Why Is This Important?

Chronic kidney disease (CKD) and ESRD result in poor quality of life and premature death. ESRD is very costly to treat, such that nearly 25% of the Medicare budget is used to treat people with CKD and ESRD. Diabetes is the most common cause of kidney failure.[https://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease ^1^]

Definition

Deaths with end-stage renal disease (ESRD) as the underlying cause of death ICD-10 code: N18.0 (1999-2010), N18.5 (2011 and after)

Data Sources

• Death Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  (https://www.nj.gov/health/vital/)
• Population Estimates, State Data Center, New Jersey Department of Labor and Workforce Development
  (https://www.nj.gov/labor/labormarketinformation/demographics/population-household-estimates/)
• Underlying Cause of Death, CDC WONDER On-line Database, Centers for Disease Control and Prevention
  (https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html)

How the Measure is Calculated

How Are We Doing?

The death rate due to ESRD continues to rise in New Jersey and nationally, despite a temporary decline that may or may not have been related to a change in the cause of death coding for ESRD. The rate among Blacks is more than double the rates among Whites, Hispanics, and Asians. Healthy New Jersey 2020 targets were not achieved.

How Do We Compare With the U.S.?

The New Jersey age-adjusted death rate due to ESRD is higher than the national rate.

Available Services

End-Stage Renal Disease (ESRD) Patient Assistance Program for residents of New Jersey with an income at or below 300% of the federal poverty level: [http://www.nj.gov/health/fhs/chronic/end-stage-chronic-renal/]

Footnote References

1. Healthy People 2020: [https://www.healthypeople.gov/2020/topics-objectives/topic/chronic-kidney-disease]