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Volume 2: No. 2, April 2005
SPECIAL TOPICS
ORIGINAL RESEARCH: FEATURED
ABSTRACT FROM THE 19TH NATIONAL CONFERENCE ON CHRONIC DISEASE
PREVENTION AND CONTROL
The Incidence of End-Stage Renal Disease in Georgia,
1999–2002
Karon Abe, Kristen Mertz, Kenneth Powell, Manxia Wu, Pyone Cho
Suggested citation for this article: Abe K, Mertz K,
Powell K, Wu M, Cho P. The incidence of end-stage renal disease
in Georgia, 1999–2002 [abstract]. Prev Chronic Dis [serial online] 2005 Apr [date cited]. Available from:
URL: http://www.cdc.gov/pcd/issues/2005/
apr/04_0142aa.htm.
PEER REVIEWED
Track: Methods and Surveillance
Each year in the United States, approximately 80,000 people are diagnosed with
end-stage renal disease (ESRD), a condition requiring dialysis or
kidney transplant to sustain life. The primary causes of the
disease for the majority of patients are diabetes and
hypertension. We sought to assess racial disparities in the burden of
ESRD and its contributing causes in Georgia.
ESRD Network 6 is part of the United States Renal Data System, a nationwide 18-network ESRD surveillance system that
collects information on newly diagnosed and chronic ESRD
patients. We used data from the ESRD Network 6 Web site to calculate
age-adjusted ESRD incidence rates in Georgia and to describe the demographic
characteristics of newly diagnosed patients from 1999 through 2002. We also used
data from the Behavioral Risk Factor Surveillance System to compare the age-adjusted prevalence of diabetes
(2002) and hypertension (2001) among blacks and whites aged 18
years or older in Georgia.
Each year, more than 3000 persons in Georgia are diagnosed with ESRD. From 1999 through 2002, the age-adjusted incidence rate for
ESRD was higher in Georgia (42 per 100,000) than in the nation
(33 per 100,000). Of the newly diagnosed ESRD patients in
Georgia, 57% were older than 65 years, and 50% were female.
Diabetes was the primary cause of 40% of ESRD cases, and
hypertension was the primary cause of 30% of ESRD cases. Although
adult blacks were 1.7 times more likely than whites to have
diabetes and 1.4 times more likely than whites to have hypertension, blacks were
4.3 times more likely than whites to
develop ESRD.
ESRD is a major public health burden, especially among blacks.
Although a higher percentage of blacks than whites suffer from
diabetes and hypertension, the racial disparity in the prevalence
of ESRD is much greater. The incidence of ESRD might be reduced by 1) educating
patients with diabetes and hypertension about the importance of diligent
self-management and regular medical care,
and by 2) encouraging physicians to monitor the renal function of
their patients with diabetes and hypertension.
Corresponding Author: Karon Abe, PhD, Epidemic Intelligence Service
Officer, Georgia Department of Human Resources, Division of Public Health, 2
Peachtree St NW, Atlanta, GA 30303. Telephone: 404-657-2577. Email: kgabe@dhr.state.ga.us.
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