Blog entry by Meguid El Nahas

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by Meguid El Nahas - Friday, 31 August 2012, 7:08 AM
Anyone in the world

In this month (August 2012) Ann Int Med. the US Preventive Services Taks Force concluded that it was NOT justifiable to screen the general population (asymptomatic individuals) for CKD.

 

Population

Asymptomatic adults without diagnosed chronic kidney disease (CKD)

Recommendation

No recommendation.

Grade: I (Insufficient Evidence)

Risk Assessment

There is no generally accepted risk assessment tool for CKD or risk for complications of CKD. Diabetes and hypertension are well-established risk factors with strong links to CKD. Other risk factors for CKD include older age, cardiovascular disease, obesity, and family history.

Screening Tests

While there is insufficient evidence to recommend routine screening, the tests often suggested for screening that are feasible in primary care include testing the urine for protein (microalbuminuria or macroalbuminuria) and testing the blood for serum creatinine to estimate glomerular filtration rate.

Balance of Harms and Benefits

The USPSTF could not determine the balance between the benefits and harms of screening for CKD in asymptomatic adults.

Other Relevant USPSTF Recommendations

The USPSTF has made recommendations on screening for diabetes, hypertension, and obesity, as well as aspirin use for the prevention of cardiovascular disease. These recommendations are available at www.uspreventiveservicestaskforce.org.

For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents, please go to www.uspreventiveservicestaskforce.org. 

This should put a temporary end to the question as to whether the general asymptomatic adult population should be screened for CKD.

 

[ Modified: Thursday, 1 January 1970, 1:00 AM ]