Centers for Disease Control and Prevention, Division of Diabetes Translation, Atlanta, Georgia, USA,
National Kidney Foundation, Inc., New York, New York, USA.
Am J Nephrol. 2018;48(6):447-455. doi: 10.1159/000495082. Epub 2018 Nov 23.
Most people with chronic kidney disease (CKD) are not aware of their condition.
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.
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.
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.
大多数慢性肾脏病（CKD）患者并未意识到自己的病情。
评估用于识别存在或存在 CKD 风险人群的筛选标准，并确定其 CKD 风险因素控制水平。
疾病预防控制中心的“CKD 健康评估风险信息共享（CHERISH）”项目在 4 个州的每个社区的 2 个地点进行了筛查。有糖尿病、高血压或年龄≥50 岁的人有资格参加。除 CKD 外，筛查还包括血红蛋白 A1C、血压和血脂检测和测量。 -结果：在这个目标人群中，在 894 名接受筛查的人中，CKD 患病率为 34%。在患有糖尿病的参与者中，61%的人 A1C<7%；在患有高血压的参与者中，23%的人血压<130/80mmHg；在高胆固醇血症患者中，22%的人低密度脂蛋白<100mg/dL。
通过使用有针对性的选择标准和简单的临床指标，CHERISH 成功地识别了 CKD 患病率高且 CKD 风险因素控制不佳的人群。CHERISH 可能有助于州和地方计划在其社区实施 CKD 检测计划。
