Evidence map›Paper›PMID 27408755›Full record

ArticleCanadian journal of kidney health and disease2015

Mass screening for chronic kidney disease in rural and remote Canadian first nations people: methodology and demographic characteristics.

Barry Lavallee, Caroline Chartrand, Lorraine McLeod, Claudio Rigatto, Navdeep Tangri, Allison Dart, Audrey Gordon, Stephanee Ophey, Paul Komenda

Registry-linked trialAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03595267 (Optimal Approaches to Chronic Kidney Disease Case Finding in Indigenous Communities), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03595267 recruitingnot on this mapstarted 2019, after this paper: background citation

Optimal Approaches to Chronic Kidney Disease Case Finding in Indigenous Communities

TypeobservationalSponsorUniversity of ManitobaRan2019 to 2025Enrolled2,500ConditionsChronic Kidney Disease, Diabetes, HypertensionArmsPoint-of-care screening
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
  2. Article
  3. The impact of rural status on pediatric chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  4. Article
  5. Impact of a screen, triage and treat program for identifying chronic disease risk in Indigenous children.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Observational
  6. Impact of point-of-care screening for hypertension, diabetes and progression of chronic kidney disease in rural Manitoba Indigenous communities.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Validation of the Kidney Failure Risk Equation in Manitoba.Canadian journal of kidney health and disease · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Barry LavalleeDiabetes Integration Project, Winnipeg, Canada ; University of Manitoba, Centre for Aboriginal Health Education, Winnipeg, Canada.
Caroline ChartrandDiabetes Integration Project, Winnipeg, Canada.
Lorraine McLeodDiabetes Integration Project, Winnipeg, Canada.
Claudio RigattoManitoba Renal Program, Winnipeg, Canada ; Department of Medicine, Section of Nephrology, University of Manitoba, Winnipeg, Canada ; Seven Oaks General Hospital Research Centre, Winnipeg, Canada.
Navdeep TangriManitoba Renal Program, Winnipeg, Canada ; Department of Medicine, Section of Nephrology, University of Manitoba, Winnipeg, Canada ; Seven Oaks General Hospital Research Centre, Winnipeg, Canada.
Allison DartChildren's Hospital Research Institute of Manitoba, Winnipeg, Canada.
Audrey GordonSeven Oaks General Hospital Research Centre, Winnipeg, Canada.
Stephanee OpheyDiabetes Integration Project, Winnipeg, Canada ; University of Manitoba, Centre for Aboriginal Health Education, Winnipeg, Canada.
Paul KomendaManitoba Renal Program, Winnipeg, Canada ; Department of Medicine, Section of Nephrology, University of Manitoba, Winnipeg, Canada ; Seven Oaks General Hospital Research Centre, Winnipeg, Canada ; Seven Oaks General Hospital Kidney Health Program, 2300 Mcphillips Street, 2PD12, Winnipeg, MB R2V 3M3 Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScreening the general population for Chronic Kidney Disease is not currently recommended.. Rural and remote Canadian First Nations people suffer a disproportionate burden of Kidney Failure. The Fi rst N at i ons Community Based S creening to Improve Kidney He alth and Prevent D ialysis ( FINISHED ) project intends to test the hypothesis that a mobile, mass screening initiative available to all First Nations people 10 years of age and older residing in rural and/or remote communities, is feasible, will improve health outcomes and is cost effective.

objectivesThe objective of this manuscript is to describe the key elements required to design, implement and evaluate such a program and describe key characteristics of our screened cohort.

designMethods and cohort description.

setting11 First Nations communities within 2 Tribal Councils in Manitoba, Canada. PATIENTS: All First Nations individuals between the ages of 10-80 living in the 11communities were eligible for the screening initiative. MEASUREMENTS: Screening Rates achieved within communities.

methodsAn interdisciplinary team partnership was established between the Diabetes Integration Project and the Manitoba Renal Program. Stakeholder consultation was obtained and protocols developed to mass screen community members using point of care testing equipment. All people screened were risk stratified, counselled and referred to nephrologists as required in real time, based on risk.

resultsAs of August 31, 2014, 1480 people in 11 communities over 2 Tribal Councils have been successfully screened. A mean screening rate of 21% of all community members eligible (aged 10-80) has been achieved. All patients at intermediate or high risk of kidney failure have been seen by nephrologists within 1 month of screening. LIMITATIONS: Long term outcomes of kidney failure rates not assessed for at least 5 years. Alternative public health initiatives to reduce kidney failure not investigated.

conclusionsPoint of care mass screening, real time risk prediction and counselling of First Nations people at high risk of Kidney Failure is feasible in rural and remote communities. Further analysis of this cohort will describe theepidemiology of CKD in these communities, and test the cost effectiveness of this strategy.

Indexed as

Chronic kidney diseaseFirst nations healthRisk predictionScreening

Identifiers

PMID27408755
PMCPMC4940863

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.