The National Kidney Foundation of Illinois KidneyMobile: a Mobile Resource for Community Based Screenings of Chronic Kidney Disease and Its Risk Factors

Overview

Journal BMC Nephrol

Publisher Biomed Central

Specialty Nephrology

Date 2018 Oct 26

PMID 30359229

Citations 1

Authors

Swati Lederer

Laurie Ruggiero

Nicole M Sisen

Nancy Lepain

Kate Grubbs OConnor

Yamin Wang

Jinsong Chen

James P Lash

Michael J Fischer

Affiliations

Soon will be listed here.

Abstract

Background: Early detection and treatment of chronic kidney disease (CKD) and its risk factors improves outcomes; however, many high-risk individuals lack access to healthcare. The National Kidney Foundation of Illinois (NKFI) developed the KidneyMobile (KM) to conduct community-based screenings, provide disease education, and facilitate follow-up appointments for diabetes, hypertension, and CKD.

Methods: Cross-sectional design. Adults > = 18 years of age participated in NKFI KM screenings across Illinois between 2005 and 2011. Sociodemographic and medical history were self-reported using structured interviews; laboratory data and blood pressure were assessed using standard procedures.

Results: Among 20,770 participants, mean age was 53.5 years, 68% were female, 49% were African-American or Hispanic, 21% primarily spoke Spanish, and at least 27% lacked health insurance. Seventy-eight percent of participants with elevated blood pressure (≥ 140/90 mmHg) were aware of having hypertension, 93% of participants with abnormal blood glucose (fasting glucose > 126 mg/dl or a random glucose of > 200 mg/dL) were aware of having diabetes, and 19% of participants with albuminuria (> 30 mg/gm) were aware of having CKD. In participants reporting hypertension, 47% had blood pressure ≥ 140/90 mmHg, and in those reporting diabetes, 56% had blood glucose ≥ 130 mg/dl (fasting) or ≥ 180 mg/dl (random). Among 4937 participants with abnormal screening findings that participated in follow-up interviews, 69% reported having further medical evaluation.

Conclusions: A high-risk disadvantaged population is being reached by the NKFI KidneyMobile and connected with healthcare services. A significant proportion of participants were newly informed of having abnormal results suggestive of diabetes, hypertension, and/or CKD or that their diabetes and hypertension were inadequately controlled.

Citing Articles

Kidney Mentoring and Assessment Program for Students: a guide for engaging medical students in nephrology.

Bayliss G, Cobb J, Decker B, Hellman R, Vasavada N, Mackelaite L Clin Kidney J. 2019; 12(6):761-766.

PMID: 31807288 PMC: 6885673. DOI: 10.1093/ckj/sfz108.

References

Abdelsatir S, Al-Sofi A, Elamin S, Abu-Aisha H . The potential role of nursing students in the implementation of community-based hypertension screening programs in Sudan. Arab J Nephrol Transplant. 2013; 6(1):51-4. View

Vassalotti J, Li S, McCullough P, Bakris G . Kidney early evaluation program: a community-based screening approach to address disparities in chronic kidney disease. Semin Nephrol. 2010; 30(1):66-73. DOI: 10.1016/j.semnephrol.2009.10.004. View

Hsu C, McCulloch C, Darbinian J, Go A, Iribarren C . Elevated blood pressure and risk of end-stage renal disease in subjects without baseline kidney disease. Arch Intern Med. 2005; 165(8):923-8. DOI: 10.1001/archinte.165.8.923. View

Wee L, Koh G, Yeo W, Chin R, Wong J, Seow B . Screening for cardiovascular disease risk factors in an urban low-income setting at baseline and post intervention: a prospective intervention study. Eur J Prev Cardiol. 2012; 20(1):176-88. DOI: 10.1177/2047487311433890. View

Coresh J, Wei G, McQuillan G, Brancati F, Levey A, Jones C . Prevalence of high blood pressure and elevated serum creatinine level in the United States: findings from the third National Health and Nutrition Examination Survey (1988-1994). Arch Intern Med. 2001; 161(9):1207-16. DOI: 10.1001/archinte.161.9.1207. View

Nwankwo T, Yoon S, Burt V, Gu Q . Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS Data Brief. 2013; (133):1-8. View

Victor R, Ravenell J, Freeman A, Leonard D, Bhat D, Shafiq M . Effectiveness of a barber-based intervention for improving hypertension control in black men: the BARBER-1 study: a cluster randomized trial. Arch Intern Med. 2010; 171(4):342-50. PMC: 3365537. DOI: 10.1001/archinternmed.2010.390. View

Santoyo-Olsson J, Cabrera J, Freyre R, Grossman M, Alvarez N, Mathur D . An innovative multiphased strategy to recruit underserved adults into a randomized trial of a community-based diabetes risk reduction program. Gerontologist. 2011; 51 Suppl 1:S82-93. PMC: 3092977. DOI: 10.1093/geront/gnr026. View

Martinez-Ramirez H, Cortes-Sanabria L, Rojas-Campos E, Hernandez-Herrera A, Cueto-Manzano A . Multidisciplinary strategies in the management of early chronic kidney disease. Arch Med Res. 2013; 44(8):611-5. DOI: 10.1016/j.arcmed.2013.10.013. View

10.

Go A, Chertow G, Fan D, McCulloch C, Hsu C . Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med. 2004; 351(13):1296-305. DOI: 10.1056/NEJMoa041031. View

11.

Ong K, Cheung B, Man Y, Lau C, Lam K . Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004. Hypertension. 2006; 49(1):69-75. DOI: 10.1161/01.HYP.0000252676.46043.18. View

12.

McCullough P, Brown W, Gannon M, Vassalotti J, Collins A, Chen S . Sustainable community-based CKD screening methods employed by the National Kidney Foundation's Kidney Early Evaluation Program (KEEP). Am J Kidney Dis. 2011; 57(3 Suppl 2):S4-8. DOI: 10.1053/j.ajkd.2010.11.010. View

13.

Saran R, Li Y, Robinson B, Ayanian J, Balkrishnan R, Bragg-Gresham J . US Renal Data System 2014 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2015; 66(1 Suppl 1):Svii, S1-305. PMC: 6643986. DOI: 10.1053/j.ajkd.2015.05.001. View

14.

Tuot D, Plantinga L, Hsu C, Jordan R, Burrows N, Hedgeman E . Chronic kidney disease awareness among individuals with clinical markers of kidney dysfunction. Clin J Am Soc Nephrol. 2011; 6(8):1838-44. PMC: 3156423. DOI: 10.2215/CJN.00730111. View

15.

Levey A, Coresh J, Greene T, Stevens L, Zhang Y, Hendriksen S . Using standardized serum creatinine values in the modification of diet in renal disease study equation for estimating glomerular filtration rate. Ann Intern Med. 2006; 145(4):247-54. DOI: 10.7326/0003-4819-145-4-200608150-00004. View

16.

Crews D, Pfaff T, Powe N . Socioeconomic factors and racial disparities in kidney disease outcomes. Semin Nephrol. 2013; 33(5):468-75. DOI: 10.1016/j.semnephrol.2013.07.008. View

17.

Hemmingsen B, Lund S, Gluud C, Vaag A, Almdal T, Hemmingsen C . Targeting intensive glycaemic control versus targeting conventional glycaemic control for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2013; (11):CD008143. DOI: 10.1002/14651858.CD008143.pub3. View

18.

Whaley-Connell A, Shlipak M, Inker L, Kurella Tamura M, Bomback A, Saab G . Awareness of kidney disease and relationship to end-stage renal disease and mortality. Am J Med. 2012; 125(7):661-9. PMC: 3383388. DOI: 10.1016/j.amjmed.2011.11.026. View

19.

Palmer Alves T, Lewis J . Racial differences in chronic kidney disease (CKD) and end-stage renal disease (ESRD) in the United States: a social and economic dilemma. Clin Nephrol. 2010; 74 Suppl 1:S72-7. DOI: 10.5414/cnp74s072. View

20.

Perneger T, Whelton P, Klag M . Race and end-stage renal disease. Socioeconomic status and access to health care as mediating factors. Arch Intern Med. 1995; 155(11):1201-8. View