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Kidney Early Evaluation Program (KEEP). Findings from a community screening program
Janet B McGill1, Wendy Weinstock Brown2, Shu-Cheng Chen3
1Division of Endocrinology, Metabolism, and Lipid Research, Washington University, St. Louis, MO, USA
The Diabetes Educator
|April 21, 2004
Summary
The Kidney Early Evaluation Program (KEEP) screened high-risk individuals for chronic kidney disease (CKD). Community screenings identified a high prevalence of CKD, emphasizing the need for early detection and management.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Chronic kidney disease (CKD) poses a significant global health burden.
- Early identification of individuals at risk for CKD is crucial for timely intervention.
- Existing screening programs may not adequately reach high-risk populations.
Purpose of the Study:
- To evaluate the effectiveness of the Kidney Early Evaluation Program (KEEP) in identifying individuals at risk for CKD.
- To encourage high-risk individuals to seek medical evaluation and management for kidney disease.
- To establish a de-identified database for analyzing demographic and clinical data of screened participants.
Main Methods:
- Community-based screening utilizing a standardized questionnaire and test panel.
- Targeting individuals with a personal history of diabetes, hypertension, or a family history of kidney disease.
- Data collection and management by the KEEP Data Coordinating Center.
Main Results:
- Analysis of data from 11,246 participants revealed a population enriched with African Americans and older individuals.
- Diabetes was present in 2690 participants (self-report or abnormal blood glucose).
- CKD was identified in 47.4% of the screened high-risk population.
Conclusions:
- Targeted community screening effectively identifies a substantial number of individuals with CKD.
- Such programs can raise awareness about kidney disease.
- Screening may promote improved health-seeking behaviors among at-risk individuals.