Navigation Links
Routine screening for pediatric chronic kidney disease is not effective
Date:4/15/2010

Hershey, Pa. -- The routine use of a screening urine dipstick to diagnose chronic kidney disease in healthy children is not a cost-effective test, confirm Penn State College of Medicine researchers, who validated an American Academy of Pediatrics (AAP) recommendation.

"Screening urine dipsticks have routinely been performed on healthy children in primary care offices for decades," said Deepa L. Sekhar, M.D., assistant professor of pediatrics. "The AAP made the recommendation to discontinue screening urine dipsticks in healthy children to test for chronic kidney disease in 2007. However, the practice has still been in use. Early detection of chronic kidney disease in asymptomic children is not yet proven to alter ultimate disease outcome."

Researchers used data on screening urine dipsticks from 8,954 healthy school children ages 8 to 15. Of that number, 1,264 children or 14.2 percent had abnormal results, at which time a dipstick test was repeated. Only 319 of this number had a repeat abnormality, with 11 of the 8,954 children, or about 0.1 percent, ultimately having some form of chronic kidney disease. The findings were published in the journal Pediatrics.

The cost of a dipstick was estimated taking into account supply costs and labor to administer by a licensed practical nurse. Assuming three minutes to complete the test, and excluding administrative and overhead costs, the cost of a test came to $3.05. Including patients requiring retests, the price rose to $3.47 per patient. With a rate of one case of diagnosed chronic kidney disease per 800 screenings, the cost was $2997.50 per case diagnosed.

"A screening test should be inexpensive and widely available, and a positive result should prompt timely evaluation," Sekhar said. "Most important, early detection should lead to an intervention that prevents morbidity and/or mortality. Screening urine dipstick meets the first three requirements, but fails to satisfy the last. It remains unproven that early detection significantly alters the course of a child who is destined to progress from chronic kidney disease to end-stage renal disease. As early intervention treatments are developed for chronic kidney disease, reexamination of screening dipstick urinalyses and perhaps targeted screening for high-risk populations may be warranted."


'/>"/>

Contact: Matt Solevey
msolovey@hmc.psu.edu
717-531-8606
Penn State
Source:Eurekalert

Related medicine news :

1. AIDS Drugs Dont Need Routine Lab Monitoring
2. Siemens Boosts Advanced Image Reading Efficiency and Opens New Path Into The Clinical Routine with syngo(R).via
3. MRI May Not Add Value to Routine Breast Cancer Care
4. Is Your Exercise Routine Killing You?
5. Flexible Floor-Cleaning Routine Helps School Prevent Spread of Infection
6. Maintaining regular daily routines is associated with better sleep quality in older adults
7. Screening for Spinal Muscular Atrophy Not Cost-Effective: Study
8. Panel calls for reducing colorectal cancer deaths by striking down barriers to screening
9. Texas Health Dallas Launches Screening Program for Female Heart Disease
10. Life Line Screening Supports the American Heart Association's 'Go Red for Women' Event in Denver, Colorado
11. California Breast Cancer Survivors and Advocates Call on State to Nix Screening Cuts
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 2016 , ... Austin residents seeking Mohs surgery services, can now turn to ... Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to ... fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand ... project," said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s ... within Final Cut Pro X . Simply select a ProHand generator and drag ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/25/2016)... ... 2016 , ... On Friday, June 10, Van Mitchell, Secretary of the Maryland ... iHire in recognition of their exemplary accomplishments in worksite health promotion. , The Wellness ... & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one of ...
(Date:6/24/2016)... ... 24, 2016 , ... A recent article published June 14 on ... article goes on to state that individuals are now more comfortable seeking to undergo ... such as calf and cheek reduction. The Los Angeles area medical group, Beverly Hills ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 2016 Jazz Pharmaceuticals plc (Nasdaq: ... Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ("HSR"), ... Inc. ("Celator"; Nasdaq: CPXX ) expired effective ... As previously announced on May 31, 2016, ... agreement under which Jazz Pharmaceuticals has commenced a tender ...
(Date:6/26/2016)... 26, 2016 Story Highlights: ... models within the health care industry is causing providers ... , Deloitte offers a suite of solutions for ... impacting efficient cost optimization: labor resource analysis, revenue cycle ... facilitate better outcomes and better economics ...
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
Breaking Medicine Technology: