Indicator Metadata

Incidence of End-Stage Kidney Disease (ESKD), by Age Group, Sex, Province, Rate per Million Population

Not applicable

All incident patients (new patients) with end-stage kidney disease who began renal replacement therapy (RRT) (either dialysis or renal transplantation) for the first time in the calendar year

Counts and rates are based on patients registered during a given calendar year in a Canadian facility. Patients who began RRT for ESKD outside of Canada but are subsequently treated in Canada are included in prevalence counts but not incidence counts.

Place of service

Rate - Per 1,000,000

None

Not applicable

Description:
Canadian population
Inclusions:
All Canadians currently residing in Canada
Exclusions:
Not applicable

Description:
Patients registered in the Canadian Organ Replacement Register (CORR) who started RRT for ESKD
Inclusions:
Patients registered in CORR during a given calendar year (January 1–December 31)
Exclusions:
Patients who began RRT for ESKD outside of Canada but are subsequently treated in Canada

Tracking incidence is important to determine the number of new cases of patients beginning RRT for ESKD each year. Tracking incidence can quantify how the need for intervention may change over time. There are significant costs associated with treating this patient group.

Increasing incidence rates over time have important implications for resources, disease management and the need for kidney donation.

Health System Outcomes: Improve health status of Canadians

Not applicable

Not applicable

Nesrallah GE, Mustafa RA, Clark WF, et al. Canadian Society of Nephrology 2014 Clinical Practice Guideline for Timing the Initiation of Chronic Dialysis. CMAJ. 2014;186(2):112-117. Available at http://www.cmaj.ca/content/186/2/112

Levin A, Hemmelgarn B, Culleton B, et al. Guidelines for Management of Chronic Kidney Disease. CMAJ. 2008;179(11):1154-1162. Available at http://www.cmaj.ca/content/179/11/1154

CORR

Type of Year:
Calendar
First Available Year:
2009
Last Available Year:
2018

All provinces/territories except Quebec

National, Province/Territory, Breakdown by sex, breakdown by age categories

Every year

Web Tool:
Quick Stats
URL:
Incident End-Stage Renal Disease (ESRD) Patients

Not applicable

The indicator is based on voluntary data submitted to CORR from facilities across Canada. Submission of data for patients beginning RRT for ESKD is not mandatory. Records submitted with unknown sex are not included in these totals.

Data from Quebec was not included because of significant under-reporting between 2011 and 2018, which may lead to biased results.

An overview of under-reporting of incident ESKD cases can be found in Data Quality Documentation for Users: Canadian Organ Replacement Register, 2009 to 2018 Data.

Not applicable