ArticleMMWR. Morbidity and mortality weekly report2017
Vital Signs: Decrease in Incidence of Diabetes-Related End-Stage Renal Disease among American Indians/Alaska Natives - United States, 1996-2013.
Article in MMWR. Morbidity and mortality weekly report, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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29 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Association between early menopause and adverse cardiovascular events in postmenopausal women: a systematic review and meta-analysis stratified by smoking status and type 2 diabetes mellitus.Frontiers in public health · 2026Pooled it
- Pragmatic Trial of Hospitalization Rate in Chronic Kidney Disease.The New England journal of medicine · 2024Trial
- Decreasing Prevalence of Chronic Kidney Disease Among U.S. Adults With Diabetes, 1999-2018.AJPM focus · 2026Article
- Evaluating Disparities in End-Stage Kidney Disease Survival Among American Indian/Alaska Native Persons with Diabetes.Journal of racial and ethnic health disparities · 2025Article
- Equitable Management of Type 2 Diabetes in American Indian and Alaska Native Adults.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- Rethinking Models of Chronic Kidney Disease Care: A Narrative Review.Kidney & blood pressure research · 2025Review
- Diet Quality and Kidney Outcomes in Adolescent and Adult American Indians: the Strong Heart Family Study.Journal of racial and ethnic health disparities · 2024Article
- Addressing disparities in the global epidemiology of stroke.Nature reviews. Neurology · 2024Review
- Show Me CKDintercept Initiative: A Collective Impact Approach to Improve Population Health in Missouri.Mayo Clinic proceedings. Innovations, quality & outcomes · 2024Article
- Colquhounia root tablet improves diabetic kidney disease by regulating epithelial-mesenchymal transition via the PTEN/PI3K/AKT pathway.Frontiers in pharmacology · 2024Article
- Feasibility, acceptability and effectiveness of a culturally informed intervention to decrease stress and promote well-being in reservation-based Native American Head Start teachers.BMC public health · 2023Article
- Article
- Overcoming barriers to implementing new guideline-directed therapies for chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023Article
- Systematic CKD Care Approaches: A Potential Solution for the Costly ESRD Program.Kidney medicine · 2023Article
- Moving from Evidence to Implementation of Breakthrough Therapies for Diabetic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2022Article
- Structural Inequities and Barriers to Accessing Kidney Healthcare Services in the United States: A Focus on Uninsured and Undocumented Children and Young Adults.Frontiers in pediatrics · 2022Article
- Efficacy of the Self-management Support System DialBetesPlus for Diabetic Kidney Disease: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2021Article
- The Prevalence of Cardiovascular Disease and Other Comorbidities Among American Indian and Alaska Native Adults with Diabetes.EC endocrinology and metabolic research · 2021Article
- Centering the Strengths of American Indian Culture, Families and Communities to Overcome Type 2 Diabetes.Frontiers in public health · 2021Article
- Global trend of diabetes mortality attributed to vascular complications, 2000-2016.Cardiovascular diabetology · 2020Article
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAmerican Indians and Alaska Natives (AI/AN) have the highest diabetes prevalence among any racial/ethnic group in the United States. Among AI/AN, diabetes accounts for 69% of new cases of end-stage renal disease (ESRD), defined as kidney failure treated with dialysis or transplantation. During 1982-1996, diabetes-related ESRD (ESRD-D) in AI/AN increased substantially and disproportionately compared with other racial/ethnic groups.
methodsData from the U.S. Renal Data System, the Indian Health Service (IHS), the National Health Interview Survey, and the U.S. Census were used to calculate ESRD-D incidence rates by race/ethnicity among U.S. adults aged ≥18 years during 1996-2013 and in the diabetic population during 2006-2013. Rates were age-adjusted based on the 2000 U.S. standard population. IHS clinical data from the Diabetes Cares and Outcomes Audit were analyzed for diabetes management measures in AI/AN.
resultsAmong AI/AN adults, age-adjusted ESRD-D rates per 100,000 population decreased 54%, from 57.3 in 1996 to 26.5 in 2013. Although rates for adults in other racial/ethnic groups also decreased during this period, AI/AN had the steepest decline. Among AI/AN with diabetes, ESRD-D incidence decreased during 2006-2013 and, by 2013, was the same as that for whites. Measures related to the assessment and treatment of ESRD-D risk factors also showed more improvement during this period in AI/AN than in the general population. CONCLUSION AND IMPLICATIONS FOR PUBLIC HEALTH PRACTICE: Despite well-documented health and socioeconomic disparities among AI/AN, ESRD-D incidence rates among this population have decreased substantially since 1996. This decline followed implementation by the IHS of public health and population management approaches to diabetes accompanied by improvements in clinical care beginning in the mid-1980s. These approaches might be a useful model for diabetes management in other health care systems, especially those serving populations at high risk.
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