2021

Kidney failure (ESRD)

in Hawaii
5,279
Hawaiians

Only about 1 in 7 Hawaii
patients on the waiting list got
a kidney transplant in 2020.

905

New cases of kidney failure
were diagnosed in Hawaii in 2018 (themost recent data available).

are living with end-stage renal
disease (ESRD, or kidney failure).
Without treatment--dialysis or atransplant--ESRD is fatal.

0

were able
to get atransplant

4,368

depend on dialysis
to stay aliveon the waiting list for a328 arekidney transplant

911

905

went on dialysis

transplants were44 kidney
performed in Hawaii

have transplants

in 2020

SOURCE: U.S. Renal Data System 2020 Annual Data Report

SOURCE: Organ Procurement and Transplantation Network

SOURCE: U.S. Renal Data System 2020 Annual Data Report

Hawaiians are at risk for kidney disease
Leading causesof kidney failure

DiabetesHigh bloodpressure

10.5%

HI
30.8%
AT
RISK: 25.0%

diagnosed with diabetes
have high bloodpressure
self-report obese

SOURCE: Centers for Disease Controland Prevention Behavioral Risk Factor
Surveillance System

Why ESRD patients depend on charitable assistance577 Hawaii residents

on dialysis and with transplants received
grants from AKF in 2020 to pay for theirinsurance premiums, emergency pandemicrelated costs and other health care-related
costs not covered by insurance.

$1.7 million

in charitable assistance from AKF ensured
that low-income Hawaiian dialysis andtransplant patients could afford theirlifesaving health care.

Most dialysis patients
too sick to work

Most patients AKF
helps are minorities

Ratio of out-of-pocket
to income is stunning

80%

>60%

28%

ESRD IS A DISABILITYMINORITIES ARE MORE
AFFECTED BY ESRD
Dialysis is life support. Treating
Of the patients AKF helps,
kidney failure and its comorbidities
34.7% are Blackis more consuming than a full-time
20.9% Hispanic/Latino
job: more than 80% of patients
5.2% Native American/ Asian/cannot work
Pacific Islander

FINANCIAL HARDSHIPCOMES WITH ESRD
Average income of patients
AKF helps is < $25,000, yetaverage out-of-pocket costs fordialysis patients is>$10,000/yr

9th leading cause of death in the U.S.

The facts about kidney disease
Kidneys are vital organs—just like the heart, lungs and liver. They clean the blood, help control bloodpressure, help make red blood cells, and keep bones healthy.
Chronic kidney disease is an increasingly common but usually preventable condition.
More than 37 million Americans have kidney disease and millions more are at risk.
According to the CDC, 9 out of 10 people with early kidney disease don’t know they haveit because it usually has no symptoms until the late stages. Simple blood and urine tests
can tell how well the kidneys are working.
Diabetes and high blood pressure are the two leading causes of kidney disease. Kidneydisease can lead to heart attack, stroke, kidney failure and death.
Kidney disease can be treated. If it’s caught and treated early, it’s often possible to slow
or stop the progress of kidney disease.
Besides diabetes and high blood pressure, other common risks for kidney disease include:
Having a family history of kidney disease
Being Black, Hispanic, Asian American or Native American
Being over 60
Black Americans are 3.4 times more likely than whites to develop kidney failure, andHispanics are 1.5 times more likely than non-Hispanics to develop kidney failure.

Kidney disease isa silent killer
There are more than 785,000 people with kidney failure in the United States-—anincrease of more than 100% since 2000.
About 555,000 are on dialysis and nearly 230,000 are living with kidney transplants.
Each month, almost 11,000 new cases of kidney failure are diagnosed.
In 2018, Medicare spending for ESRD beneficiaries was $49.2 billion—7.2% of Medicare
costs—though ESRD patients make up less than 1% of the total Medicare population.
A patient on hemodialysis costs Medicare more than $93,000 per year.
For each kidney disease patient who does not reach kidney failure, Medicare saves anestimated $250,000.
One third of people who were diagnosed with kidney failure in 2018 received little or no
pre-ESRD care.

Costly to patients,
employers and taxpayers

SOURCES: U.S. Renal Data System 2020 Annual Data Report, NIH Chronic Kidney Disease and Kidney Failure fact sheet