Use of Urine ACR to Screen for CKD in Underserved Populations​

Chronic Kidney Disease

Screening and monitoring at the point of care

Chronic kidney disease (CKD) is a condition characterized by a gradual loss of kidney function over time. CKD may be caused by diabetes, high blood pressure, and other disorders. Early detection and treatment can often keep chronic kidney disease from getting worse. When kidney disease progresses, it may eventually lead to kidney failure, which requires dialysis or a kidney transplant to maintain life.1

Today, chronic kidney disease is a global health challenge. It is a leading cause of illness (morbidity) and death (mortality) worldwide. In the past 9 years according to the World Health Organization, kidney disease has risen to become one of the top 10 leading causes of death worldwide.2

Kidney diseases are a leading cause of death in the United States.

The global prevalence of CKD in 2017 was 9.1% (700 million cases) and rose to 13.4% in 2019.3

About 37 million US adults are estimated to have CKD, and most are undiagnosed.

About 37 million US adults are estimated to have CKD, and most are undiagnosed.4

40% of people with severely reduced kidney function are not aware of having CKD.

40% of people with severely reduced kidney function are not aware of having CKD.4

Every 24 hours, 360 people begin dialysis treatment for kidney failure.

Every 24 hours, 360 people begin dialysis treatment for kidney failure.4

In the United States, about 3 out of 4 new cases of CKD are caused by diabetes and high blood pressure.

In the United States, about 3 out of 4 new cases of CKD are caused by diabetes and high blood pressure.4

In 2019, CKD cost Medicare $87.2 billion, and ESRD cost an additional $37.3 billion.

In 2019, CKD cost Medicare $87.2 billion, and ESRD cost an additional $37.3 billion.4

Patients with diabetes, hypertension, or a family history of kidney failure are at risk of developing chronic kidney disease (CKD).5,6 Early detection, monitoring, and treatment can prevent or delay the complications of CKD,5,7 and microalbuminuria testing is a useful tool for early detection of this disease.

The National Institutes of Health (NIH) recommends yearly assessments of albumin excretion to diagnose and monitor kidney damage in patients with type 1 diabetes for 5 years or more, or with type 2 diabetes.8 More frequent monitoring may be indicated in patients with a changing clinical status, or after therapeutic interventions.9

On demand webinars

Select Science Webinar winner

Understanding the Complexity of Urinary Tract Infections and the Role of Urinalysis in Early Detection

This webinar provides a comprehensive overview of urinary tract infections and insights from a university clinic that implements routine urinalysis testing and successfully provides results and treatment in the same day.

Keiichi Sumida, MD, MPH, PhD

The Use of Urine ACR to Screen for CKD in Underserved Populations

This webinar discusses chronic kidney disease, a global health challenge, compounded by the fact that many patients are unaware they have CKD. 

Dr. Keiichi Sumida and Prof. Nancy Brunzel discuss this global problem, particularly among underserved populations. Dr. Sumida shares his research about CKD screening, which can be performed by measuring urine albumin-to-creatinine ratio.

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