Establishing a national chronic kidney disease surveillance system for the United States.
Despite the recognized importance of chronic kidney disease (CKD), the United States currently lacks a comprehensive, systematic surveillance program that captures and tracks all aspects of CKD in the population. As part of its CKD Initiative, the Centers for Disease Control and Prevention (CDC) funded two teams to jointly initiate the development of a CKD surveillance system. Here, we describe the process and methods used to establish this national CDC CKD Surveillance System. The major CKD components covered include burden (incidence and prevalence), risk factors, awareness, health consequences, processes and quality of care, and health system capacity issues. Goals include regular reporting of the data collected, plus development of a dynamic project web site and periodic issuance of a CKD fact sheet. We anticipate that this system will provide an important foundation for widespread efforts toward primary prevention, earlier detection, and implementation of optimal disease management strategies, with resultant increased awareness of CKD, decreased rates of CKD progression, lowered mortality, and reduced resource utilization. Final success will be measured by usage, impact, and endorsement.
Saran
Rajiv
R
Division of Nephrology, Department of Internal Medicine, University of Michigan, and the Kidney Epidemiology and Cost Center, 315 West Huron, Suite 240, Ann Arbor, MI 48103-4262, USA. rsaran@umich.edu
Hedgeman
Elizabeth
E
Plantinga
Laura
L
Burrows
Nilka Rios
NR
Gillespie
Brenda W
BW
Young
Eric W
EW
Coresh
Josef
J
Pavkov
Meda
M
Williams
Desmond
D
Powe
Neil R
NR
D002908:Chronic Disease; D005544:Forecasting; D006801:Humans; D007674:Kidney Diseases; D011159:Population Surveillance; D014481:United States