End state renal disease among Native Americans, 1983-86

Am J Public Health. 1990 Mar;80(3):318-9. doi: 10.2105/ajph.80.3.318.


We used data reported to Medicare from 1983 through 1986 to determine the incidence of end-stage renal disease (ESRD) among Native Americans and Whites in the United States. The 1,075 Native American cases represented an annual incidence, age-adjusted to the White population, of 269 per million, 2.8 times the rate for Whites. Fifty-six percent of Native American cases and 27 percent of the White cases were attributed to diabetes, indicating that ESRD is a major problem. Diabetes control provides the greatest opportunity for prevention.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Diabetic Nephropathies / ethnology
  • Female
  • Humans
  • Incidence
  • Indians, North American*
  • Infant
  • Kidney Failure, Chronic / ethnology*
  • Male
  • Middle Aged
  • United States / epidemiology