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. vol. 2 Figure 5.1 Adjusted all-cause mortality rates, overall and by modality. Vol. 2, ESRD, . Ch. 5. 3. Data Source: Reference Tables H.4, H.8, H.9, and H.10, and special analyses, USRDS ESRD Database. Adjusted for age, sex, race, and primary diagnosis. Ref: 2011 patients. Abbreviation: ESRD, end-stage renal disease.. 2017 . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 9.1 Trends in ESRD expenditures, 2004-2015. Data Source: USRDS ESRD Database; Reference Table K.1. Abbreviation: ESRD, end-stage renal disease. . vol. 2 Figure 12.1 Monthly variation in patient enrollment in 52,172 incident ESRD veterans 10/1/2007-9/30/2011. 2. Vol. 2, ESRD, . Ch. 12. States and territories of the United States of America. Abbreviations: ESRD, end-stage renal disease.. 2016 Annual Data Report, Vol . 2, ESRD. , . Ch. . 4. 2. Data Source: Special analyses, USRDS ESRD Database. ESRD patients initiating hemodialysis in 2005-2014. Abbreviations: AV, arteriovenous; CMS, Centers for Medicare & Medicaid; ESRD, end-stage renal disease. . (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 Tx. , transplant.. Figure . 8.1 . Number of (a) incident and (b) December 31 point prevalent ESRD . pediatric . patients (aged 0–21 years), by modality, 1996-2013. Vol 2, ESRD, . Ch. 8. 2. Incident. Hosp. -based, hospital-based dialysis centers; . Indep. , independent dialysis providers; SDO, small dialysis organizations.. . Figure . 10.1 Dialysis unit counts, by unit affiliation, 2010–2013. Vol 2, ESRD, . Figure . 8.1 Distribution . of preemptive kidney transplant rates among 52,172 incident . ESRD . veterans across the states and territories of the United States, 10/1/2007-9/30/2011 . . Vol 1, CKD, . 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%.