Table L.1 Medical Evidence (HCFA-2728) Forms by Year of Medical Certification, Form Version and Form Sequence ------------------------------------------------------------------------------------------------ |Table L1: Medicare | | Form Version | For this patient, this form is | |forms | |-----------------------+-----------------------------------| | | | | 1995 | 1st Form | 2nd Form | 3rd or | | | All | Pre 1995 | Revision | Filed | Filed | later | |----------------------+-----------+-----------+-----------+-----------+-----------+-----------| |All | 852,515| 605,580| 246,935| 827,595| 23,936| 984| |Year | | | | | | | |1960-1972 | 143| 143| | 143| | | |1973 | 1,405| 1,405| | 1,400| *| | |1974 | 3,427| 3,427| | 3,421| *| | |1975 | 4,178| 4,178| | 4,162| 16| | |1976 | 4,819| 4,819| | 4,808| 11| | |1977 | 6,851| 6,851| | 6,831| 20| | |1978 | 7,012| 7,012| | 6,989| 22| *| |1979 | 7,627| 7,627| | 7,604| 22| *| |1980 | 9,692| 9,692| | 9,670| 22| | |1981 | 14,238| 14,238| | 14,162| 76| | |1982 | 20,157| 20,157| | 20,005| 152| | |1983 | 21,904| 21,904| | 21,746| 157| *| |1984 | 24,506| 24,506| | 24,283| 221| *| |1985 | 27,401| 27,401| | 27,125| 271| *| |1986 | 30,294| 30,294| | 29,940| 353| *| |1987 | 33,834| 33,834| | 33,392| 436| *| |1988 | 36,287| 36,287| | 35,833| 444| 10| |1989 | 42,120| 42,120| | 41,501| 612| *| |1990 | 48,064| 48,064| | 47,245| 809| 10| |1991 | 52,995| 52,995| | 51,995| 991| *| |1992 | 58,831| 58,831| | 57,606| 1,211| 14| |1993 | 58,179| 58,179| | 56,528| 1,628| 23| |1994 | 72,175| 72,175| | 66,751| 5,282| 142| |1995 | 70,491| 19,402| 51,089| 66,682| 3,554| 255| |1996 | 77,696| 31| 77,665| 74,386| 3,081| 229| |1997 | 80,087| *| 80,084| 76,795| 3,110| 182| |1998 (incomplete) | 38,102| *| 38,097| 36,592| 1,424| 86| ------------------------------------------------------------------------------------------------ Table L.2 All New ESRD Patients, with or without a Medical Evidence Form (HCFA-2728) by Year of First ESRD Service and Presence and Version of First HCFA-2728, Source of Date of First ESRD Service, and Medicare Entitlement --------------------------------------------------------------------------------------------------------------------------- |Table L2: New | |Perce-| | | Has Patient Ever | | |ESRD Patients | | nt | Form Version of First HCFA- |Source of date of first ESRD | Been Medicare |Patients | | | | with | 2728 (if any) | service | Entitled? | Used in | | | | no |-----------------------------+-----------------------------+-------------------|Remaining| | | | HCFA-| | | 1995 |Medicare | |Transpla-| | | Sect. L | | | All | 2728 | No form |Pre 1995 |Revision | Claims |HCFA-2728|nt Record| No | Yes | Table | |--------------+---------+------+---------+---------+---------+---------+---------+---------+---------+---------+---------| |All | 906,274| 8.7% | 78,574| 591,343| 236,357| 124,485| 759,367| 22,422| 34,645| 871,629| 233,809| |Year | | | | | | | | | | | | |1960-1972 | 662| 5.0% | 33| 578| 51| | 234| 428| *| 653| | |1973 | 3,346| .93% | 31| 3,301| 14| | 3,225| 121| *| 3,343| | |1974 | 4,124| .75% | 31| 4,086| *| | 4,014| 110| *| 4,122| | |1975 | 5,120| .84% | 43| 5,066| 11| | 4,982| 138| | 5,120| | |1976 | 5,766| .57% | 33| 5,721| 12| | 5,624| 142| *| 5,765| | |1977 | 21,631| 61% | 13,104| 8,475| 52| 14,903| 6,354| 374| *| 21,629| | |1978 | 14,359| 41% | 5,947| 8,383| 29| 7,665| 6,324| 370| *| 14,355| | |1979 | 16,158| 42% | 6,815| 9,292| 51| 9,024| 6,733| 401| *| 16,154| | |1980 | 17,266| 37% | 6,445| 10,757| 64| 8,789| 8,068| 409| *| 17,260| | |1981 | 19,382| 18% | 3,476| 15,854| 52| 5,257| 13,710| 415| *| 19,378| | |1982 | 21,878| 6.4% | 1,406| 20,433| 39| 1,853| 19,546| 479| 10| 21,868| | |1983 | 25,311| 11% | 2,799| 22,468| 44| 3,924| 20,935| 452| *| 25,304| | |1984 | 26,400| 5.4% | 1,432| 24,928| 40| 3,045| 22,863| 492| 10| 26,390| | |1985 | 29,055| 4.5% | 1,293| 27,719| 43| 2,937| 25,535| 583| 16| 29,039| | |1986 | 31,678| 5.1% | 1,601| 30,004| 73| 3,661| 27,225| 792| 25| 31,653| | |1987 | 34,775| 4.5% | 1,558| 33,120| 97| 3,819| 30,029| 927| 50| 34,725| | |1988 | 38,433| 5.8% | 2,221| 36,104| 108| 4,614| 32,642| 1,177| 231| 38,202| | |1989 | 44,449| 6.3% | 2,794| 41,533| 122| 5,859| 37,330| 1,260| 239| 44,210| | |1990 | 47,872| 5.5% | 2,640| 45,094| 138| 6,479| 40,073| 1,320| 240| 47,632| | |1991 | 52,413| 3.8% | 2,001| 50,277| 135| 4,662| 46,363| 1,388| 349| 52,064| | |1992 | 57,610| 3.6% | 2,070| 55,398| 142| 4,427| 51,812| 1,371| 518| 57,092| | |1993 | 59,378| 9.2% | 5,466| 53,708| 204| 8,110| 49,768| 1,500| 843| 58,535| | |1994 | 67,743| 5.2% | 3,550| 63,719| 474| 6,365| 59,596| 1,782| 3,913| 63,830| 168| |1995 | 72,960| 5.5% | 4,029| 14,996| 53,935| 6,896| 64,233| 1,831| 5,594| 67,366| 53,538| |1996 | 76,714| 3.2% | 2,448| 237| 74,029| 5,177| 69,793| 1,744| 7,193| 69,521| 73,775| |1997 | 80,249| 5.4% | 4,308| 73| 75,868| 6,232| 72,355| 1,662| 10,028| 70,221| 75,805| |1998 | | | | | | | | | | | | |(incomplete) | 31,542| 3.2% | 1,000| 19| 30,523| 787| 30,001| 754| 5,344| 26,198| 30,523| --------------------------------------------------------------------------------------------------------------------------- Table L.3 All New ESRD Patients, with or without a Medical Evidence Form (HCFA-2728) by Year of First ESRD Service and Race Reported on First HCFA-2728 -------------------------------------------------------------------------------------------------------------------------- |Table L.3: | | Race From First HCFA-2728 | |By race from| |--------------------------------------------------------------------------------------------------| |HCFA-2728 | | | Native | | | | | | | | | | | | | |American| | | | | | | | | | | | | | / |Asian / | | | | |Mid East| Indian |Other / | | | | | |Alaskan |Pacific | | | |Pacific | / |Subcont-|Multira-|No HCFA-| | | All |Missing | Native |Islander| Black | White |Unknown |Islnder |Arabian | inent | cial | 2728 | |------------+--------+--------+--------+--------+--------+--------+--------+--------+--------+--------+--------+--------| |All | 906,274| 79,113| 9,487| 15,832| 218,068| 487,455| 7,142| 1,863| 626| 1,207| 6,907| 78,574| |Year | | | | | | | | | | | | | |1960-1972 | 662| 34| *| *| 130| 444| *| | | *| *| 33| |1973 | 3,346| 2,849| *| *| 111| 338| *| | | | | 31| |1974 | 4,124| 3,500| *| *| 131| 438| *| | | | | 31| |1975 | 5,120| 4,391| *| *| 175| 485| 12| | | | *| 43| |1976 | 5,766| 4,970| *| 10| 197| 534| 12| | | | *| 33| |1977 | 21,631| 6,836| 16| 24| 420| 1,204| 25| *| | | *| 13,104| |1978 | 14,359| 6,799| 29| 27| 419| 1,115| 22| | | | *| 5,947| |1979 | 16,158| 7,284| 31| 34| 531| 1,433| 26| *| | | *| 6,815| |1980 | 17,266| 8,198| 50| 44| 726| 1,760| 41| | | | *| 6,445| |1981 | 19,382| 8,066| 113| 123| 2,219| 5,297| 88| | | | | 3,476| |1982 | 21,878| 679| 187| 301| 5,445| 13,648| 212| | | | | 1,406| |1983 | 25,311| 469| 260| 315| 6,329| 14,839| 296| | *| | *| 2,799| |1984 | 26,400| 468| 261| 370| 6,972| 16,404| 492| | | | *| 1,432| |1985 | 29,055| 599| 269| 490| 7,674| 18,240| 489| | | | *| 1,293| |1986 | 31,678| 991| 321| 492| 8,117| 19,509| 644| *| | *| *| 1,601| |1987 | 34,775| 1,332| 346| 545| 9,011| 21,203| 774| *| *| | *| 1,558| |1988 | 38,433| 1,799| 447| 622| 9,826| 22,846| 669| | | *| *| 2,221| |1989 | 44,449| 2,200| 516| 790| 11,649| 26,424| 72| *| | | *| 2,794| |1990 | 47,872| 2,356| 549| 970| 12,353| 28,919| 81| | *| | *| 2,640| |1991 | 52,413| 2,658| 588| 1,037| 14,031| 31,998| 97| | *| | *| 2,001| |1992 | 57,610| 2,889| 717| 1,181| 15,633| 35,025| 91| | | *| *| 2,070| |1993 | 59,378| 3,586| 571| 1,223| 15,104| 33,294| 123| *| *| *| *| 5,466| |1994 | 67,743| 5,544| 636| 1,451| 17,808| 37,904| 820| *| *| *| 22| 3,550| |1995 | 72,960| 385| 1,111| 1,703| 20,293| 42,049| 877| 492| 169| 151| 1,701| 4,029| |1996 | 76,714| 153| 1,248| 1,791| 22,038| 45,148| 570| 560| 180| 464| 2,114| 2,448| |1997 | 80,249| 59| 863| 1,663| 21,631| 47,836| 482| 531| 182| 514| 2,180| 4,308| |1998 | | | | | | | | | | | | | |(incomplete)| 31,542| 19| 324| 597| 9,095| 19,121| 108| 268| 81| 70| 859| 1,000| -------------------------------------------------------------------------------------------------------------------------- Table L.4 Earliest Known Modality by Earliest Treatment Setting and Year of First Service Date, May 1995-June 1998 Based on 1995 HCFA Form 2728 ---------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | | |----------+----------+----------+----------| | | Patients | Patients | Patients | Patients | |------------------------------------------------+----------+----------+----------+----------| |Primary Modality Total | 38185| 63676| 66925| 27415| |Hemodialysis Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | 1806| 2876| 1955| 545| | Dialysis Facility | 35849| 59046| 64706| 26794| | Home | 528| 1753| 259| 76| | Unknown | *| *| *| | |------------------------------------------------+----------+----------+----------+----------| |IPD Total | 134| 156| 103| 34| | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | 15| 25| *| *| | Dialysis Facility | 83| 94| 75| 28| | Home | 36| 37| 21| *| |------------------------------------------------+----------+----------+----------+----------| |CAPD Total | 5054| 6945| 5946| 2039| | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | 93| 148| 48| *| | Dialysis Facility | 926| 1063| 819| 273| | Home | 4035| 5733| 5078| 1761| | Unknown | | *| *| | |------------------------------------------------+----------+----------+----------+----------| |CCPD Total | 1519| 2452| 2226| 842| | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | 45| 106| *| *| | Dialysis Facility | 215| 301| 262| 94| | Home | 1259| 2045| 1958| 742| |------------------------------------------------+----------+----------+----------+----------| |Other Total | *| *| *| | | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | | *| | | | Dialysis Facility | | *| *| | | Home | *| | | | |------------------------------------------------+----------+----------+----------+----------| |Unknown Total | *| *| *| | | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | | *| | | | Dialysis Facility | | *| *| | | Home | *| *| | | | Unknown | | *| *| | |------------------------------------------------+----------+----------+----------+----------| |Transplant Total | 39| 42| 47| *| | Primary Dialysis Setting| | | | | | (Q21) | | | | | | Hospital Inpatient | *| *| *| *| | Dialysis Facility | 29| 30| 36| *| | Home | *| *| *| | | Unknown | *| *| *| | ---------------------------------------------------------------------------------------------- Based on Medical Evidence Forms certified within 12 months of first service. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ----------------------------------------------------------------------------------------------------- |Table L.5 | | Year of First Service | |Counts by 5 Yr Age Grps., Sex, Hispanic | |-------------------------------------------| |Ethnicity and Race | Total | 1995 | 1996 | 1997 | 1998 | |--------------------------------------------+----------+----------+----------+----------+----------| |Total | 226992| 45638| 74412| 76312| 30630| |--------------------------------------------+----------+----------+----------+----------+----------| |Age at first service (5-yr grps) | | | | | | |0- 4 | 480| 100| 168| 170| 42| |5- 9 | 375| 90| 131| 122| 32| |10-14 | 707| 156| 232| 252| 67| |15-19 | 1492| 358| 530| 447| 157| |20-24 | 2760| 634| 986| 794| 346| |25-29 | 4663| 1032| 1610| 1440| 581| |30-34 | 6894| 1592| 2360| 2090| 852| |35-39 | 9382| 2055| 3271| 2891| 1165| |40-44 | 12062| 2634| 4166| 3726| 1536| |45-49 | 15107| 3162| 5142| 4776| 2027| |50-54 | 17272| 3525| 5642| 5712| 2393| |55-59 | 20282| 4166| 6617| 6703| 2796| |60-64 | 24898| 5173| 8228| 8323| 3174| |65-69 | 30640| 6086| 9891| 10539| 4124| |70-74 | 31769| 6110| 10357| 11014| 4288| |75-79 | 25803| 4785| 8139| 9132| 3747| |80-84 | 15385| 2770| 4781| 5612| 2222| |85 plus | 7021| 1210| 2161| 2569| 1081| |--------------------------------------------+----------+----------+----------+----------+----------| |Sex (Q07) | | | | | | |Female | 106123| 21586| 34594| 35767| 14176| |Male | 120869| 24052| 39818| 40545| 16454| |--------------------------------------------+----------+----------+----------+----------+----------| |Hispanic Ethnicity (Q8) | | | | | | |Hisp:Mex | 15340| 3252| 5235| 4912| 1941| |Hisp Other | 10022| 1996| 3215| 3433| 1378| |Non-Hisp | 200691| 40093| 65665| 67730| 27203| |Unknown | 939| 297| 297| 237| 108| |--------------------------------------------+----------+----------+----------+----------+----------| |Race (Q9) | | | | | | |American Indian/Alaskan Native | 3254| 798| 1263| 868| 325| |Asian | 5152| 1087| 1797| 1670| 598| |Black | 66417| 13454| 22083| 21748| 9132| |White | 140529| 27845| 45375| 48124| 19185| |Unknown | 1522| 361| 570| 483| 108| |Pacific Islander | 1780| 416| 561| 533| 270| |MidEast | 577| 136| 178| 182| 81| |Indian SubCo | 1177| 126| 465| 515| 71| |Other/Multi-racial | 6584| 1415| 2120| 2189| 860| ----------------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. The number in parenthesis following each characteristic corresponds to the question number on HCFA Form 2728. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ----------------------------------------------------------------------------------------------- |Table L.6 | | Hispanic Ethnicity (Q8) | |Counts by Hispanic Ethnicity and ESRD | |-------------------------------------------| |Network | Total | Hisp:Mex |Hisp Other| Non-Hisp | Unknown | |--------------------------------------+----------+----------+----------+----------+----------| |Total | 226992| 15340| 10022| 200691| 939| |Network number (Q55) | | | | | | |(01 CT) Net. of New England | 9269| 30| 401| 8456| 382| |(02 NY) Net. of N.Y. | 16684| 71| 1770| 14779| 64| |(03 NJ) Trans-Atlantic R. C. | 11035| 56| 3321| 7545| 113| |(04 PA) ESRD Net. Org. #4 | 12348| 20| 200| 12128| | |(05 VA) Mid Atlantic R. C. | 14127| 21| 148| 13950| *| |(06 NC) Southeastern Kidney Council | 18184| 984| 103| 17097| | |(07 FL) ESRD Net. of Florida | 13762| 104| 1331| 12313| 14| |(08 MS) Network 8 | 12371| 12| 20| 12338| *| |(09 IN) Tri-state R. N. | 16537| 112| 54| 16314| 57| |(10 IL) Renal Net. of Illinois | 10140| 464| 187| 9457| 32| |(11 MN) Renal Net. of upper midwest | 15523| 237| 114| 15172| | |(12 MO) ESRD net. #12 | 9449| 240| 34| 9121| 54| |(13 OK) ESRD net. #13 | 9728| 52| 72| 9602| *| |(14 TX) Net. of Texas | 16564| 5371| 498| 10691| *| |(15 CO) Inter-mountain ESRD net. | 9106| 1509| 616| 6977| *| |(16 WA) Northwest Renal Net. | 6033| 233| 57| 5743| | |(17 N-CA) Trans-pacific ESRD Net. | 10515| 1485| 345| 8485| 200| |(18 S-CA) Southern California Net. | 15617| 4339| 751| 10523| *| ----------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. The number in parenthesis following each characteristic corresponds to the question number on HCFA Form 2728. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ----------------------------------------------------------------------------------------- |Table L.7 | | Year of First Service | |Counts by Employment Status | |-------------------------------------------| | | Total | 1995 | 1996 | 1997 | 1998 | |--------------------------------+----------+----------+----------+----------+----------| |Total | 226992| 45638| 74412| 76312| 30630| |--------------------------------+----------+----------+----------+----------+----------| |Current employment status (Q15) | | | | | | |Missing | 9299| 2251| 3272| 2734| 1042| |Unemployed | 46516| 10148| 15727| 14963| 5678| |Emp full-time | 18943| 3854| 6314| 6155| 2620| |Emp pt-time | 4183| 910| 1391| 1312| 570| |Homemaker | 14170| 3014| 4703| 4690| 1763| |Ret-age | 83609| 15267| 26401| 29798| 12143| |Ret-disab | 40781| 7935| 13265| 13926| 5655| |Med LOA | 6939| 1672| 2454| 1920| 893| |Student | 2552| 587| 885| 814| 266| |--------------------------------+----------+----------+----------+----------+----------| |Previous employment status (Q15)| | | | | | |Missing | 21991| 5161| 7493| 6755| 2582| |Unemployed | 36826| 7824| 12419| 12118| 4465| |Emp full-time | 32014| 7071| 10847| 9835| 4261| |Emp pt-time | 5532| 1251| 1876| 1661| 744| |Homemaker | 14190| 3031| 4701| 4689| 1769| |Ret-age | 78059| 14007| 24565| 28007| 11480| |Ret-disab | 34655| 6455| 11209| 12075| 4916| |Med LOA | 1212| 279| 437| 352| 144| |Student | 2513| 559| 865| 820| 269| ----------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. The number in parenthesis following each characteristic corresponds to the question number on HCFA Form 2728. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 -------------------------------------------------------------------- |Table L.8 | Year of First Service | |Percent Race and Hispanic Ethnicity |---------------------------| | | 1995 | 1996 | 1997 | 1998 | |--------------------------------------+------+------+------+------| |Race (Q9) | | | | | |American Indian/Alaskan Native | 1.7%| 1.7%| 1.1%| 1.1%| |Asian | 2.4%| 2.4%| 2.2%| 2.0%| |Black | 29.5%| 29.7%| 28.5%| 29.8%| |White | 61.0%| 61.0%| 63.1%| 62.6%| |Unknown | 0.8%| 0.8%| 0.6%| 0.4%| |Pacific Islander | 0.9%| 0.8%| 0.7%| 0.9%| |MidEast | 0.3%| 0.2%| 0.2%| 0.3%| |Indian SubCo | 0.3%| 0.6%| 0.7%| 0.2%| |Other/Multi-racial | 3.1%| 2.8%| 2.9%| 2.8%| |--------------------------------------+------+------+------+------| |Hispanic Ethnicity (Q8) | | | | | |Hisp:Mex | 7.1%| 7.0%| 6.4%| 6.3%| |Hisp Other | 4.4%| 4.3%| 4.5%| 4.5%| |Non-Hisp | 87.9%| 88.2%| 88.8%| 88.8%| |Unknown | 0.7%| 0.4%| 0.3%| 0.4%| -------------------------------------------------------------------- ---------------------------------------------------------------------- |Table L.9 | Year of First Service | |Percent Diabetic by Race and |-----------------------------------| |Hispanic Ethnicity | 1995 | 1996 | 1997 | 1998 | | |--------+--------+--------+--------| | | % | % | % | % | | |Diabetic|Diabetic|Diabetic|Diabetic| |--------------------------------+--------+--------+--------+--------| |Race (Q9) | | | | | |American Indian/Alaskan Native | 62.0%| 62.6%| 74.3%| 72.6%| |Asian | 39.5%| 43.9%| 43.8%| 41.5%| |Black | 40.9%| 42.2%| 43.6%| 43.9%| |White | 41.7%| 42.4%| 43.4%| 43.7%| |Unknown | 47.9%| 44.2%| 48.9%| 47.2%| |Pacific Islander | 57.0%| 53.3%| 55.9%| 62.6%| |MidEast | 33.8%| 30.3%| 39.0%| 45.7%| |Indian SubCo | 40.5%| 59.6%| 53.6%| 46.5%| |Other/Multi-racial | 53.4%| 56.7%| 56.7%| 57.3%| |--------------------------------+--------+--------+--------+--------| |Hispanic Ethnicity (Q8) | | | | | |Hisp:Mex | 61.7%| 62.3%| 66.9%| 65.7%| |Hisp Other | 49.9%| 52.6%| 53.8%| 54.6%| |Non-Hisp | 40.3%| 41.3%| 42.3%| 42.6%| |Unknown | 42.1%| 44.1%| 40.1%| 38.0%| ---------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. The number in parenthesis following each characteristic corresponds to the question number on HCFA Form 2728. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ----------------------------------------------------------------------------------------- |Table L.10 | | Year of First Service | |Counts by Insurance Payor | |-------------------------------------------| | | Total | 1995 | 1996 | 1997 | 1998 | |--------------------------------+----------+----------+----------+----------+----------| |Total | 226992| 45638| 74412| 76312| 30630| |--------------------------------+----------+----------+----------+----------+----------| |Medicaid coverage (Q10a) | | | | | | |Unknown | 26| *| 17| | | |No | 172790| 34529| 56726| 58087| 23448| |Yes | 54176| 11100| 17669| 18225| 7182| |--------------------------------+----------+----------+----------+----------+----------| |DVA coverage (Q10b) | | | | | | |Unknown | 26| *| 17| | | |No | 224172| 44965| 73430| 75465| 30312| |Yes | 2794| 664| 965| 847| 318| |--------------------------------+----------+----------+----------+----------+----------| |Medicare coverage (Q10c) | | | | | | |Unknown | 26| *| 17| | | |No | 102954| 22016| 34614| 32941| 13383| |Yes | 124012| 23613| 39781| 43371| 17247| |--------------------------------+----------+----------+----------+----------+----------| |Employer group health insurance | | | | | | |(Q10d) | | | | | | |Unknown | 26| *| 17| | | |No | 173008| 34250| 56520| 58723| 23515| |Yes | 53958| 11379| 17875| 17589| 7115| |--------------------------------+----------+----------+----------+----------+----------| |Other medical insurance (Q10e) | | | | | | |Unknown | 26| *| 17| | | |No | 156117| 32594| 51227| 51481| 20815| |Yes | 70849| 13035| 23168| 24831| 9815| |--------------------------------+----------+----------+----------+----------+----------| |No medical insurance (Q10f) | | | | | | |Unknown | 26| *| 17| | | |No | 210699| 42018| 68832| 71300| 28549| |Yes | 16267| 3611| 5563| 5012| 2081| |--------------------------------+----------+----------+----------+----------+----------| |Patient applying for medicare | | | | | | |(Q11) | | | | | | |Unknown | 274| 51| 106| 53| 64| |No | 36593| 7177| 11498| 12692| 5226| |Yes | 190125| 38410| 62808| 63567| 25340| ----------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. The number in parenthesis following each characteristic corresponds to the question number on HCFA Form 2728. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ---------------------------------------------------------------------------------------------- |Table L.11 | Year of First Service | |Counts by Primary Disease Causing ESRD |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------+----------+----------+----------+----------| |Total | 45638| 74412| 76312| 30630| |Detailed Primary Disease Causing ESRD | | | | | |0429A : AIDS nephropathy | 662| 846| 742| 326| |1890B : Renal tumor (malignant) | 161| 224| 256| 111| |1899A : Urinary tract tumor (malignant) | 64| 95| 94| 43| |20280A: Lymphoma of kidneys | 20| 23| 34| 12| |2030A : Multiple myeloma | 402| 665| 677| 292| |2030B : Light chain nephropathy | 60| 87| 92| 31| |2230A : Renal tumor (benign) | *| *| *| *| |2239A : Urinary tract tumor (benign) | *| *| *| *| |2395A : Renal tumor (unspecified) | 11| 14| 23| *| |2395B : Urinary tract tumor (unspecified) | *| *| 13| *| |25000A: Type II, adult-onset type or unspecified| | | | | |type diabet | 15213| 26201| 28639| 11847| |25001A: Type I, juvenile type, ketosis prone | | | | | |diabetes | 4083| 6013| 5210| 1804| |2700A : Cystinosis | *| *| 13| *| |2718B : Primary oxalosis | *| 10| 15| *| |2727A : Fabrys disease | *| 18| 12| *| |27410A: Gouty nephropathy | 27| 37| 50| 16| |2754A : Nephrocalcinosis | 50| 58| 57| 20| |2773A : Amyloidosis | 145| 238| 241| 84| |28260A: Sickle cell disease/anemia | 52| 76| 72| 30| |28269A: Sickle cell trait and other sickle cell | | | | | |(HbS/Hb othe | *| *| *| *| |2831A : Hemolytic uremic syndrome | 94| 153| 136| 49| |2870A : Henoch-Schonlein syndrome | 23| 39| 21| 14| |4039D : Renal disease due to hypertension (no | | | | | |primary renal | 10354| 17045| 17724| 7215| |4401A : Renal artery stenosis | 652| 1063| 1162| 462| |4460C : Polyarteritis | 32| 37| 45| 26| |4462A : Vasculitis and its derivatives | 115| 222| 205| 68| |4464B : Wegeners granulomatosis | 121| 213| 210| 82| |5724A : Hepatorenal syndrome | 63| 109| 127| 36| |5800C : Post infectious GN, SBE | 50| 65| 63| 29| |5804B : Rapidly progressive GN | 200| 377| 298| 125| |58089A: Acute interstitial nephritis | 87| 118| 122| 68| |5820A : Other proliferative GN | 143| 251| 238| 92| |5821A : Focal glomerulosclerosis, focal | | | | | |sclerosing GN | 1149| 1827| 1717| 721| |5829A : Glomerulonephritis (GN) | 2722| 4032| 3806| 1451| |5830B : Radiation nephritis | 15| 35| 30| *| |5831A : Membranous nephropathy | 236| 401| 400| 148| |5832A : Membranoproliferative GN type 1, diffuse| | | | | |MPGN | 163| 331| 285| 123| |5832C : Dense deposit disease, MPGN type 2 | 21| 27| 26| 16| |5834C : Goodpastures Syndrome | 69| 91| 96| 29| |5836A : Tubular necrosis (no recovery) | 490| 890| 1019| 386| |58381B: IgA nephropathy, Bergers disease | 366| 606| 567| 229| |58381C: IgM nephropathy | 56| 50| 51| 26| |58389B: Chronic interstitial nephritis | 629| 906| 765| 324| |5839B : Secondary GN, other | 61| 86| 76| 34| ---------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ---------------------------------------------------------------------------------------------- |Table L.11 (Continued) | Year of First Service | |Counts by Primary Disease Causing ESRD |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------+----------+----------+----------+----------| |Detailed Primary Disease Causing ESRD | | | | | |5839C : Nephropathy due to heroin abuse and | | | | | |related drugs | 40| 72| 52| 20| |5839D : Drash syndrome, mesangial sclerosis | *| *| 10| *| |5900A : Chronic pyelonephritis, reflux | | | | | |nephropathy | 324| 488| 452| 159| |5909A : Nephropathy caused by other agents | 249| 323| 355| 144| |5920C : Nephrolithiasis | 106| 166| 136| 63| |5929B : Urolithiasis | 17| 38| 37| 11| |59381B: Renal artery occlusion | 261| 481| 497| 174| |59381E: Cholesterol emboli, renal emboli | 491| 789| 909| 318| |59389A: Other renal disorders | 449| 649| 805| 274| |5996A : Acquired obstuctive uropathy | 442| 814| 793| 330| |64620A: Post partum renal failure | *| 12| 15| *| |7100E : Lupus erythematosus, (SLE nephritis) | 586| 913| 888| 358| |7101B : Scleroderma | 110| 176| 157| 58| |7530B : Renal hypoplasia, dysplasia, | | | | | |oligonephronia | 91| 162| 145| 38| |75313A: Polycystic kidneys, adult type | | | | | |(dominant) | 1177| 1743| 1741| 695| |75314A: Polycystic, infantile (recessive) | 22| 43| 40| 21| |75316A: Medullary cystic disease, including | | | | | |nephronophthisis | 35| 48| 35| 15| |7532A : Congenital obstructive uropathy | 148| 223| 210| 59| |7533A : Congenital nephrotic syndrome | 37| 46| 42| 18| |7567A : Prune belly syndrome | 20| 26| 24| *| |7595A : Tuberous sclerosis | 17| 29| 24| 17| |7598A : Hereditary nephritis, Alports syndrome | 83| 143| 128| 64| |7598B : Hereditary/familial nephropathy | 49| 69| 45| 15| |7999A : Etiology uncertain | 1748| 2972| 2968| 1217| |8660A : Traumatic or surgical loss of kidney(s) | 59| 107| 69| 38| |9659A : Analgesic abuse | 121| 181| 184| 72| |9849A : Lead nephropathy | 12| 17| 19| *| |99680A: Complication post bone marrow or other | | | | | |transplant | 37| 64| 82| 25| ---------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.5-L.12 Characteristics of Incident Patients Based on 1995 HCFA Form 2728 by Year of First Service Date, May 1995-June 1998 ---------------------------------------------------------------------------------- |Table L.12 Percent of Patients | Year of First Service | |with Co-Morbid Conditions |-------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------+-------+-------+-------+-------| |PATIENTS | 45,638| 74,412| 76,312| 30,630| |Congestive heart failure | 31.0%| 32.6%| 34.3%| 34.1%| |Ischemic heart disease/CAD | 21.5%| 22.7%| 24.8%| 24.2%| |Myocardial infarction | 8.5%| 8.8%| 9.3%| 8.9%| |Cardiac arrest | 1.0%| 1.0%| 0.9%| 0.8%| |Cardiac dysrhythmia | 5.4%| 5.7%| 6.1%| 6.0%| |Pericarditis | 1.5%| 1.2%| 1.1%| 1.0%| |Cerebrovascular disease/CVA/TIA | 8.0%| 8.8%| 9.6%| 9.2%| |Peripheral vascular disease | 13.9%| 14.4%| 15.4%| 15.1%| |History of hypertension | 67.4%| 71.2%| 73.5%| 75.1%| |Diabetes prim./contrib. | 36.0%| 38.3%| 40.3%| 40.9%| |Diabetes on insulin | 22.4%| 23.4%| 24.0%| 23.8%| |Chronic obstructive pulm. dis. | 6.7%| 6.9%| 7.3%| 7.4%| |Current smoker/tobacco use | 5.9%| 5.8%| 5.4%| 5.4%| |Malignant neoplasm/cancer | 4.8%| 4.8%| 5.2%| 5.2%| |Alcohol dependence | 1.8%| 1.9%| 1.6%| 1.5%| |Drug dependence | 1.1%| 1.2%| 1.0%| 1.1%| |AIDS | 0.6%| 0.5%| 0.5%| 0.5%| |HIV | 0.9%| 0.8%| 0.7%| 0.8%| ---------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. * Values for cells with fewer than 10 patients are suppressed. "." Represents missing values, i.e., a count of zero. Table L.13-L.14 Employment Status Among All ESRD Patients by Sex, Age 20-64 as Reported on HCFA Form 2728, May 1995-June 1998 ------------------------------------------------------------------------------------------------------ |Table L.13 | Year of First Service | |Current Employment Status |---------------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------+------------+------------+------------+------------| |SEX | | | | | |Female PATIENTS | 10285.00| 16207.00| 15605.00| 6276.00| | Unemployed | 36.1%| 35.0%| 34.4%| 32.1%| | Employed* | 13.9%| 14.1%| 13.9%| 15.2%| | Retired-Age | 4.7%| 4.9%| 5.8%| 5.9%| | Retired-Disab | 20.2%| 22.8%| 24.9%| 25.6%| | Medical LOA | 6.0%| 5.4%| 4.7%| 5.3%| | Student | 0.7%| 0.6%| 0.5%| 0.5%| | Homemaker | 13.2%| 12.7%| 12.4%| 11.7%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 5.2%| 4.5%| 3.5%| 3.7%| |------------------------------------------------+------------+------------+------------+------------| |Male PATIENTS | 12586 | 20035| 19058| 7900 | | Unemployed | 31.0%| 29.8%| 28.5%| 28.0%| | Employed* | 22.1%| 22.6%| 23.0%| 23.5%| | Retired-Age | 6.1%| 6.1%| 6.8%| 6.1%| | Retired-Disab | 27.8%| 29.2%| 31.9%| 31.9%| | Medical LOA | 7.4%| 6.9%| 5.4%| 6.2%| | Student | 0.6%| 0.6%| 0.5%| 0.6%| | Homemaker | 0.2%| 0.1%| 0.1%| 0.1%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 4.8%| 4.6%| 3.7%| 3.7%| |------------------------------------------------+------------+------------+------------+------------| |AGE GROUP | | | | | |20-44 PATIENTS | 7947| 12393| 10941| 4480| | Unemployed | 42.4%| 40.4%| 41.1%| 39.0%| | Employed* | 24.0%| 25.0%| 26.1%| 27.0%| | Retired-Age | 0.5%| 0.4%| 0.4%| 0.5%| | Retired-Disab | 14.9%| 16.0%| 16.7%| 17.3%| | Medical LOA | 8.6%| 8.3%| 7.0%| 7.5%| | Student | 1.5%| 1.5%| 1.4%| 1.7%| | Homemaker | 3.6%| 3.9%| 3.8%| 3.8%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 4.5%| 4.4%| 3.4%| 3.2%| |------------------------------------------------+------------+------------+------------+------------| |45-64 PATIENTS | 14924| 23849| 23722| 9696| | Unemployed | 28.4%| 27.8%| 26.6%| 25.5%| | Employed* | 15.5%| 15.6%| 15.6%| 16.5%| | Retired-Age | 8.2%| 8.2%| 9.1%| 8.5%| | Retired-Disab | 29.4%| 31.7%| 34.3%| 34.5%| | Medical LOA | 5.8%| 5.2%| 4.2%| 5.0%| | Student | 0.2%| 0.1%| 0.1%| 0.1%| | Homemaker | 7.3%| 6.7%| 6.5%| 5.9%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 5.3%| 4.6%| 3.7%| 4.0%| ------------------------------------------------------------------------------------------------------ Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. *Includes part-time and full-time employment Age is computed using birthdate and date of first service Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this employment status. Table L.13-L.14 Employment Status Among All ESRD Patients by Sex, Age 20-64 as Reported on HCFA Form 2728, May 1995-June 1998 ---------------------------------------------------------------------------------------------- |Table L.14 | Year of First Service | |Previous Employment Status |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------+----------+----------+----------+----------| |SEX | | | | | |Female PATIENTS | 10285| 16207| 15605| 6276| | Unemployed | 28.7%| 28.6%| 28.6%| 25.9%| | Employed* | 25.0%| 24.0%| 22.3%| 24.7%| | Retired-Age | 4.2%| 4.4%| 5.3%| 5.4%| | Retired-Disab | 16.3%| 19.1%| 21.4%| 22.1%| | Medical LOA | 0.8%| 1.0%| 0.8%| 0.9%| | Student | 0.7%| 0.6%| 0.5%| 0.6%| | Homemaker | 13.0%| 12.4%| 12.3%| 11.6%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 11.3%| 9.9%| 8.8%| 8.9%| |------------------------------------------------+----------+----------+----------+----------| |Male PATIENTS | 12586| 20035| 19058| 7900| | Unemployed | 21.9%| 21.9%| 21.4%| 20.6%| | Employed* | 37.1%| 36.1%| 33.9%| 35.5%| | Retired-Age | 5.2%| 5.5%| 6.1%| 5.8%| | Retired-Disab | 22.5%| 24.3%| 27.6%| 27.6%| | Medical LOA | 1.3%| 1.2%| 1.0%| 0.9%| | Student | 0.6%| 0.6%| 0.6%| 0.6%| | Homemaker | 0.1%| 0.1%| 0.1%| 0.1%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 11.2%| 10.3%| 9.3%| 8.7%| |------------------------------------------------+----------+----------+----------+----------| |AGE GROUP | | | | | |20-44 PATIENTS | 7947| 12393| 10941| 4480| | Unemployed | 29.8%| 30.3%| 31.3%| 28.6%| | Employed* | 41.1%| 40.5%| 39.1%| 42.1%| | Retired-Age | 0.4%| 0.3%| 0.4%| 0.4%| | Retired-Disab | 11.6%| 12.5%| 13.9%| 14.3%| | Medical LOA | 1.0%| 1.3%| 1.0%| 0.8%| | Student | 1.6%| 1.7%| 1.6%| 1.8%| | Homemaker | 3.5%| 3.6%| 3.6%| 3.7%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 11.1%| 9.9%| 9.2%| 8.3%| |------------------------------------------------+----------+----------+----------+----------| |45-64 PATIENTS | 14924| 23849| 23722| 9696| | Unemployed | 22.4%| 22.1%| 21.6%| 20.4%| | Employed* | 26.7%| 25.5%| 23.9%| 25.5%| | Retired-Age | 7.1%| 7.4%| 8.3%| 8.0%| | Retired-Disab | 24.0%| 26.9%| 29.8%| 30.2%| | Medical LOA | 1.1%| 1.0%| 0.9%| 1.0%| | Student | 0.1%| 0.1%| 0.1%| 0.1%| | Homemaker | 7.3%| 6.7%| 6.5%| 5.9%| | Other | 0.0%| 0.0%| 0.0%| 0.0%| | Status missing | 11.3%| 10.3%| 9.1%| 9.0%| ---------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. *Includes part-time and full-time employment Age is computed using birthdate and date of first service Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this employment status. Table L.15 Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ------------------------------------------------------------------------------------------ | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |--------------------------------------------+----------+----------+----------+----------| |PATIENTS | 44892| 73229| 75200| 30330| |Congestive heart failure | 31.5%| 33.1%| 34.7%| 34.5%| |Ischemic heart disease/CAD | 21.8%| 23.1%| 25.1%| 24.4%| |Myocardial infarction | 8.6%| 9.0%| 9.4%| 9.0%| |Cardiac arrest | 1.1%| 1.1%| 0.9%| 0.8%| |Cardiac dysrhythmia | 5.5%| 5.8%| 6.2%| 6.0%| |Pericarditis | 1.5%| 1.2%| 1.1%| 1.0%| |Cerebrovascular disease/CVA/TIA | 8.1%| 8.9%| 9.7%| 9.3%| |Peripheral vascular disease | 14.1%| 14.6%| 15.6%| 15.2%| |History of hypertension | 67.5%| 71.3%| 73.7%| 75.1%| |Diabetes prim./contrib. | 36.2%| 38.6%| 40.6%| 41.1%| |Diabetes on insulin | 22.4%| 23.4%| 24.1%| 23.9%| |Chronic obstructive pulm. dis. | 6.8%| 7.0%| 7.4%| 7.5%| |Current smoker/tobacco use | 5.9%| 5.9%| 5.5%| 5.4%| |Malignant neoplasm/cancer | 4.9%| 4.8%| 5.2%| 5.2%| |Alcohol dependence | 1.9%| 1.9%| 1.6%| 1.5%| |Drug dependence | 1.1%| 1.2%| 1.0%| 1.1%| |Inability to transfer | 1.8%| 1.7%| 1.7%| 1.5%| |Inability to ambulate | 5.1%| 4.9%| 4.6%| 4.1%| |No comorbidities reported | 28.9%| 27.3%| 25.6%| 26.0%| ------------------------------------------------------------------------------------------ Primary Modality Transplant ------------------------------------------------------------------------------------------ | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |--------------------------------------------+----------+----------+----------+----------| |PATIENTS | 743| 1172| 1108| 300| |Congestive heart failure | 1.6%| 1.5%| 2.1%| 1.3%| |Ischemic heart disease/CAD | 3.0%| 3.4%| 4.2%| 4.0%| |Myocardial infarction | 1.3%| 1.5%| 1.4%| 2.0%| |Cardiac arrest | 0.1%| 0.5%| 0.3%| 0.0%| |Cardiac dysrhythmia | 0.4%| 1.5%| 0.5%| 0.7%| |Pericarditis | 0.3%| 0.3%| 0.5%| 0.0%| |Cerebrovascular disease/CVA/TIA | 1.2%| 1.4%| 1.2%| 2.3%| |Peripheral vascular disease | 3.1%| 3.1%| 1.3%| 5.0%| |History of hypertension | 59.4%| 61.8%| 60.2%| 70.3%| |Diabetes prim./contrib. | 23.3%| 22.4%| 21.1%| 21.0%| |Diabetes on insulin | 21.4%| 20.6%| 18.3%| 17.3%| |Chronic obstructive pulm. dis. | 0.9%| 0.7%| 1.0%| 0.3%| |Current smoker/tobacco use | 4.6%| 4.3%| 2.2%| 3.0%| |Malignant neoplasm/cancer | 0.5%| 0.5%| 0.5%| 0.7%| |Alcohol dependence | 0.4%| 0.8%| 0.5%| 0.7%| |Drug dependence | 0.0%| 0.1%| 0.1%| 0.0%| |Inability to transfer | 0.3%| 0.0%| 0.1%| 0.3%| |Inability to ambulate | 0.3%| 0.4%| 0.5%| 0.3%| |No comorbidities reported | 66.1%| 65.0%| 69.6%| 72.3%| ------------------------------------------------------------------------------------------ Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.16 Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Age, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Age Group | | | | | |Missing PATIENTS | 16| 38| 75| 33| | Congestive heart failure | 43.8%| 39.5%| 37.3%| 42.4%| | Ischemic heart disease/CAD | 18.8%| 34.2%| 17.3%| 18.2%| | Myocardial infarction | 0.0%| 5.3%| 6.7%| 0.0%| | Cardiac arrest | 0.0%| 0.0%| 0.0%| 0.0%| | Cardiac dysrhythmia | 0.0%| 10.5%| 6.7%| 3.0%| | Pericarditis | 0.0%| 0.0%| 4.0%| 3.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 6.3%| 5.3%| 9.3%| 9.1%| | Peripheral vascular disease| 0.0%| 15.8%| 6.7%| 6.1%| | History of hypertension | 50.0%| 57.9%| 70.7%| 66.7%| | Diabetes prim./contrib. | 31.3%| 15.8%| 10.7%| 24.2%| | Diabetes on insulin | 12.5%| 2.6%| 5.3%| 9.1%| | Chronic obstructive pulm. | | | | | | dis. | 0.0%| 2.6%| 0.0%| 9.1%| | Current smoker/tobacco use | 0.0%| 0.0%| 1.3%| 0.0%| | Malignant neoplasm/cancer | 0.0%| 10.5%| 9.3%| 3.0%| | Alcohol dependence | 0.0%| 2.6%| 0.0%| 0.0%| | Drug dependence | 0.0%| 0.0%| 0.0%| 0.0%| | Inability to transfer | 0.0%| 2.6%| 8.0%| 6.1%| | Inability to ambulate | 0.0%| 7.9%| 16.0%| 9.1%| | No comorbidities reported | 37.5%| 34.2%| 36.0%| 30.3%| |------------------------------------------------------+----------+----------+----------+----------| |0-19 PATIENTS | 592| 900| 835| 273| | Congestive heart failure | 3.5%| 4.7%| 4.7%| 3.3%| | Ischemic heart disease/CAD | 0.8%| 0.8%| 0.8%| 0.0%| | Myocardial infarction | 0.2%| 0.1%| 0.1%| 0.0%| | Cardiac arrest | 0.5%| 0.0%| 0.4%| 0.4%| | Cardiac dysrhythmia | 0.3%| 0.7%| 0.8%| 0.4%| | Pericarditis | 1.0%| 1.1%| 1.4%| 1.5%| | Cerebrovascular | | | | | | disease/CVA/TIA | 0.5%| 1.1%| 1.1%| 0.7%| | Peripheral vascular disease| 1.5%| 0.9%| 0.2%| 0.7%| | History of hypertension | 38.0%| 40.2%| 39.2%| 42.5%| | Diabetes prim./contrib. | 3.7%| 2.1%| 2.3%| 2.2%| | Diabetes on insulin | 1.9%| 1.0%| 1.8%| 2.2%| | Chronic obstructive pulm. | | | | | | dis. | 0.7%| 0.3%| 0.2%| 0.4%| | Current smoker/tobacco use | 0.5%| 1.1%| 0.8%| 1.8%| | Malignant neoplasm/cancer | 1.4%| 0.9%| 0.8%| 0.0%| | Alcohol dependence | 0.2%| 0.0%| 0.0%| 0.0%| | Drug dependence | 0.2%| 0.0%| 0.4%| 0.4%| | Inability to transfer | 1.4%| 1.3%| 0.7%| 0.4%| | Inability to ambulate | 2.4%| 2.7%| 2.0%| 1.5%| | No comorbidities reported | 86.3%| 86.4%| 86.5%| 88.3%| |------------------------------------------------------+----------+----------+----------+----------| |20-44 PATIENTS | 7572| 11839| 10429| 4329| | Congestive heart failure | 11.8%| 12.6%| 12.9%| 12.8%| | Ischemic heart disease/CAD | 4.3%| 4.0%| 4.6%| 4.1%| | Myocardial infarction | 1.9%| 1.7%| 2.0%| 1.7%| | Cardiac arrest | 0.3%| 0.3%| 0.3%| 0.3%| | Cardiac dysrhythmia | 1.0%| 1.0%| 1.0%| 1.0%| | Pericarditis | 1.6%| 1.4%| 1.5%| 1.6%| | Cerebrovascular | | | | | | disease/CVA/TIA | 2.2%| 2.7%| 2.6%| 3.3%| | Peripheral vascular disease| 4.5%| 4.1%| 4.7%| 4.2%| | History of hypertension | 63.8%| 68.6%| 70.3%| 72.4%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.16 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Age, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Age Group | | | | | |20-44 Diabetes prim./contrib. | 23.7%| 25.4%| 27.4%| 25.9%| | Diabetes on insulin | 21.7%| 22.3%| 23.6%| 21.6%| | Chronic obstructive pulm. | | | | | | dis. | 1.3%| 1.1%| 1.3%| 1.6%| | Current smoker/tobacco use | 8.3%| 8.4%| 8.8%| 8.6%| | Malignant neoplasm/cancer | 1.3%| 1.2%| 1.2%| 1.4%| | Alcohol dependence | 2.9%| 3.0%| 2.8%| 2.4%| | Drug dependence | 4.4%| 4.5%| 4.5%| 4.3%| | Inability to transfer | 0.6%| 0.7%| 0.6%| 0.4%| | Inability to ambulate | 2.2%| 1.9%| 2.2%| 1.4%| | No comorbidities reported | 50.3%| 50.4%| 49.0%| 51.2%| |------------------------------------------------------+----------+----------+----------+----------| |45-64 PATIENTS | 15781| 25190| 25111| 10273| | Congestive heart failure | 28.7%| 30.2%| 31.0%| 30.5%| | Ischemic heart disease/CAD | 18.7%| 19.6%| 20.6%| 20.3%| | Myocardial infarction | 7.5%| 8.0%| 8.1%| 7.7%| | Cardiac arrest | 1.1%| 1.0%| 0.8%| 0.8%| | Cardiac dysrhythmia | 3.6%| 3.7%| 3.9%| 3.6%| | Pericarditis | 1.7%| 1.3%| 1.1%| 1.1%| | Cerebrovascular | | | | | | disease/CVA/TIA | 7.7%| 8.0%| 8.7%| 7.6%| | Peripheral vascular disease| 13.4%| 13.6%| 14.5%| 13.9%| | History of hypertension | 69.4%| 72.9%| 75.8%| 76.5%| | Diabetes prim./contrib. | 43.1%| 46.7%| 48.8%| 48.5%| | Diabetes on insulin | 28.4%| 30.1%| 31.7%| 31.3%| | Chronic obstructive pulm. | | | | | | dis. | 5.5%| 5.6%| 5.6%| 5.7%| | Current smoker/tobacco use | 7.2%| 7.2%| 7.0%| 6.9%| | Malignant neoplasm/cancer | 3.5%| 3.5%| 3.6%| 3.5%| | Alcohol dependence | 2.5%| 2.6%| 2.3%| 2.2%| | Drug dependence | 1.0%| 1.2%| 1.2%| 1.3%| | Inability to transfer | 1.3%| 1.2%| 1.3%| 1.1%| | Inability to ambulate | 4.3%| 4.1%| 3.8%| 3.3%| | No comorbidities reported | 27.3%| 24.9%| 24.2%| 25.1%| |------------------------------------------------------+----------+----------+----------+----------| |65-74 PATIENTS | 12180| 20223| 21507| 8403| | Congestive heart failure | 39.5%| 41.2%| 41.6%| 41.2%| | Ischemic heart disease/CAD | 30.4%| 31.6%| 32.8%| 31.7%| | Myocardial infarction | 12.0%| 12.2%| 12.2%| 11.4%| | Cardiac arrest | 1.5%| 1.5%| 1.3%| 0.9%| | Cardiac dysrhythmia | 7.3%| 7.9%| 7.8%| 7.5%| | Pericarditis | 1.6%| 1.1%| 0.9%| 0.7%| | Cerebrovascular | | | | | | disease/CVA/TIA | 10.5%| 11.8%| 12.4%| 11.8%| | Peripheral vascular disease| 18.7%| 19.5%| 20.2%| 19.3%| | History of hypertension | 68.6%| 71.9%| 74.9%| 76.5%| | Diabetes prim./contrib. | 42.2%| 44.1%| 46.0%| 47.6%| | Diabetes on insulin | 23.1%| 24.4%| 24.5%| 24.9%| | Chronic obstructive pulm. | | | | | | dis. | 9.6%| 9.9%| 10.3%| 10.3%| | Current smoker/tobacco use | 5.2%| 5.3%| 4.7%| 4.6%| | Malignant neoplasm/cancer | 6.2%| 6.3%| 6.8%| 6.8%| | Alcohol dependence | 1.3%| 1.3%| 1.0%| 1.0%| | Drug dependence | 0.1%| 0.1%| 0.1%| 0.1%| | Inability to transfer | 2.2%| 2.1%| 1.9%| 2.0%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.16 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Age, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Age Group | | | | | |65-74 Inability to ambulate | 6.2%| 5.8%| 5.3%| 5.0%| | No comorbidities reported | 20.3%| 18.9%| 17.9%| 18.0%| |------------------------------------------------------+----------+----------+----------+----------| |75+ PATIENTS | 8751| 15039| 17243| 7019| | Congestive heart failure | 44.2%| 45.0%| 46.4%| 46.7%| | Ischemic heart disease/CAD | 32.2%| 33.8%| 35.6%| 35.2%| | Myocardial infarction | 12.4%| 12.5%| 12.8%| 12.7%| | Cardiac arrest | 1.1%| 1.2%| 1.1%| 0.9%| | Cardiac dysrhythmia | 10.7%| 10.4%| 10.8%| 11.0%| | Pericarditis | 1.2%| 1.2%| 1.0%| 0.8%| | Cerebrovascular | | | | | | disease/CVA/TIA | 11.4%| 12.1%| 12.5%| 12.7%| | Peripheral vascular disease| 18.2%| 18.7%| 18.9%| 19.3%| | History of hypertension | 67.7%| 71.9%| 72.9%| 74.4%| | Diabetes prim./contrib. | 28.5%| 30.3%| 32.0%| 33.6%| | Diabetes on insulin | 12.5%| 13.3%| 13.9%| 14.1%| | Chronic obstructive pulm. | | | | | | dis. | 10.5%| 10.2%| 10.4%| 10.5%| | Current smoker/tobacco use | 3.1%| 2.6%| 2.4%| 2.3%| | Malignant neoplasm/cancer | 8.9%| 8.1%| 8.4%| 8.5%| | Alcohol dependence | 0.8%| 0.6%| 0.6%| 0.4%| | Drug dependence | 0.0%| 0.1%| 0.0%| 0.0%| | Inability to transfer | 3.0%| 3.1%| 2.6%| 2.5%| | Inability to ambulate | 7.9%| 7.5%| 6.7%| 6.1%| | No comorbidities reported | 21.5%| 20.8%| 20.1%| 19.1%| ---------------------------------------------------------------------------------------------------- Primary Modality Transplant ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Age Group | | | | | |0-19 PATIENTS | 110| 160| 149| 23| | Congestive heart failure | 0.0%| 0.0%| 0.7%| 0.0%| | Ischemic heart disease/CAD | 0.0%| 0.0%| 0.0%| 0.0%| | Myocardial infarction | 0.0%| 0.0%| 0.0%| 0.0%| | Cardiac arrest | 0.0%| 0.6%| 0.0%| 0.0%| | Cardiac dysrhythmia | 0.0%| 1.9%| 0.0%| 0.0%| | Pericarditis | 0.0%| 0.6%| 0.0%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 0.0%| 0.0%| 0.0%| 0.0%| | Peripheral vascular disease| 0.9%| 1.3%| 0.0%| 0.0%| | History of hypertension | 25.5%| 31.3%| 25.5%| 17.4%| | Diabetes prim./contrib. | 0.9%| 1.3%| 0.7%| 0.0%| | Diabetes on insulin | 0.9%| 0.6%| 0.0%| 0.0%| | Chronic obstructive pulm. | | | | | | dis. | 0.0%| 0.6%| 0.7%| 0.0%| | Current smoker/tobacco use | 0.9%| 1.3%| 0.0%| 0.0%| | Malignant neoplasm/cancer | 0.0%| 0.0%| 0.0%| 0.0%| | Alcohol dependence | 0.0%| 0.0%| 0.0%| 0.0%| | Drug dependence | 0.0%| 0.6%| 0.0%| 0.0%| | Inability to transfer | 0.9%| 0.0%| 0.0%| 0.0%| | Inability to ambulate | 0.9%| 1.3%| 2.0%| 0.0%| | No comorbidities reported | 96.4%| 93.8%| 96.0%| 100.0%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.16 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Age, and Year of First Service, May 1995-June 1998 Primary Modality Transplant ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |20-44 PATIENTS | 375| 552| 511| 151| | Congestive heart failure | 2.4%| 1.4%| 1.4%| 1.3%| | Ischemic heart disease/CAD | 2.7%| 2.2%| 2.3%| 2.6%| | Myocardial infarction | 1.3%| 0.9%| 0.6%| 0.7%| | Cardiac arrest | 0.3%| 0.4%| 0.0%| 0.0%| | Cardiac dysrhythmia | 0.3%| 0.4%| 0.2%| 0.7%| | Pericarditis | 0.3%| 0.4%| 1.0%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 1.6%| 1.1%| 1.2%| 2.0%| | Peripheral vascular disease| 3.5%| 2.7%| 1.8%| 3.3%| | History of hypertension | 65.1%| 66.3%| 62.4%| 70.2%| | Diabetes prim./contrib. | 30.1%| 26.3%| 26.8%| 20.5%| | Diabetes on insulin | 26.9%| 23.6%| 25.0%| 17.2%| | Chronic obstructive pulm. | | | | | | dis. | 0.3%| 0.5%| 0.4%| 0.0%| | Current smoker/tobacco use | 6.1%| 5.4%| 1.8%| 2.6%| | Malignant neoplasm/cancer | 0.5%| 0.5%| 0.0%| 0.0%| | Alcohol dependence | 0.3%| 0.5%| 0.2%| 0.0%| | Drug dependence | 0.0%| 0.0%| 0.0%| 0.0%| | Inability to transfer | 0.0%| 0.0%| 0.0%| 0.0%| | Inability to ambulate | 0.0%| 0.4%| 0.2%| 0.0%| | No comorbidities reported | 59.5%| 62.7%| 65.0%| 74.8%| |------------------------------------------------------+----------+----------+----------+----------| |45-64 PATIENTS | 242| 436| 403| 117| | Congestive heart failure | 0.8%| 1.8%| 3.2%| 1.7%| | Ischemic heart disease/CAD | 4.5%| 5.5%| 7.2%| 6.8%| | Myocardial infarction | 1.7%| 3.0%| 3.2%| 4.3%| | Cardiac arrest | 0.0%| 0.5%| 0.7%| 0.0%| | Cardiac dysrhythmia | 0.8%| 2.5%| 0.7%| 0.9%| | Pericarditis | 0.4%| 0.2%| 0.0%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 1.2%| 2.1%| 1.2%| 3.4%| | Peripheral vascular disease| 3.7%| 4.4%| 1.0%| 7.7%| | History of hypertension | 65.7%| 67.7%| 68.5%| 79.5%| | Diabetes prim./contrib. | 24.4%| 25.7%| 22.1%| 25.6%| | Diabetes on insulin | 23.6%| 24.5%| 18.1%| 21.4%| | Chronic obstructive pulm. | | | | | | dis. | 2.5%| 0.7%| 1.2%| 0.9%| | Current smoker/tobacco use | 4.1%| 4.1%| 3.7%| 4.3%| | Malignant neoplasm/cancer | 0.8%| 0.7%| 1.2%| 1.7%| | Alcohol dependence | 0.8%| 1.4%| 1.2%| 1.7%| | Drug dependence | 0.0%| 0.0%| 0.2%| 0.0%| | Inability to transfer | 0.4%| 0.0%| 0.2%| 0.9%| | Inability to ambulate | 0.4%| 0.2%| 0.2%| 0.9%| | No comorbidities reported | 61.6%| 57.3%| 65.5%| 63.2%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.16 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Age, and Year of First Service, May 1995-June 1998 Primary Modality Transplant ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Age Group | | | | | |65-74 PATIENTS | 16| 22| 43| *| | Congestive heart failure | 6.3%| 4.5%| 4.7%| 0.0%| | Ischemic heart disease/CAD | 6.3%| 13.6%| 11.6%| 0.0%| | Myocardial infarction | 6.3%| 0.0%| 0.0%| 0.0%| | Cardiac arrest | 0.0%| 4.5%| 0.0%| 0.0%| | Cardiac dysrhythmia | 0.0%| 9.1%| 2.3%| 0.0%| | Pericarditis | 0.0%| 0.0%| 0.0%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 0.0%| 4.5%| 4.7%| 0.0%| | Peripheral vascular disease| 0.0%| 0.0%| 2.3%| 11.1%| | History of hypertension | 62.5%| 54.5%| 79.1%| 88.9%| | Diabetes prim./contrib. | 0.0%| 18.2%| 16.3%| 22.2%| | Diabetes on insulin | 0.0%| 18.2%| 4.7%| 11.1%| | Chronic obstructive pulm. | | | | | | dis. | 0.0%| 4.5%| 7.0%| 0.0%| | Current smoker/tobacco use | 0.0%| 0.0%| 0.0%| 0.0%| | Malignant neoplasm/cancer | 0.0%| 0.0%| 0.0%| 0.0%| | Alcohol dependence | 0.0%| 0.0%| 0.0%| 0.0%| | Drug dependence | 0.0%| 0.0%| 0.0%| 0.0%| | Inability to transfer | 0.0%| 0.0%| 0.0%| 0.0%| | Inability to ambulate | 0.0%| 0.0%| 0.0%| 0.0%| | No comorbidities reported | 81.3%| 68.2%| 69.8%| 77.8%| |------------------------------------------------------+----------+----------+----------+----------| |75+ PATIENTS | | *| *| | | Congestive heart failure | | 0.0%| 0.0%| | | Ischemic heart disease/CAD | | 50.0%| 0.0%| | | Myocardial infarction | | 0.0%| 0.0%| | | Cardiac arrest | | 0.0%| 0.0%| | | Cardiac dysrhythmia | | 0.0%| 0.0%| | | Pericarditis | | 0.0%| 0.0%| | | Cerebrovascular | | | | | | disease/CVA/TIA | | 0.0%| 0.0%| | | Peripheral vascular disease| | 0.0%| 0.0%| | | History of hypertension | | 50.0%| 0.0%| | | Diabetes prim./contrib. | | 0.0%| 0.0%| | | Diabetes on insulin | | 0.0%| 0.0%| | | Chronic obstructive pulm. | | | | | | dis. | | 0.0%| 0.0%| | | Current smoker/tobacco use | | 0.0%| 0.0%| | | Malignant neoplasm/cancer | | 0.0%| 0.0%| | | Alcohol dependence | | 0.0%| 0.0%| | | Drug dependence | | 0.0%| 0.0%| | | Inability to transfer | | 0.0%| 0.0%| | | Inability to ambulate | | 0.0%| 0.0%| | | No comorbidities reported | | 50.0%| 100.0%| | ---------------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition. Table L.17 Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Sex, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Sex (Q07) | | | | | |Female PATIENTS | 21262| 34121| 35304| 14039| | Congestive heart failure | 33.9%| 35.3%| 36.6%| 36.5%| | Ischemic heart disease/CAD | 20.6%| 21.2%| 22.9%| 22.3%| | Myocardial infarction | 7.5%| 7.5%| 8.1%| 7.6%| | Cardiac arrest | 1.0%| 1.0%| 0.9%| 0.7%| | Cardiac dysrhythmia | 5.2%| 5.3%| 5.7%| 5.4%| | Pericarditis | 1.7%| 1.3%| 1.2%| 1.1%| | Cerebrovascular | | | | | | disease/CVA/TIA | 8.0%| 9.1%| 9.9%| 9.1%| | Peripheral vascular disease| 13.1%| 13.2%| 13.9%| 13.8%| | History of hypertension | 68.7%| 72.5%| 75.0%| 76.1%| | Diabetes prim./contrib. | 39.5%| 42.8%| 44.0%| 45.1%| | Diabetes on insulin | 24.9%| 26.4%| 26.7%| 26.3%| | Chronic obstructive pulm. | | | | | | dis. | 5.5%| 5.9%| 6.1%| 6.4%| | Current smoker/tobacco use | 4.5%| 4.4%| 4.1%| 3.9%| | Malignant neoplasm/cancer | 4.2%| 3.9%| 4.3%| 4.2%| | Alcohol dependence | 0.9%| 0.9%| 0.7%| 0.7%| | Drug dependence | 0.6%| 0.7%| 0.7%| 0.8%| | Inability to transfer | 2.0%| 1.9%| 1.9%| 1.8%| | Inability to ambulate | 5.8%| 5.5%| 5.1%| 4.6%| | No comorbidities reported | 28.0%| 26.4%| 25.2%| 25.2%| |------------------------------------------------------+----------+----------+----------+----------| |Male PATIENTS | 23630| 39108| 39896| 16291| | Congestive heart failure | 29.3%| 31.2%| 33.1%| 32.7%| | Ischemic heart disease/CAD | 23.0%| 24.7%| 27.0%| 26.3%| | Myocardial infarction | 9.7%| 10.2%| 10.6%| 10.1%| | Cardiac arrest | 1.1%| 1.1%| 1.0%| 0.9%| | Cardiac dysrhythmia | 5.8%| 6.2%| 6.6%| 6.6%| | Pericarditis | 1.4%| 1.1%| 1.0%| 0.9%| | Cerebrovascular | | | | | | disease/CVA/TIA | 8.3%| 8.8%| 9.5%| 9.5%| | Peripheral vascular disease| 15.0%| 15.8%| 17.1%| 16.3%| | History of hypertension | 66.4%| 70.3%| 72.6%| 74.3%| | Diabetes prim./contrib. | 33.3%| 35.0%| 37.6%| 37.7%| | Diabetes on insulin | 20.1%| 20.8%| 21.8%| 21.7%| | Chronic obstructive pulm. | | | | | | dis. | 8.0%| 7.9%| 8.6%| 8.4%| | Current smoker/tobacco use | 7.3%| 7.1%| 6.6%| 6.7%| | Malignant neoplasm/cancer | 5.5%| 5.6%| 6.1%| 6.1%| | Alcohol dependence | 2.8%| 2.7%| 2.3%| 2.1%| | Drug dependence | 1.6%| 1.6%| 1.4%| 1.3%| | Inability to transfer | 1.6%| 1.5%| 1.5%| 1.3%| | Inability to ambulate | 4.5%| 4.3%| 4.2%| 3.7%| | No comorbidities reported | 29.7%| 28.1%| 25.9%| 26.8%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition Table L.17 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Sex, and Year of First Service, May 1995-June 1998 Primary Modality Transplant ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Sex (Q07) | | | | | |Female PATIENTS | 322| 469| 460| 137| | Congestive heart failure | 0.9%| 1.3%| 2.4%| 1.5%| | Ischemic heart disease/CAD | 0.9%| 2.8%| 2.8%| 1.5%| | Myocardial infarction | 0.0%| 1.3%| 1.1%| 1.5%| | Cardiac arrest | 0.0%| 0.6%| 0.0%| 0.0%| | Cardiac dysrhythmia | 0.3%| 1.3%| 0.7%| 1.5%| | Pericarditis | 0.3%| 0.4%| 0.7%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 0.9%| 0.9%| 0.9%| 2.2%| | Peripheral vascular disease| 2.5%| 3.6%| 1.1%| 3.6%| | History of hypertension | 59.3%| 62.3%| 57.6%| 67.2%| | Diabetes prim./contrib. | 23.3%| 20.9%| 21.1%| 17.5%| | Diabetes on insulin | 21.7%| 19.0%| 18.0%| 13.9%| | Chronic obstructive pulm. | | | | | | dis. | 0.6%| 0.4%| 1.1%| 0.7%| | Current smoker/tobacco use | 2.5%| 4.1%| 2.0%| 3.6%| | Malignant neoplasm/cancer | 0.9%| 0.9%| 0.2%| 0.0%| | Alcohol dependence | 0.0%| 0.2%| 0.0%| 0.0%| | Drug dependence | 0.0%| 0.2%| 0.0%| 0.0%| | Inability to transfer | 0.3%| 0.0%| 0.2%| 0.7%| | Inability to ambulate | 0.3%| 0.2%| 0.4%| 0.7%| | No comorbidities reported | 68.0%| 67.8%| 71.5%| 74.5%| |------------------------------------------------------+----------+----------+----------+----------| |Male PATIENTS | 421| 703| 648| 163| | Congestive heart failure | 2.1%| 1.6%| 1.9%| 1.2%| | Ischemic heart disease/CAD | 4.5%| 3.8%| 5.1%| 6.1%| | Myocardial infarction | 2.4%| 1.7%| 1.7%| 2.5%| | Cardiac arrest | 0.2%| 0.4%| 0.5%| 0.0%| | Cardiac dysrhythmia | 0.5%| 1.7%| 0.3%| 0.0%| | Pericarditis | 0.2%| 0.3%| 0.3%| 0.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 1.4%| 1.7%| 1.4%| 2.5%| | Peripheral vascular disease| 3.6%| 2.7%| 1.4%| 6.1%| | History of hypertension | 59.4%| 61.5%| 62.0%| 73.0%| | Diabetes prim./contrib. | 23.3%| 23.5%| 21.1%| 23.9%| | Diabetes on insulin | 21.1%| 21.8%| 18.5%| 20.2%| | Chronic obstructive pulm. | | | | | | dis. | 1.2%| 0.9%| 0.9%| 0.0%| | Current smoker/tobacco use | 6.2%| 4.4%| 2.3%| 2.5%| | Malignant neoplasm/cancer | 0.2%| 0.3%| 0.6%| 1.2%| | Alcohol dependence | 0.7%| 1.1%| 0.9%| 1.2%| | Drug dependence | 0.0%| 0.0%| 0.2%| 0.0%| | Inability to transfer | 0.2%| 0.0%| 0.0%| 0.0%| | Inability to ambulate | 0.2%| 0.6%| 0.5%| 0.0%| | No comorbidities reported | 64.6%| 63.2%| 68.2%| 70.6%| ---------------------------------------------------------------------------------------------------- Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition Table L.18 Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Race, Ethnicity, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Race | | | | | |Native Amer. PATIENTS | 790| 1252| 861| 322| | Congestive heart failure | 26.6%| 24.1%| 33.1%| 32.0%| | Ischemic heart disease/CAD | 14.8%| 15.3%| 22.0%| 17.4%| | Myocardial infarction | 5.8%| 6.0%| 9.3%| 8.7%| | Cardiac arrest | 0.5%| 0.6%| 0.5%| 0.6%| | Cardiac dysrhythmia | 3.3%| 3.0%| 4.1%| 3.1%| | Pericarditis | 1.4%| 1.1%| 2.4%| 1.2%| | Cerebrovascular | | | | | | disease/CVA/TIA | 6.8%| 5.9%| 8.7%| 5.0%| | Peripheral vascular disease| 14.7%| 10.9%| 17.9%| 14.3%| | History of hypertension | 50.9%| 55.2%| 76.3%| 73.0%| | Diabetes prim./contrib. | 43.2%| 47.0%| 64.0%| 65.2%| | Diabetes on insulin | 23.5%| 25.5%| 36.0%| 39.4%| | Chronic obstructive pulm. | | | | | | dis. | 2.7%| 2.3%| 4.1%| 3.4%| | Current smoker/tobacco use | 4.2%| 3.8%| 5.1%| 4.3%| | Malignant neoplasm/cancer | 2.5%| 2.2%| 2.7%| 2.8%| | Alcohol dependence | 3.8%| 4.4%| 5.8%| 3.1%| | Drug dependence | 0.5%| 0.4%| 0.5%| 0.3%| | Inability to transfer | 1.3%| 0.8%| 0.5%| 1.6%| | Inability to ambulate | 3.2%| 2.9%| 3.7%| 4.3%| | No comorbidities reported | 40.6%| 39.4%| 13.6%| 16.8%| |------------------------------------------------------+----------+----------+----------+----------| |Asian PATIENTS | 1489| 2330| 2186| 863| | Congestive heart failure | 24.2%| 25.1%| 28.3%| 29.7%| | Ischemic heart disease/CAD | 14.9%| 15.1%| 17.6%| 16.3%| | Myocardial infarction | 4.8%| 5.3%| 5.6%| 5.2%| | Cardiac arrest | 0.6%| 0.6%| 0.4%| 0.7%| | Cardiac dysrhythmia | 3.6%| 3.2%| 4.6%| 4.3%| | Pericarditis | 1.4%| 0.9%| 1.3%| 0.9%| | Cerebrovascular | | | | | | disease/CVA/TIA | 5.6%| 6.6%| 7.4%| 6.7%| | Peripheral vascular disease| 7.5%| 6.7%| 8.1%| 7.0%| | History of hypertension | 63.1%| 67.0%| 75.7%| 77.2%| | Diabetes prim./contrib. | 34.0%| 38.8%| 43.0%| 43.7%| | Diabetes on insulin | 15.3%| 15.7%| 16.5%| 18.5%| | Chronic obstructive pulm. | | | | | | dis. | 2.8%| 2.8%| 2.7%| 3.2%| | Current smoker/tobacco use | 2.0%| 1.9%| 1.8%| 1.4%| | Malignant neoplasm/cancer | 2.2%| 1.9%| 2.7%| 3.1%| | Alcohol dependence | 0.3%| 0.4%| 0.4%| 0.2%| | Drug dependence | 0.1%| 0.1%| 0.1%| 0.0%| | Inability to transfer | 1.4%| 1.5%| 1.4%| 1.2%| | Inability to ambulate | 3.7%| 2.9%| 3.7%| 3.6%| | No comorbidities reported | 42.6%| 42.5%| 34.7%| 36.8%| |------------------------------------------------------+----------+----------+----------+----------| |Black PATIENTS | 13389| 21989| 21666| 9107| | Congestive heart failure | 26.2%| 27.9%| 29.6%| 29.3%| | Ischemic heart disease/CAD | 12.9%| 14.4%| 14.8%| 14.9%| | Myocardial infarction | 4.8%| 5.5%| 5.1%| 4.9%| | Cardiac arrest | 0.7%| 0.9%| 0.6%| 0.5%| | Cardiac dysrhythmia | 3.2%| 3.4%| 3.5%| 3.3%| | Pericarditis | 1.6%| 1.2%| 1.1%| 1.1%| | Cerebrovascular | | | | | | disease/CVA/TIA | 7.3%| 8.6%| 9.1%| 8.9%| | Peripheral vascular disease| 9.2%| 9.9%| 10.3%| 10.2%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition Table L.18 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Race, Ethnicity, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Race | | | | | |Black History of hypertension | 71.9%| 76.4%| 78.2%| 79.9%| | Diabetes prim./contrib. | 35.6%| 38.1%| 40.1%| 41.0%| | Diabetes on insulin | 20.1%| 21.1%| 22.3%| 22.2%| | Chronic obstructive pulm. | | | | | | dis. | 3.6%| 4.5%| 3.9%| 4.1%| | Current smoker/tobacco use | 6.0%| 6.0%| 5.8%| 5.8%| | Malignant neoplasm/cancer | 3.5%| 3.5%| 3.7%| 3.7%| | Alcohol dependence | 3.0%| 2.9%| 2.4%| 2.3%| | Drug dependence | 2.9%| 3.0%| 2.6%| 2.6%| | Inability to transfer | 1.8%| 1.8%| 1.8%| 1.3%| | Inability to ambulate | 4.8%| 4.7%| 4.7%| 3.8%| | No comorbidities reported | 33.2%| 30.9%| 30.0%| 29.7%| |------------------------------------------------------+----------+----------+----------+----------| |White PATIENTS | 27201| 44349| 47147| 18932| | Congestive heart failure | 34.7%| 36.5%| 37.7%| 37.5%| | Ischemic heart disease/CAD | 27.1%| 28.2%| 30.6%| 29.7%| | Myocardial infarction | 10.9%| 11.1%| 11.8%| 11.2%| | Cardiac arrest | 1.3%| 1.2%| 1.1%| 1.0%| | Cardiac dysrhythmia | 6.9%| 7.3%| 7.7%| 7.6%| | Pericarditis | 1.5%| 1.3%| 1.1%| 1.0%| | Cerebrovascular | | | | | | disease/CVA/TIA | 8.8%| 9.5%| 10.3%| 9.9%| | Peripheral vascular disease| 17.0%| 17.5%| 18.5%| 18.2%| | History of hypertension | 66.2%| 69.8%| 71.9%| 73.1%| | Diabetes prim./contrib. | 36.4%| 38.5%| 40.3%| 40.7%| | Diabetes on insulin | 24.0%| 25.1%| 25.0%| 24.7%| | Chronic obstructive pulm. | | | | | | dis. | 9.0%| 8.8%| 9.6%| 9.6%| | Current smoker/tobacco use | 6.4%| 6.3%| 5.7%| 5.6%| | Malignant neoplasm/cancer | 6.0%| 5.9%| 6.3%| 6.3%| | Alcohol dependence | 1.4%| 1.4%| 1.2%| 1.1%| | Drug dependence | 0.3%| 0.4%| 0.4%| 0.4%| | Inability to transfer | 1.8%| 1.8%| 1.7%| 1.7%| | Inability to ambulate | 5.5%| 5.2%| 4.7%| 4.3%| | No comorbidities reported | 25.3%| 23.9%| 22.9%| 23.5%| |------------------------------------------------------+----------+----------+----------+----------| |Other PATIENTS | 2023| 3309| 3340| 1106| | Congestive heart failure | 30.2%| 31.2%| 30.2%| 29.0%| | Ischemic heart disease/CAD | 17.4%| 19.6%| 19.5%| 20.1%| | Myocardial infarction | 6.7%| 6.3%| 5.9%| 6.8%| | Cardiac arrest | 0.9%| 0.9%| 0.8%| 0.5%| | Cardiac dysrhythmia | 3.5%| 3.5%| 3.6%| 2.4%| | Pericarditis | 1.8%| 1.2%| 0.8%| 0.8%| | Cerebrovascular | | | | | | disease/CVA/TIA | 6.6%| 6.9%| 6.4%| 5.8%| | Peripheral vascular disease| 12.3%| 13.4%| 13.4%| 11.3%| | History of hypertension | 64.8%| 67.5%| 69.2%| 68.5%| | Diabetes prim./contrib. | 36.6%| 39.6%| 40.4%| 40.5%| | Diabetes on insulin | 20.2%| 21.7%| 24.3%| 23.0%| | Chronic obstructive pulm. | | | | | | dis. | 3.1%| 3.2%| 2.8%| 3.0%| | Current smoker/tobacco use | 3.1%| 2.2%| 2.0%| 2.4%| | Malignant neoplasm/cancer | 2.8%| 2.5%| 2.6%| 2.4%| | Alcohol dependence | 1.7%| 1.1%| 0.8%| 1.0%| ---------------------------------------------------------------------------------------------------- (CONTINUED) Characteristics of new patients from Medical Evidence Forms certified within 12 months of first service. Line labeled PATIENTS gives number of pts in the group. Percentages show percent of group with this comorbid condition Table L.18 (Continued) Percent with Medical Characteristics Among All ESRD Patients as Reported on HCFA Form 2728 by Primary Modality, Race, Ethnicity, and Year of First Service, May 1995-June 1998 Primary Modality Dialysis ---------------------------------------------------------------------------------------------------- | | Year of First Service | | |-------------------------------------------| | | 1995 | 1996 | 1997 | 1998 | |------------------------------------------------------+----------+----------+----------+----------| |Race | | | | | |Other Drug dependence | 1.0%| 0.8%| 0.6%| 1.1%| | Inability to transfer | 1.2%| 1.5%| 1.3%| 1.2%| | Inability to ambulate | 4.5%| 4.3%| 4.6%| 4.0%| | No comorbidities reported | 34.4%| 33.0%| 32.9%| 34.4%| |------------------------------------------------------+----------+----------+----------+----------| |Ethnicity | | | | | |Hispanic PATIENTS | 5216| 8379| 8288| 3305| | Congestive heart failure | 27.9%| 29.4%| 31.9%| 32.5%| | Ischemic heart disease/CAD | 16.9%| 17.4%| 20.2%| 19.6%| | Myocardial infarction | 5.5%| 5.2%| 6.0%| 5.6%| | Cardiac arrest | 0.7%| 0.8%| 0.6%| 0.7%| | Cardiac dysrhythmia | 3.5%| 2.8%| 3.3%| 3.2%| | Pericarditis | 1.1%| 1.0%| 0.7%| 0.8%| | Cerebrovascular | | | | | | disease/CVA/TIA | 5.7%| 6.5%| 6.7%| 6.7%| | Peripheral vascular disease| 12.3%| 12.8%| 14.3%| 13.5%| | History of hypertension | 61.8%| 66.0%| 73.3%| 74.9%| | Diabetes prim./contrib. | 42.6%| 45.6%| 50.8%| 51.0%| | Diabetes on insulin | 22.0%| 24.8%| 27.4%| 26.