Evidence map›Paper›PMID 41187446›Full record

SynthesisRenal failure2025

Screening for chronic kidney disease: a systematic review of emerging evidence and perspectives.

Jiayang Li, Mingyi Zhao, Qingnan He

Abstract readSystematic Review
In one paragraph

Synthesis in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

3 authors.

Jiayang LiDepartment of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, PR China.ORCID 0009-0005-2794-8269
Mingyi ZhaoDepartment of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, PR China.ORCID 0000-0002-2884-0736
Qingnan HeDepartment of Pediatrics, The Third Xiangya Hospital of Central South University, Changsha, Hunan, PR China.ORCID 0000-0001-5229-9583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe study aims to summarize the most recent evidence on the cost-effectiveness of chronic kidney disease (CKD) screening, identify the most cost-effective strategies under various conditions, and compare methodologies used in current health economics evaluations. The findings provide insights to support the implementation of appropriate screening strategies, particularly in low- and middle-income countries.

methodsThe final search was conducted between January 1, 2010, and July 1, 2024. Studies were screened for inclusion, and data were extracted, recalculated, and subjected to quality assessment.

resultsOf the 786 articles identified, 24 studies met the inclusion criteria. The probability of screening being cost-effective was 100% for diabetic populations, 75% for those with hypertension, and 72% for the general population. Key drivers of the cost-effectiveness models included drug efficacy, discount rates, and CKD progression probabilities. For diabetic populations, initiating at around age 50 with intervals of 5 to 10 years was generally found to be appropriate. The overall quality of the included studies was high.

conclusionsCKD screening is cost-effective in high-risk groups such as those with diabetes or hypertension, while general population screening depends on prevalence, methods, and frequency. In resource-limited settings, phased implementation starting with high-risk groups, integration into existing care pathways, and pilot programs using digital tools may enhance feasibility. Future research should refine optimal methods, timing, and intervals, and compare multiple strategies rather than only against standard care.

Indexed as

Mass ScreeningRenal Insufficiency, ChronicCost-Benefit AnalysisHumansHypertensionChronic kidney disease (CKD)cost-effective analysiseconomic evaluationincremental cost-effectiveness ratio (ICER)screening

Identifiers

PMID41187446
PMCPMC12587799

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.