"Identifying Information: Name","Incidence of End-Stage Kidney Disease (ESKD), by Primary Diagnosis"
"Identifying Information: Short/Other Names","Not applicable"
"Identifying Information: Description","Breakdown by primary diagnosis of all incident patients (new patients) with end-stage kidney disease who began renal replacement therapy (RRT) (either dialysis or renal transplantation) for the first time in the calendar year"
"Background, Interpretation and Benchmarks: Rationale","Disease etiology can be tracked by viewing changes in the primary diagnosis over time. There are significant costs associated with treating this patient group."
"Background, Interpretation and Benchmarks: Interpretation","Increasing incidence rates over time have important implications for resources, disease management and the need for kidney donation."
"Background, Interpretation and Benchmarks: HSP Framework Dimension","Improve health status of Canadians"
"Background, Interpretation and Benchmarks: Areas of Need","Not applicable"
"Background, Interpretation and Benchmarks: Targets/Benchmarks","Not applicable"
"Available Data Years","2010
 to 2019"
"Available Data Years: Type of Year",Calendar
"Availability of Results: Geographic Coverage","All provinces/territories except Quebec"
"Reporting Level/Disaggregation",Province/Territory
"Reporting Level/Disaggregation: Other reporting level/disaggregation","Breakdown by sex
	Breakdown by age categories"
"Result Updates: Indicator Results","Web Tool:
Incident End-Stage Renal Disease (ESRD) Patients by Primary Diagnosis"
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","December 2020"
"Result Updates: Updates","Not applicable"
"Indicator Calculation: Description","Counts and rates are based on patients registered during a given calendar year in a Canadian facility. Patients who began RRT for ESKD outside of Canada but are subsequently treated in Canada are included in prevalence counts but not incidence counts."
"Indicator Calculation: Type of Measurement",Rate
"Indicator Calculation: Number or Rate","Per 1,000,000"
"Denominator: Description:","Canadian population"
"Denominator: Inclusions:","All Canadians currently residing in Canada"
"Denominator: Exclusions:","Not applicable"
"Numerator: Description:","Patients registered in the Canadian Organ Replacement Register (CORR) who started RRT for ESKD"
"Numerator: Inclusions:","Patients registered in CORR during a given calendar year (January 1–December 31)
	Patients must have a valid primary diagnosis code."
"Numerator: Exclusions:","Patients who began RRT for ESKD outside of Canada but are subsequently treated in Canada"
"Method of Adjustment","Not applicable"
"Adjustment Applied",None
"Indicator Calculation: Geographic Assignment","Place of service"
"Data Sources",CORR
"Quality Statement: Caveats and Limitations","The indicator is based on voluntary data submitted to CORR from facilities across Canada. Submission of data for patients beginning RRT for ESKD is not mandatory.

Data from Quebec was not included because of significant under-reporting between 2011 and 2019, which may lead to biased results."
"Quality Statement: Trending Issues","An overview of under-reporting of incident ESKD cases can be found in Data Quality Documentation for Users: Canadian Organ Replacement Register, 2010 to 2019 Data (PDF)."
"Quality Statement: Comments","Not applicable"
References,"Nesrallah GE, Mustafa RA, Clark WF, et al. Canadian Society of Nephrology 2014 Clinical Practice Guideline for Timing the Initiation of Chronic Dialysis. CMAJ. 2014;186(2):112-117. Available at http://www.cmaj.ca/content/186/2/112

Levin A, Hemmelgarn B, Culleton B, et al. Guidelines for Management of Chronic Kidney Disease. CMAJ. 2008;179(11):1154-1162. Available at http://www.cmaj.ca/content/179/11/1154"