Related Experiment Video
Updated: Sep 20, 2025
05:34
5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
Published on: April 4, 2025
872
Multiple Stakeholder Perspectives on the Reinvigorated Case for Kidney Disease Screening.
Miriam Godwin1, Amber Pettis2, Joseph A Vassalotti3
1National Kidney Foundation, Inc., New York, NY.
Advances in Chronic Kidney Disease
|June 11, 2022
Summary
Primary care physicians lack guidance for screening chronic kidney disease (CKD). Evidence supports targeted CKD screening for adults with diabetes and hypertension, urging policy review.
Area of Science:
- Nephrology
- Preventive Medicine
- Health Policy
Background:
- The United States Preventive Services Task Force (USPSTF) currently lacks a recommendation for chronic kidney disease (CKD) screening.
- This gap contrasts with the CKD public health emergency, clinical guidelines, healthcare expenditures, and the need for health equity initiatives.
Purpose of the Study:
- To review patient, clinician, health equity, and health system perspectives on screening adults with CKD risk factors.
- To advocate for USPSTF to reconsider targeted CKD screening for high-risk populations.
Main Methods:
- Literature review synthesizing various stakeholder viewpoints.
- Analysis of current trends in CKD detection, treatment, and policy.
Main Results:
- Multiple perspectives support the need for proactive CKD screening in primary care.
- Current screening recommendations do not align with the severity of the CKD public health issue.
Conclusions:
- The USPSTF should revisit and establish targeted screening recommendations for CKD.
- Screening should prioritize adults with significant risk factors, including diabetes and hypertension.
Related Concept Videos
01:28Chronic Kidney Disease III: Interprofessional Care
89
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
89
01:28Kidney Transplant I: Introduction
65
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
65
01:25Chronic Kidney Disease I: Introduction
84
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
84
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
64
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
64
01:24Chronic Kidney Disease II: Clinical Manifestations
110
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
110
01:18Chronic Kidney Disease IV: Nursing Management
62
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
62