Kidney and Urologic Diseases Statistics for the United States: NIDDK
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
- 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.
- 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.
- Summary of notifiable diseases, United States, 1999.
Morbidity and Mortality Weekly Report (MMWR). 2001;48(53):1-104.
- Hemolytic uremic syndrome, postdiarrheal. MMWR.
1999;47(53):viii-ix.
- 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.
- 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.
- 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.
- 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.
- Clark JY, Thompson IM, Optenberg SA. Economic impact
of urolithiasis in the United States. Journal of Urology.
1995;154(6):2020-2024.
- 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.
- 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.
- 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.
- Wagner TH, Hu TW. Economic costs of urinary
incontinence in 1995. Urology. 1998;51(3):355-361.
- 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.
- 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.
- 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.
- 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
3 Information Way
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.
This e-text is not copyrighted. The clearinghouse encourages users of
this e-pub to duplicate and distribute as many copies as desired.
NIH Publication No. 02-3895
December 2001
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