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| 1 Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

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Page 1: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Peer Report: Dialysis Care & Outcomes in the U.S., 2014

Incidence

Page 2: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 2Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of new patients in freestanding dialysis facilitiesDisplays patients from 2011

Page 3: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 3Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Incident rates, overall & by U.S. Census DivisionFirst outpatient dialysis session within three months of chronic dialysis initiation

Page 4: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 4Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Percent change in unadjusted incident rates, 1996 to 2011First outpatient dialysis session within three months of chronic dialysis initiation

Page 5: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 5Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Incident counts by month, quarter, & yearCounts of incident ESRD cases initiating on dialysis in freestanding facilities

Page 6: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 6Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Incident counts, by U.S. Census DivisionCounts of incident ESRD cases initiating on dialysis in freestanding facilities

Page 7: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 7Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 1, New EnglandFirst outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 8: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 8Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 2, Middle AtlanticFirst outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 9: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 9Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 3, East North CentralFirst outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 10: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 10Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 4, West North CentralFirst outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 11: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 11Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 5, South Atlantic First outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 12: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 12Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 6, East South Central First outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 13: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 13Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 7, West South Central First outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 14: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 14Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 8, Mountain First outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 15: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 15Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Counts of incident ESRD cases initiating on dialysis in freestanding facilities: Division 9, Pacific First outpatient dialysis session within three months of chronic dialysis initiation; APC, Annual Percent Change. Maps show 2011 rates.

Page 16: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 16Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Percent of patients under nephrology care before starting dialysis, overall & by U.S. Census DivisionAccording to the Medical Evidence Report

Page 17: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 17Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Setting of pre-dialysis nephrology careAccording to Medicare claims

Page 18: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 18Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Setting of pre-dialysis cardiology careAccording to Medicare claims

Page 19: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 19Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Mean number of visits

Page 20: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 20Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Distribution (%) of number of visits

Page 21: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 21Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Distribution (%) of E & M visit lengths for new patients

Page 22: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 22Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Distribution (%) of E & M visit lengths for existing patients

Page 23: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 23Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Percent with ESA administered during a visit

Page 24: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 24Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Number of ESA administrations during a visit (among users)

Page 25: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 25Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: ESA dose per administration (in EPO-equivalent IU)

Page 26: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 26Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Nephrology office visits in the 6 months before starting dialysis: Percent with IV iron administered during a visit

Page 27: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 27Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Prevalence of comorbid conditions, according to the Medical Evidence ReportPatients age 66 & older at dialysis initiation

Page 28: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 28Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of congestive heart failure, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 29: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 29Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of atherosclerotic heart disease, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 30: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 30Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of other cardiac disease, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 31: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 31Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of cerebrovascular accident, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 32: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 32Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of peripheral vascular disease, according to the Medical Evidence Report & Medicare claims Patients age 66 & older at dialysis initiation

Page 33: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 33Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of chronic obstructive pulmonary disease, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 34: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 34Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of tobacco use, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 35: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 35Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Identification of cancer, according to the Medical Evidence Report & Medicare claimsPatients age 66 & older at dialysis initiation

Page 36: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 36Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Hemoglobin at dialysis initiation among patients with pre-dialysis ESA useAccording to the Medical Evidence Report

Page 37: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 37Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Hemoglobin among patients without pre-dialysis ESA useAccording to the Medical Evidence Report

Page 38: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 38Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

eGFR at initiation among hemodialysis patientsAccording to the Medical Evidence Report

Page 39: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 39Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

eGFR at initiation among peritoneal dialysis patientsAccording to the Medical Evidence Report

Page 40: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 40Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Distribution of vascular access technique at initiation among all hemodialysis patientsAccording to the Medical Evidence Report

Page 41: | 1| 1Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence Peer Report: Dialysis Care & Outcomes in the U.S., 2014 Incidence

| 41Peer Report: Dialysis Care & Outcomes in the U.S., 2014 | Incidence

Distribution of vascular access technique at initiation among all hemodialysis patients, by ageAccording to the Medical Evidence Report