02071nas a2200217   4500000000100000008004100001100001700042700001400059700001400073700001300087700001400100700001300114700001400127700001600141700001500157245010000172250001500272300001000287520151500297020004101812       2010                            d1 aUsherwood T.1 aCass Alan1 aMathew T.1 aCorso O.1 aLudlow M.1 aBoyle A.1 aJoyner B.1 aShepherd M.1 aChadban S.00aScreening for chronic kidney disease in Australia: a pilot study in the community and workplace  a2010/02/27  aS9-163 a<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.
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