TY - CHAP M1 - Book, Section TI - Hemodialysis Access A1 - Ahmed, Amin Mohamed A1 - Ahmed, Ayman A2 - Nazzal, Munier A2 - Blebea, John A2 - Osman, Mohamed F. Y1 - 2024 N1 - T2 - Vascular and Endovascular Surgery: Clinical Diagnosis and Management AB - End-stage renal disease (ESRD) incidence and prevalence have been steadily increasing since 1980. Reports published by the United States Renal Data System (USRDS) demonstrate that after a plateau in numbers in 2011, the prevalence started increasing again in 2012. This increase has resulted in a total of 746,557 cases at the end of 2017, a significant increase from 56,402 cases recorded in 1980. This is in part due to the increased number of new patients diagnosed with ESRD. This has reached 124,500 new patients in 2017. The increased survival and longevity of life for patients with ESRD accounts for the steady increase in the prevalence of the disease. The modes of treatments for patients include hemodialysis, peritoneal dialysis and kidney transplant. Hemodialysis with approximately two-thirds of patients (67.2%) is the most common method to undergo renal replacement therapy. Naturally, the increased burden of chronic kidney disease (CKD) and ESRD and associated comorbid conditions result in increased Medicare expenditure. A total of $120 billion were spent in 2017 on patients with CKD and ESRD. With recently observed increased prevalence of obesity, diabetes, and survival of patients, it is expected that the impact of CKD and ESRD will only continue to rise.1 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/23 UR - accesssurgery.mhmedical.com/content.aspx?aid=1200679032 ER -