On this page: About the National Data | Methodology | History
About the National Data
Data
Data Source: United States Renal Data System (USRDS), NIH/NIDDK
Baseline: 16.7 percent of end-stage kidney patients aged 18 years and over used a catheter as the only mode of vascular access in 2016
Target: 10.0 percent
Methodology
Questions used to obtain the national baseline data
From the in-center hemodialysis CMS Clinical Performance Measures data collection form CMS-820:
Numerator:
What type of access was used on the last hemodialysis session on or between mm/dd/yyyy and mm/dd/yyyy at the patient's primary in-center facility?- AV Fistula
- Graft with AV Fistula
- Graft without AV Fistula
- Catheter
- Port Access
- Unknown
Methodology notes
Data are from the CMS' Clinical Performance Measures (CPM) project. Included patients are those whose date of dialysis initiation, according to the CPM data, occurs in the same year as the data collection, and access type represents the access used during the last quarter of the year, according to the CPM data. CPM is a CMS project developed to collect information on the quality of care provided to the ESKD dialysis patient. The data originate from surveys completed by the patients' primary care facilities, which have been collected on a yearly basis, resulting in a rich source of detailed information useful in the analysis of health care delivery to the dialysis patient. The measure was added to monitor the recommendation that catheter use as the only access mode be reduced.
History
In 2024, the original baseline was revised from 16.4 to 16.7 percent due to USRDS rates re-estimation. There is some lag in reporting new cases of ESRD. Therefore, each year's Annual Data Report includes re-estimates of earlier year rates. For more information see the USRDS Annual Data Reports. The target was adjusted from 9.7 to 10.0 percent to reflect the revised baseline using the original target-setting method.
1. Effect size h=0.2 was chosen to correspond with 20% improvement from a baseline of 50%.