Kidney Early Evaluation Program (KEEP) - Findings from a community screening program

被引:26
作者
不详
机构
[1] Division of Endocrinology, Metabolism, and Lipid Research, Washington University, St. Louis, MO
[2] Meharry Medical College, Vanderbilt University Medical Center, VA Tennessee Valley Healthcare System, Nashville, TN
[3] KEEP Data Coordinating Center, Minneapolis Medical Research Foundation, Minneapolis, MN
[4] University of Minnesota, KEEP Data Coordinating Center, Minneapolis Medical Research Foundation, Minneapolis, MN
[5] National Kidney Foundation, New York, NY
关键词
D O I
10.1177/014572170403000209
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PURPOSE The Kidney Early Evaluation Program (KEEP(TM)), which was started in 1997, aims to identify persons at risk for chronic kidney disease (CKD) and encourage at-risk persons to seek evaluation and management from a healthcare provider. METHODS Community screening was conducted using a standardized questionnaire and test panel that was administered by local affiliates of the National Kidney Foundation (NKF) using volunteer lay and medical personnel. The screening was limited to persons at high risk for CKD, which was defined as those with a personal history of diabetes or hypertension, or a first-order relative with diabetes, hypertension, or kidney disease. The KEEP Data Coordinating Center was established to maintain a de-identified database of demographic information and test results on the screened persons. RESULTS Data on the first 11 246 participants were analyzed. As expected, the KEEP population was enriched with African Americans and was older than the general population. Diabetes was determined by self-report or abnormal blood glucose levels at screening and was present in 2690 of the persons screened. Chronic kidney disease was identified in 47.4% of this population. CONCLUSIONS Targeted community screening for kidney disease in a high-risk population can identify a significant number of persons with CKD, enhance awareness of the disease, and may improve health-seeking behavior.
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页码:196 / +
页数:7
相关论文
共 14 条
  • [1] *AM DIAB ASS, 2004, DIABETES CARE S1, V27
  • [2] *AM DIAB ASS, 2001, DIAB 2001 VIT STAT
  • [3] Preserving renal function in adults with hypertension and diabetes: A consensus approach
    Bakris, GL
    Williams, M
    Dworkin, L
    Elliott, WJ
    Epstein, M
    Toto, R
    Tuttle, K
    Douglas, J
    Hsueh, W
    Sowers, J
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2000, 36 (03) : 646 - 661
  • [4] Identification of persons at high risk for kidney disease via targeted screening: The NKF Kidney Early Evaluation Program
    Brown, WW
    Collins, A
    Chen, SC
    King, K
    Molony, D
    Gannon, MR
    Politoski, G
    Keane, WF
    [J]. KIDNEY INTERNATIONAL, 2003, 63 : 50 - 55
  • [5] Early detection of kidney disease in community settings: The Kidney Early Evaluation Program (KEEP)
    Brown, WW
    Peters, RM
    Ohmit, SE
    Keane, WF
    Collins, A
    Chen, SC
    King, K
    Klag, MJ
    Molony, DA
    Flack, JM
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2003, 42 (01) : 22 - 35
  • [6] Prevalence of high blood pressure and elevated serum creatinine level in the United States -: Findings from the Third National Health and Nutrition Examination Survey (1988-1994)
    Coresh, J
    Wei, L
    McQuillan, G
    Brancati, FL
    Levey, AS
    Jones, C
    Klag, MJ
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2001, 161 (09) : 1207 - 1216
  • [7] *DIAB CONTR COMPL, 1993, NEW ENGL J MED, V329, P988
  • [8] Risk factors for 5-year mortality in older adults - The cardiovascular health study
    Fried, LP
    Kronmal, RA
    Newman, AB
    Bild, DE
    Mittelmark, MB
    Polak, JF
    Robbins, JA
    Gardin, JM
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (08): : 585 - 592
  • [9] Jones, 2000, AM J KIDNEY DIS, V35, P178
  • [10] Serum creatinine levels in the US population: Third National Health and Nutrition Examination Survey
    Jones, CA
    McQuillan, GM
    Kusek, JW
    Eberhardt, MS
    Herman, WH
    Coresh, J
    Salive, M
    Jones, CP
    Agodoa, LY
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 1998, 32 (06) : 992 - 999