Trends in U.S. Veterans with CKD: Nephrology Visits Analysis
Among U.S. veterans, the percentage of individuals with Chronic Kidney Disease (CKD) Stage 4 seeking nephrology evaluation was analyzed over the period of 2018-2022, highlighting trends by race, age, sex, and diabetes status. The data shows varying levels of nephrologist visits among non-Hispanic Black, non-Hispanic White veterans, and other demographic groups, with potential impacts from the COVID-19 pandemic observed. Understanding these trends is crucial for improving CKD management and patient outcomes.
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Trends in Percentage of U.S. Veterans with CKD Stage Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist 4 Seeing a Nephrologist As kidney disease progresses, guidelines recommend that patients with CKD stage 4 are referred for nephrology evaluation in order to slow CKD progression to kidney failure and manage CKD-related complications. Between 2018 and 2022, 42% 51% of non-Hispanic Black veterans had at least one annual nephrologist visit and 32% 36% of non-Hispanic White veterans had nephrologist visits. No trend was noticed over time, although a drop was observed between 2020 and 2021, possibly due to the COVID-19 pandemic. Data Source: NATIONAL VA https://nccd.cdc.gov/ckd/detail.aspx?Qnum=Q790
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, Overall Stage 4 Seeing a Nephrologist, Overall 45 % Veterans with Nephrology Visit 40 35 30 25 20 15 10 5 0 2018 2019 2020 2021 2022
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, by Age Category Stage 4 Seeing a Nephrologist, by Age Category 70 % Veterans with Nephrology Visit 60 50 40 30 20 10 0 2018 2019 2020 2021 2022 20 29 years 30 39 years 40 49 years 50 59 years 60 69 years 70+ years
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, by Sex Stage 4 Seeing a Nephrologist, by Sex % Veterans with Nephrology Visit 45 40 35 30 25 20 15 10 5 0 2018 2019 2020 2021 2022 Male Female
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, by Race/Ethnicity Stage 4 Seeing a Nephrologist, by Race/Ethnicity % Veterans with Nephrology Visit 60 50 40 30 20 10 0 2018 2019 2020 2021 2022 Non-Hispanic Black American Indian/AK Native Asian Non-Hispanic White Hispanic Unknown Native HI/Pacific Islander
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, by Diabetes Stage 4 Seeing a Nephrologist, by Diabetes % Veterans with Nephrology Visit 50 40 30 20 10 0 2018 2019 2020 2021 2022 With Diabetes Without Diabetes
Trends in Percentage of U.S. Veterans with CKD Trends in Percentage of U.S. Veterans with CKD Stage 4 Seeing a Nephrologist, by Hypertension Stage 4 Seeing a Nephrologist, by Hypertension 50 % Veterans with Nephrology Visit 40 30 20 10 0 2018 2019 2020 2021 2022 With Hypertension Without Hypertension
