SHM Converge Scientific Abstract ePoster Gallery-The Changing Landscape of Post-Kidney Dialysis Mortality: A CDC Wonder Prespective (1999-2020)

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This study examined U.S. deaths related to post-kidney dialysis complications from 1999 to 2020 using CDC WONDER death certificate data (ICD-10 code Y84.1) for adults aged 15 and older. Age-adjusted mortality rates (AAMRs) and trends were analyzed overall and by sex, race/ethnicity, region, and urban/rural setting using joinpoint regression.<br /><br />Over the 22-year period, 22,250 deaths were attributed to dialysis complications. Most deaths occurred in medical facilities (70.0%), while 17.7% occurred at home. The overall AAMR rose nearly sixfold, from 0.27 per 100,000 in 1999 to 1.61 in 2020, with an average annual percent increase (AAPC) of 8.5% (p=0.01).<br /><br />Men had higher mortality than women (0.46 vs. 0.31), and their increase over time was slightly steeper. Clear racial disparities were identified: non-Hispanic Blacks had the highest mortality rate, followed by non-Hispanic American Indians, Hispanics, non-Hispanic Asians/Pacific Islanders, and non-Hispanic Whites. Hispanics experienced the fastest increase over time. Geographically, the District of Columbia had the highest state-level AAMR, while Montana had the lowest. The South had the highest regional mortality, and rural areas had slightly higher rates than urban areas.<br /><br />Overall, the findings show a substantial and worsening burden of dialysis-related mortality, with marked disparities by race, sex, and geography. The authors call for urgent targeted interventions, improved dialysis practices, and better healthcare professional education to reduce preventable deaths.

Asset Subtitle

Jaymin G. Patel

Meta Tag

Author List Adnan Bhat, Aman Ullah, Areehah Masood, Atul Kapoor, Faiza Khalifa, Faizan Ahmed, Hasan Alajmi, Husnain Ahmad, Jaymin G. Patel, John N. George, John W. Merriman III, Kainat Aman, Muhammad Hunain, Mushood Ahmed, Naveen Baskaran, Nisar Asmi, Riley G. J

Category Research

Concept Post-kidney Dialysis Mortality

Concept Age-Adjusted Mortality Rate

Concept ICD-10 Code Y841

Concept Dialysis-Related Death

Concept Average Annual Percent Change

Distinguished Non-Finalist

Presenter Organization University of Florida

Presenting Author Jaymin G. Patel

Track Patient Safety

Keywords

dialysis complications

kidney dialysis

mortality trends

CDC WONDER

ICD-10 Y84.1

age-adjusted mortality rate

racial disparities

sex differences

geographic disparities

United States

Post-kidney Dialysis Mortality

Age-Adjusted Mortality Rate

ICD-10 Code Y841

Dialysis-Related Death

Average Annual Percent Change