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Along with producing the Annual Data Report on ESRD & Chronic Kidney Disease (CKD) in the United States, the USRDS also fulfills data requests, provides standard analysis files and specialized datasets to researchers, produces the Researcher’s Guide, and presents the results of its research at national conferences and in peer-reviewed journals. Six central goals define the mission of the USRDS: to characterize the ESRD population; to describe the prevalence and incidence of ESRD along with trends in mortality and disease rates; to investigate relationships among patient demographics, treatment modalities, and morbidity; to report the costs of ESRD treatments and total burden of ESRD program in the United States; and to identify new areas for special renal studies and support investigator-initiated research.

Administrative oversight of the USRDS is as follows:
Kevin Abbott, MD, MPH, and Kevin Chan, MD provide direct oversight of the Coordinating Center, and members of CMS, the ESRD networks, and the renal community provide crucial input and feedback through their committee participation.

The Steering Committee functions as the governing body of the USRDS, and is responsible for the operations of the CC. It works under the direction of the Contracting Officer’s Representative (COR), and includes individuals from CMS, the NIH, and the CC. Its responsibilities include study design, project tracking, data management and validation, assurance of data availability for researchers and government officials, and oversight of Annual Data Report production.

The USRDS External Expert Panel plays a major role in advising the CORs on appropriate and necessary special studies, data studies, and analyses. This committee is also responsible for reviewing the Annual Data Reports.