hemodialysis versus peritoneal dialysis patients in CROWNWeb data, May 2016: (a) percentage of patients meeting clinical care guidelines for dialysis adequacy; (b) percent distribution of Hgb levels; (c) percentage of patients with serum calcium >10.2 mg/. Slide 1: . Target. population/question. 2. 09/01/2018. Patients with inflammatory joint disorders, particularly rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis. To update the EULAR 2009 cardiovascular disease (. 2012-2014. (a) Denominator excludes missing/unknown causes of death. 2016 Annual Data Report, Vol . 2, ESRD. , . Ch. . 9. 2. Data Source: Special analysis using Reference Table H12. . Denominator . includes other causes of death and excludes missing/unknown causes of death (24.7% of patients have unknown or missing causes of death. ). Abbreviations. : AHD, atherosclerotic heart disease; AMI, acute myocardial infarction; CHF, congestive heart failure; CVA, cerebrovascular accident; ESRD, end-stage renal disease. . Figure 9.1.a Causes of death in ESRD patients, 2011-2013. (bars; scale on right), and annual change (%) in the adjusted* incidence rate of ESRD . (lines; scale on left) in the U.S. population, 1996-2013. Vol 2, ESRD, Intro. 2. Data Source: Reference Table A.2(2) and special analyses, USRDS ESRD Database. *Adjusted for age, sex, and race.. and Young Adults. 2017 . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 7.1 (a) Incidence and, (b) December 31. st. point prevalence of ESRD among pediatric patients (aged 0–21 years), by modality, 1996-2015. 463 Chapter 7 : ESRD among Children, Adolescents, and Young Adults  The number of children and adolescents beginning end - stage renal disease ( ESRD ) care is steadily decreasing from a high in . patients with . ESRD. United States Renal Data System. 2012 Annual Data Report. Causes of death in incident . dialysis patients, 2008–2010. Figure 4.1 (Volume 2). Incident & . prevalent. . 2017 . Annual Data Report. Volume 1: Chronic Kidney Disease. 2. vol. 1 Figure 4.1 Prevalence of common cardiovascular diseases in patients with or without CKD, 2015 . Data Source: Special analyses, Medicare 5% sample. Abbreviations: AF, atrial fibrillation; AMI, acute myocardial infarction; CAD, coronary artery disease; CKD, chronic kidney disease; CVA/TIA, cerebrovascular accident/transient ischemic attack; CVD, cardiovascular disease; HF, heart failure; PAD, peripheral arterial disease; SCA/VA, sudden cardiac arrest and ventricular arrhythmias; VHD, . Af. Am, African American; AKI, acute kidney injury; CKD, chronic kidney disease.. vol. 2 Table 2.1 HP2020 CKD-3 Increase the proportion of hospital patients who incurred acute kidney injury who have follow-up renal evaluation in 6 months post-discharge: Target 12.3%. United States Renal Data System. 2012 Annual Data Report. Adjusted all-cause rehospitalization . rates in pediatric patients 30 days . after live hospital discharge. Figure 8.1 (Volume 2). ESRD patients age 0–19. . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 5.1 Adjusted all-cause mortality by treatment modality (a) overall, dialysis, and transplant, and (b) hemodialysis and peritoneal dialysis, for period-prevalent patients,...