Identifying High-Risk Individuals for Chronic Kidney Disease: Results of the CHERISH Community Demonstration Project

Am J Nephrol. 2018;48(6):447-455. doi: 10.1159/000495082. Epub 2018 Nov 23.

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.

Keywords: Albuminuria; Chronic kidney disease; Detection; Diabetes; Hypertension; Older adults.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Centers for Disease Control and Prevention, U.S.
  • Female
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Nutrition Surveys / statistics & numerical data
  • Pilot Projects
  • Prevalence
  • Program Evaluation
  • Renal Insufficiency, Chronic / diagnosis*
  • Renal Insufficiency, Chronic / epidemiology
  • Risk Assessment / methods
  • Risk Assessment / statistics & numerical data
  • Risk Factors
  • United States / epidemiology
  • Young Adult