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:2/24/2017)... ... 24, 2017 , ... Congratulations to Head Over Heels’ elite ... 12th. Ms. Esparza qualified into this prestigious status after winning the Vault, ... Vegas, Nevada. Frida is one of approximately 25 gymnasts in the nation who ...
(Date:2/23/2017)... ... February 23, 2017 , ... Thinksport, the most ... Jensie Gran Fondo of Marin. For the second year in a row, cyclists ... sunscreen. , “We are thrilled to provide our safe, non-toxic sunscreen to over ...
(Date:2/23/2017)... CO (PRWEB) , ... February 23, 2017 , ... The ... announce the winner of the 2016 National Education Policy Center Bunkum Award. We invite ... reviewed in 2016. , This year’s Bunkum winner is the Center for American Progress ...
(Date:2/23/2017)... ... February 23, 2017 , ... Rare Disease ... will be participating in Rare Disease Day events, hosted by the Rare Disease ... Disease Report, a website, weekly e-newsletter and quarterly publication, will be conducting interviews ...
(Date:2/23/2017)... Angeles, CA (PRWEB) , ... February 23, 2017 , ... ... first two episodes of WE TV’s “Mama June: From Not to Hot,” which will ... TV notable, “Mama” June Shannon, known to millions from the 2012 reality television series, ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... 2017 Research and Markets has announced the addition ... report to their offering. ... The latest research Menopause Drugs Price Analysis and Strategies - 2016, provides ... research answers the following questions: What are ... they positioned in the Global Menopause market? What are ...
(Date:2/23/2017)... , Feb. 23, 2017 Research and ... Analysis and Strategies - 2016" report to their offering. ... The latest research ... data and benchmarks in the global Fibromyalgia market. The ... the key drugs marketed for Fibromyalgia and their clinical attributes? How ...
(Date:2/23/2017)... 23, 2017 Obese people are ... for varicose veins in their body. The rising number ... the adoption of endovenous laser therapy for treatment of ... laser therapy market, published by Future Market Insights, ... and consequences of obesity have collectively factored the growth ...
Breaking Medicine Technology: