Prevalence and Social Determinants of Chronic Kidney Disease Among Active and Retired Military Personnel and Adult Dependents

Chronic kidney disease (CKD) is common and burdensome in the general U.S. population. However, little is known about CKD in the Military Health System (MHS).While clear associations exist between health-impeding social determinants of health and CKD prevalence in the general U.S. population, whether such associations persist under the universal health care coverage provided through the MHS is not clear. To better assess the burden of CKD in the MHS, this project developed and validated a laboratory value-based electronic phenotype to improve sensitivity for detecting CKD from the electronic health record and applied it to data from the MHS Data Repository (MDR) for fiscal years 2016 to 2018.