Identifying high-risk individuals for chronic kidney disease: Results of the CHERISH community demonstration project

Nilka Riós Burrows, Joseph A. Vassalotti, Sharon H. Saydah, Rebecca Stewart, Monica Gannon, Shu Cheng Chen, Suying Li, Sarah Pederson, Allan J. Collins, Desmond E. Williams

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)447-455
Number of pages9
JournalAmerican Journal of Nephrology
Volume48
Issue number6
DOIs
StatePublished - 1 Dec 2018

Keywords

  • Albuminuria
  • Chronic kidney disease
  • Detection
  • Diabetes
  • Hypertension
  • Older adults

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