BMJ  2006;333 (18 November), doi:10.1136/bmj.39034.363646.80

This week in the BMJ

Is screening for chronic kidney disease cost effective?

Screening for chronic renal disease would be an effective case detection strategy in people over 55 and those with diabetes or hypertension (number needed to screen 8.7, 95% confidence interval 8.5 to 9.0) say Hallen and colleagues (doi: 10.1136/bmj.39001.657755.BE). In their eight year follow-up of a Norwegian national cross sectional health survey, relatively few people developed end stage renal disease after kidney disease was detected, and substantially more died from cardiovascular disease. Further research is needed to establish whether such screening is cost effective.

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Relevant Article

Screening strategies for chronic kidney disease in the general population: follow-up of cross sectional health survey

Stein I Hallan, Ketil Dahl, Cecilia M Oien, Diana C Grootendorst, Arne Aasberg, Jostein Holmen, and Friedo W Dekker
BMJ 2006 333: 1047. [Abstract] [Full Text] [PDF]