TABLE 1. Age-adjusted incidence rates* and trend analysis of diabetes-related end-stage renal disease among adults aged ≥18 years in the general population (1996–2013) and in the diabetic population (2006–2013), by race and ethnicity† — United States.
| General population | Rate |
% change | Overall trend |
Trend segment 1§ |
Trend segment 2/3§ |
||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1996 | 2013 | AAPC (95% CI) | p value | Period | APC (95% CI) | p value | Period | APC (95% CI) | p value | ||
| AI/AN |
57.3 |
26.5 |
−54 |
−4.4 (−5.7 to −3.0) |
<0.001 |
1996–1999 |
3.3 (−4.7 to 12.0) |
0.40 |
1999–2013 |
−6.0 (−6.7 to −5.2) |
<0.001 |
| Asians |
23.1 |
22.2 |
−4 |
−0.2 (−1.0 to 0.6) |
0.62 |
1996–1998 |
5.4 (−2.2 to 13.6) |
0.15 |
1998–2013 |
−0.9 (−1.2 to −0.6) |
<0.001 |
| Blacks |
52.2 |
42.7 |
−18 |
−1.3 (−1.8. to −0.7) |
<0.001 |
1996–2001 |
1.7 (0.5 to 2.9) |
0.01 |
2001–2009 |
−1.3 (−2.0 to −0.6) |
0.002 |
| 2009–2013 |
−4.8 (−6.4 to −3.2) |
<0.001 |
|||||||||
| Whites |
12.1 |
15.5 |
+28 |
1.4 (0.9 to 1.8) |
<0.001 |
1996–2000 |
5.8 (4.5 to 7.1) |
<0.001 |
2000–2006 |
0.7 (−0.1 to 1.6) |
0.09 |
| 2006–2013 |
−0.6 (−1.1 to −0.1) |
0.03 |
|||||||||
| Hispanics | 40.1 | 34.2 | −15 | −0.6 (−1.3 to 0.1) | 0.08 | 1996–2000 | 4.4 (1.6 to 7.3) | 0.005 | 2000–2013 | −2.1 (−2.5 to −1.6) | <0.001 |
| Diabetic population | Rate |
% change | Overall trend |
Trend segment 1§ |
Trend segment 2/3§ |
||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2006 | 2013 | AAPC (95% CI) | p value | Period | APC (95% CI) | p value | Period | APC (95% CI) | p value | ||
| AI/AN |
210.7 |
152.7 |
−28 |
−4.9 (−7.0 to −2.7) |
<0.001 |
2006–2009 |
−2.0 (−8.2 to 4.7) |
0.41 |
2009–2013 |
−7.0 (−10.8 to −3.0) |
0.01 |
| Asians |
219.0 |
227.4 |
+4 |
−0.8 (−5.9 to 4.6) |
0.72 |
2006–2013 |
−0.8¶ (−5.9 to 4.6) |
0.72 |
— |
— |
— |
| Blacks |
379.8 |
329.6 |
−13 |
−2.8 (−4.7 to −1.0) |
0.01 |
2006–2013 |
−2.8¶ (−4.7 to -1.0) |
0.01 |
— |
— |
— |
| Whites |
185.8 |
159.0 |
−14 |
−2.0 (−3.9 to −0.0) |
0.05 |
2006–2013 |
−2.0¶ (−3.9 to −0.0) |
0.05 |
— |
— |
— |
| Hispanics | 287.6 | 223.0 | −22 | −0.1 (−0.1 to −0.1) | <0.001 | 2006–2008 | −0.3 (−0.5 to −0.1) | 0.01 | 2008–2013 | −0.0 (−0.0 to 0.0) | 0.79 |
Abbreviations: AAPC = average annual percentage change; AI/AN = American Indians and Alaska Natives; APC = annual percentage change; CI = confidence interval.
*Per 100,000 population or per 100,000 diabetic population and age-adjusted based on the 2000 U.S. standard population.
†Racial groups include persons of Hispanic and non-Hispanic origin; Hispanics may be of any race.
§Trend segment identified by joinpoint regression.
¶APC = AAPC (i.e., trend had 0 joinpoints).