@article{17290,
  author = {Usherwood T. and Cass Alan and Mathew T. and Corso O. and Ludlow M. and Boyle A. and Joyner B. and Shepherd M. and Chadban S.},
  title = {Screening for chronic kidney disease in Australia: a pilot study in the community and workplace},
  abstract = {<p>
The pilot program Kidney Evaluation for You (KEY) was conducted in Australia to screen for chronic kidney disease (CKD). Targeting people at high risk (those with diabetes, hypertension, a first-degree relative with kidney failure, or age &gt;50 years), KEY aimed to establish community-based screening protocols, assess efficacy in promoting changes in risk-factor management, and explore participant CKD awareness. KEY offered free cardiovascular and kidney checks using point-of-care testing for on-site pathology measurements (estimated glomerular filtration rate, hemoglobin A1c, cholesterol, hemoglobin, albuminuria), lifestyle assessment, and exit interviews. Participants were telephoned at 3 months to ascertain whether KEY advice had been followed. Community and health professional support was strong; 99% of participants rated involvement as beneficial. Of 402 high-risk individuals recruited, findings were suggestive of CKD in 20.4%. Of these, 69% had hypertension, 30% diabetes, and 40% elevated total cholesterol. All participants with CKD stage 3b or higher were aged &gt;61 years. Overall, 58% of participants were referred to their primary care providers for further action; of these, 82% saw their doctors in the next 3 months and 94% discussed KEY results. Follow-up telephone contact was successful for 82% of participants. A change in management occurred for 67%. Thus, the KEY approach to early detection of CKD and selected referral of participants was largely successful.
</p>
},
  year = {2010},
  journal = {Kidney International. Supplement},
  edition = {2010/02/27},
  number = {116},
  pages = {S9-16},
  isbn = {0098-6577 (Print)0098-6577 (Linking)},
  note = {Mathew, Timothy HCorso, OliviaLudlow, MarieBoyle, AdamCass, AlanChadban, Steven JJoyner, BeresShephard, MarkUsherwood, TimResearch Support, Non-U.S. Gov'tUnited StatesKidney international. SupplementKidney Int Suppl. 2010 Mar;(116):S9-16.},
  language = {eng},
}