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Identifying High-Risk Individuals for Chronic Kidney Disease: Results of the CHERISH Community Demonstration Project
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November 23 2018
Source: Am J Nephrol. 48(6):447-455
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Alternative Title:Am J Nephrol
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Description:Background
Most people with chronic kidney disease (CKD) are not aware of their condition.
Objectives
To assess screening criteria in identifying a population with or at high risk for CKD and to determine their level of control of CKD risk factors.
Method
CKD Health Evaluation Risk Information Sharing (CHERISH), a demonstration project of the Centers for Disease Control and Prevention, hosted screenings at 2 community locations in each of 4 states. People with diabetes, hypertension, or aged ≥50 years were eligible to participate. In addition to CKD, screening included testing and measures of hemoglobin A1C, blood pressure, and lipids.
Results
In this targeted population, among 894 people screened, CKD prevalence was 34%. Of participants with diabetes, 61% had A1C < 7%; of those with hypertension, 23% had blood pressure < 130/80 mm Hg; and of those with high cholesterol, 22% had low-density lipoprotein < 100 mg/dL.
Conclusions
Using targeted selection criteria and simple clinical measures, CHERISH successfully identified a population with a high CKD prevalence and with poor control of CKD risk factors. CHERISH may prove helpful to state and local programs in implementing CKD detection programs in their communities.
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Pubmed ID:30472707
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Pubmed Central ID:PMC6624836
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