Dickinson-Iron County Critical Health Indicators
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Kidney Related Deaths
What Is It?
Kidney disease alters the ability of the kidneys to remove excess fluid and waste products from the body. The two most common causes of kidney disease are diabetes and high blood pressure. End-stage renal disease (ESRD) is the total, or near total, loss of kidney function. Patients with ESRD must undergo dialysis or transplantation to stay alive. The progression of kidney disease may be delayed or prevented with proper treatment and diet.
How are Dickinson and Iron Counties doing?
The 2000 age-adjusted death rate for kidney disease was 10.0 per 100,000 population in Dickinson/Iron Counties. An average of 7 residents die annually from this disease.
Kidney Disease Deaths and Death Rates
Dickinson County Residents, 1995-2000
| Three-Year Moving Averages | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Year | All Ages | Age Under 50 | Age 50 - 74 | Age 75 and Older | ||||||||
| Average |
Age-Adjusted Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
|||||
| 1998-2000 | 4.0 | * | - | - | 0.3 | * | 3.7 | 134.6 ±30.2 | ||||
| 1997-1999 | 4.0 | * | - | - | 0.3 | * | 3.7 | 136.2 ±30.2 | ||||
| Five-Year Moving Averages | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Year | All Ages | Age Under 50 | Age 50 - 74 | Age 75 and Older | ||||||||
| Average |
Age-Adjusted Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
|||||
| 1996-2000 | 4.2 | 9.3 ±4.0 | - | - | 0.4 | * | 3.8 | 141.8 ±22.9 | ||||
| 1995-1999 | 3.0 | * | - | - | 0.2 | * | 2.8 | 106.2 ±26.7 | ||||
|
Note: The manner
in which underlying cause of death is coded and classified was
revised in 1999 to reflect changing medical opinion and practice.
The comparability between classification schemes for this particular
cause of death is lower (1.23), meaning that caution should be taken
in drawing specific inferences from comparisons of mortality
statistics over time.
|
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Kidney Disease Deaths and Death Rates
Iron County Residents, 1995-2000
| Three-Year Moving Averages | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Year | All Ages | Age Under 50 | Age 50 - 74 | Age 75 and Older | ||||||||
| Average |
Age-Adjusted Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
|||||
| 1998-2000 | 3.3 | * | - | - | 0.3 | * | 3.0 | 168.1 ±33.3 | ||||
| 1997-1999 | 3.3 | * | - | - | 0.7 | * | 2.7 | 150.5 ±35.4 | ||||
| Five-Year Moving Averages | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Year | All Ages | Age Under 50 | Age 50 - 74 | Age 75 and Older | ||||||||
| Average |
Age-Adjusted Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
Average |
Age-Specific Rate |
|||||
| 1996-2000 | 3.4 | * | - | - | 0.6 | * | 2.8 | 158.4 ±26.7 | ||||
| 1995-1999 | 3.4 | * | - | - | 0.6 | * | 2.8 | 160.1 ±26.7 | ||||
|
Note: The manner
in which underlying cause of death is coded and classified was
revised in 1999 to reflect changing medical opinion and practice.
The comparability between classification schemes for this particular
cause of death is lower (1.23), meaning that caution should be taken
in drawing specific inferences from comparisons of mortality
statistics over time.
|
||||||||||||
How is the State of Michigan doing?
Kidney disease is the eighth leading cause of death in Michigan.
In 2000, there were 1,479 deaths due to kidney disease in Michigan. The age-adjusted rate for kidney disease deaths in Michigan was 15.5 per 100,000 population and 10.0 in Dickinson/Iron Counties. Kidney disease deaths moved into the top 10 leading causes of death in 1996. This was due more to a decline in other causes of death than the increase in kidney disease deaths, which have been relatively stable for the past 10 years.
How do Dickinson and Iron Counties compare with Michigan and the U.S.?
Michigan's 2000age-adjusted death rate of 15.5 was higher than the U.S. rate of 9.6 and
Dickinson/Iron Counties'10.0. Kidney disease was the ninth leading cause of death in the U.S. in 1999.
Source: Division for Vital Records and Health Statistics, MDCH
How are different populations affected?
African-Americans are more than twice as likely to die of kidney disease as whites. In 1998, the age-adjusted rate for African-Americans in Michigan was 10.5 compared to 4.3 for whites.
Men are more likely to die of kidney disease than women. The Michigan age-adjusted death rate was 6.0 for men and 4.4 for women.
What other information is important to know?
U.S. data for 1997 indicated that 307,967 people had ESRD and 57,793 patients being treated for ESRD died in 1997. The five-year survival rate is about three times higher for transplant patients than for dialysis patients. At the end of 1997, there were 38,270 patients waiting for kidney transplants and 1,573 waiting for kidney and pancreas transplants in the U.S.
In 1997 there were 8,116 people on dialysis in Michigan, 2,042 of whom died. In addition to the people on dialysis, another 3,341 people had a working kidney transplant. At the end of 1997, there were 1,595 people waiting for a kidney and 78 waiting for a kidney and pancreas transplant in Michigan.
What is the Michigan Department of Community Health doing to affect this indicator?
The department, in partnership with the National Kidney Foundation of Michigan (NKFM), is actively working to reduce kidney disease. As part of a collaborative effort, more than 500 persons were screened for kidney disease. All participants received a letter explaining the test results and follow-up contact if the results were abnormal. The department and NKFM assisted a managed care plan in the implementation of a diabetes model that ensures early identification of renal disease, proper treatment, and appropriate referrals. Pre-End Stage Renal Disease education is being provided to renal services, consumers and their support person(s). Peer resource interventions are provided to renal services consumers through 40 dialysis centers located throughout Michigan. In conjunction with the NKFM and the Michigan Secretary of State, several efforts to increase organ donation have been initiated.
A Diabetes and Kidney Disease Program Guideline has been adopted and education programs have been developed. In the 1998-99 school year, the Kids Interested in the Care of their Kidneys program was presented in over 700 high schools and reached more than 89,000 kids. At least 13,000 of these students were African-American. Programs in Detroit churches and health fairs provide diabetes, hypertension, kidney disease, and organ donation information. In addition, a newly-initiated Detroit kidney disease awareness project makes information available through participating beauty shops. A public education campaign uses radio, newspaper, television, and other media sources with 16 million print media exposures to provide information about kidney disease.
Educational programs on diabetes and renal disease were provided to over 3,000 professionals, including physicians. These programs emphasize early identification and treatment.