Abstract: FR-PO411
Prevalence of Pediatric CKD by ICD-10 Coding in the US Military Health System (MHS)
Session Information
- Pediatric Nephrology - I
November 04, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
Abstract Time: 10:00 AM - 12:00 PM
Category: Pediatric Nephrology
- 1800 Pediatric Nephrology
Authors
- Oliver, James D., Walter Reed National Military Medical Center, Bethesda, Maryland, United States
- Nee, Robert, Walter Reed National Military Medical Center, Bethesda, Maryland, United States
- Marneweck, Hava, Henry M Jackson Foundation for the Advancement of Military Medicine Inc, Bethesda, Maryland, United States
- Banaag, Amanda, Henry M Jackson Foundation for the Advancement of Military Medicine Inc, Bethesda, Maryland, United States
- Pavkov, Meda E., Centers for Disease Control and Prevention, Atlanta, Georgia, United States
- Burrows, Nilka Rios, Centers for Disease Control and Prevention, Atlanta, Georgia, United States
- Koyama, Alain, Centers for Disease Control and Prevention, Atlanta, Georgia, United States
- Mendley, Susan R., National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, United States
- Gorman, Gregory H., Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States
- Koehlmoos, Tracey L., Uniformed Services University of the Health Sciences, Bethesda, Maryland, United States
Background
CKD is a major health problem, but its epidemiology in pediatric populations is not well-characterized. We report on CKD prevalence in a large cohort from the MHS Data Repository (MDR), a database of the universal health system for US active-duty military, retirees, and family members, with demographics similar to that of the US general population.
Methods
Patient data for age ≤17 from Fiscal Years (FY) 2016-19 were extracted from the MDR. CKD was defined from relevant ICD-10/CPT codes used in previous studies. Prevalence was defined as the percentage with ≥2 outpatient CKD codes during 2016-19 among all children enrolled during this time.
Results
1,646,049 unique children were included over the period. 49% were female and median age (IQR) was 8 (4, 12). Overall prevalence (see Table) was 0.68%, varied by age, and was lowest in males, in Asian/Pacific Islanders (A/PI) and Blacks, and highest in American Indian/Alaskan Natives (AI/AN) and Whites. 72% of the diagnoses were congenital anomalies of the kidney/urinary tract (CAKUT) and 27% were non-specific CKD codes. CAKUT was more prevalent in males (77% vs. 66%), age 0-4 (85% vs. 64% ages 5-17) and in non-Black race groups (73% vs. 65% Black). Non-specific CKD was more prevalent in females (32% vs. 22%), age 14-17 (38% vs. 25% ages 0-13), and Black race (34% vs. 26% all other races).
Conclusion
In this universally-insured population, pediatric CKD prevalence by diagnostic coding is higher than previous estimates. Prevalence was higher in females and in AI/AN and White children.
The views expressed in this abstract are those of the authors and do not reflect the official position of the Henry M. Jackson Foundation, the Departments of Army/Navy/Air Force, Department of Defense, Department of Health and Human Services, or the US Government.
p < 0.001 by X2 for differences between sex, race, and age
Funding
- Other U.S. Government Support