Kidney and Urologic Diseases Statistics for the United States: NIDDK


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Article title: Kidney and Urologic Diseases Statistics for the United States: NIDDK
Conditions: Kidney conditions, Polycystic kidney disease, Hemolytic uremic syndrome, ESRD, acute urinary conditions, bladder conditions, Interstitial cystitis

Kidney
Problems

Kidney conditions (infection, kidney stones, cancer, missing kidney, other)

    Prevalence (1996): 2.553 million conditions (in the civilian noninstitutionalized population) 1

Polycystic kidney disease

    Prevalence: About 600,000 people 2

Hemolytic uremic syndrome, postdiarrheal

    Incidence (first 4 years of reporting)
      1999: 181 cases in 26 States 3
      1998: 90 cases in 17 States4
      1997: 93 cases in 20 States4
      1996: 104 cases in 18 States4

End-stage renal disease (ESRD)

    Period prevalence (1999): 424,179 people5

      Resulting from these primary diseases:
        Diabetes: 150,404
        Hypertension: 100,169
        Glomerulonephritis: 62,119

    Incidence (new beneficiaries of treatment, 1999): 89,252 people5

      Resulting from these primary diseases:
        Diabetes: 38,160
        Hypertension: 23,133
        Glomerulonephritis: 8,038
        Cystic kidney: 2,096
        All other: 17,825
    ESRD deaths in treated patients (1999): 66,964 people 5

    Amount spent (public and private, 1999): $17.87 billion5

    ESRD treatment:

      Use of dialysis (1999): 243,320 people5
        In-center hemodialysis: 212,601
        Home hemodialysis: 3,148
        Peritoneal dialysis: 22,797
          CAPD*: 13,406
          CCPD: 9,178
          Other PD: 213
        Uncertain dialysis: 4,774

        *CAPD=continuous ambulatory peritoneal dialysis; CCPD=continuous cycler-assisted peritoneal dialysis; PD=peritoneal dialysis

      Number of kidney transplants (by year, reported in annual facility survey)5:
        1999: 13,483
        1998: 13,272
        1997: 12,427
        1988: 8,932

      Number of kidney transplants (by type, 1999, reported in annual facility survey)5:
        From cadaver: 8,839
        From living related donor: 3,583
        From living unrelated donor: 1,061

      People awaiting transplants (November 2, 2001)6:
        Kidney (only): 50,305
        Kidney and pancreas: 2,486

      Dialysis survival (probability of patients surviving, from day 91 of ESRD, unadjusted)5:
        1 year (1998-1999): 78.4
        2 years (1997-1999): 62.8
        5 years (1994-1999): 31.3
        10 years (1989-1999): 8.7

      Patient survival following cadaver transplant (probability of recipients surviving, from day 1 of transplantation, unadjusted)5:
        1 year (1998-1999): 94.9
        2 years (1997-1999): 91.5
        5 years (1994-1999): 80.4
        10 years (1989-1999): 59.5

      Patient survival following living-donor transplant (probability of recipients surviving, from day 1 of transplantation, unadjusted)5:
        1 year (1998-1999): 98.0
        2 years (1997-1999): 96.6
        5 years (1994-1999): 89.8
        10 years (1989-1999): 78.8

      Graft survival following cadaver transplant (probability of transplanted kidney surviving, from day 1 of transplantation, unadjusted)5:
        1 year (1998-1999): 88.8
        2 years (1997-1999): 83.1
        5 years (1994-1999): 58.1
        10 years (1989-1999): 35.4

      Graft survival following living-donor transplant (probability of transplanted kidney surviving, from day 1 of transplantation, unadjusted)5:
        1 year (1998-1999): 94.1
        2 years (1997-1999): 89.7
        5 years (1994-1999): 71.8
        10 years (1989-1999): 54.5



Urologic Problems

Acute urinary conditions (infections of the kidneys and urinary tract, nephrotic syndrome, urethral stricture, cystitis, other)
    Incidence (1996): 8.405 million new conditions (in the civilian noninstitutionalized population) 1
Bladder disorders
    Prevalence (1996): 3.139 million chronic conditions (in the civilian noninstitutionalized population) 1
Interstitial cystitis
    Estimated prevalence: About 700,000 people (90 percent of whom are women) 7
Urinary stones
    Doctor visits (1997): 1.325 million visits8
    Cost (total direct and indirect, 1993): $1.83 billion9
    Hospital discharges listing a diagnosis of urinary stones among all listed diagnoses (1999): 290,00010
Urinary tract infections (UTIs)
    Doctor visits (1997): 8.318 million visits8
    Hospital discharges listing a diagnosis of UTI among all listed diagnoses (1999): 1.658 million10
    Incidence (self-reported, 2000): 11 percent of women annually11
Urinary incontinence
    Prevalence: About 13 million adults12
    Societal cost (1995): $26.3 billion for individuals age 65 and older13


Other Related Problems

Diseases of the prostate
    Prevalence (1996): 2.803 million men (in the noninstitutionalized population)1
Enlarged prostate (BPH)
    Prevalence: 50 percent of men age 51-60; 90 percent of men past age 8014
    Hospital discharges listing a diagnosis of BPH among all listed diagnoses (1999): 388,000 hospitalizations10
Erectile dysfunction (impotence)
    Incidence: 617,715 new cases (white men ages 40-69 only) annually15
    Estimated prevalence: 30 million men16
Prostate cancer
    Incidence (1995): 168,665 men develop it each year17
    Mortality (1995): 34,475 men die of it each year17


Sources

  1. Current Estimates From the National Health Interview Survey, 1996. Atlanta, GA: National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), U.S. Dept. of Health and Human Services (DHHS); October 1999. Vital and Health Statistics. Series 10, No. 200.
  2. Grantham JJ, Nair V, Winklhofer F. Cystic disease of the kidney. In: Brenner BM, ed., Brenner & Rector's The Kidney. Vol. 2. 6th ed. Philadelphia: WB Saunders Company; 2000: 1699-1730.
  3. Summary of notifiable diseases, United States, 1999. Morbidity and Mortality Weekly Report (MMWR). 2001;48(53):1-104.
  4. Hemolytic uremic syndrome, postdiarrheal. MMWR. 1999;47(53):viii-ix.
  5. U.S. Renal Data System. USRDS 2001 Annual Data Report. Bethesda, MD: National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health (NIH), DHHS; 2001. Available at http://www.usrds.org/. Accessed November 21, 2001.
  6. United Network for Organ Sharing. Available at http://www.unos.org/. Accessed November 2, 2001. For updates, call (804) 330-8576 or fax (804) 323-3794.
  7. Ratner V, Taylor N, Wein AJ, Hanno PJ. Re: Epidemiology of interstitial cystitis: a population based study. Journal of Urology. 1999;162(2):500. Letter.
  8. Ambulatory Care Visits to Physician Offices, Hospital Outpatient Departments, and Emergency Departments: United States, 1997. Atlanta, GA: NCHS, CDC, DHHS; November 1999. Vital and Health Statistics. Series 13, No. 143.
  9. Clark JY, Thompson IM, Optenberg SA. Economic impact of urolithiasis in the United States. Journal of Urology. 1995;154(6):2020-2024.
  10. 1999 National Hospital Discharge Survey: Annual Summary with Detailed Diagnoses and Procedures Data. Atlanta, GA: NCHS, CDC, DHHS; September 2001. Vital and Health Statistics. Series 13, No. 151.
  11. Foxman B, Barlow R, D'Arcy H, Gillespie B, Sobel JD. Urinary tract infection: self-reported incidence and associated costs. Annals of Epidemiology. 2000;10(8):509-515.
  12. Urinary Incontinence in Adults: Acute and Chronic Management. Clinical Practice Guideline No. 2, 1996 Update. Rockville, MD: Agency for Health Care Policy and Research (AHCPR), DHHS; March 1996. AHCPR publication 96-0682.
  13. Wagner TH, Hu TW. Economic costs of urinary incontinence in 1995. Urology. 1998;51(3):355-361.
  14. McConnell JD. Epidemiology, etiology, pathophysiology, and diagnosis of benign prostatic hyperplasia. In: Walsh PC, et al., eds., Campbell's Urology. Vol. 2. 7th ed. Philadelphia: WB Saunders Company; 1998: 1429-1452.
  15. Johannes CB, Araujo AB, Feldman HA, Derby CA, Kleinman KP, McKinlay JB. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts Male Aging Study. Journal of Urology. 2000;163(2):460-463.
  16. Impotence: National Institutes of Health Consensus Development Conference Statement. NIH, DHHS. December 7-9, 1992; 10(4):1-31. Available at odp.od.nih.gov/consensus/cons/091/091_statement.htm. Accessed November 21, 2001.
  17. Stanford JL, Stephenson RA, Colye LM, et al. Prostate Cancer Trends 1973-1995. SEER Program, National Cancer Institute, NIH, DHHS. Available at www.seer.cancer.gov/Publications/ProstMono. Accessed November 21, 2001. Last updated September 7, 1999.



National Kidney and Urologic Diseases Information Clearinghouse

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Bethesda, MD 20892-3580
Email: http://www.niddk.nih.gov/tools/mail_nkudic.htm

The National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health under the U.S. Department of Health and Human Services. Established in 1987, the clearinghouse provides information about diseases of the kidneys and urologic system to people with kidney and urologic disorders and to their families, health care professionals, and the public. NKUDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about kidney and urologic diseases.

Publications produced by the clearinghouse are carefully reviewed by both NIDDK scientists and outside experts.

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NIH Publication No. 02-3895
December 2001

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