CKD survey - Challenge: Amelie Part 2

Q.1

Why is the early screening of chronic kidney disease considered important?

CKD meets the WHO principles of screening for disease
Socially disadvantaged and vulnerable populations experience a disproportionate CKD burden
Narrowing focus towards the common and important CKD risk factors will prioritise the identification of high-risk cases for CKD progression
All of the above

All of the above. CKD meets the WHO principles of screening for disease. Early screening is also considered essential for social equality and useful for identifying high risk cases for CKD progression⁶

Q.2

Has Amelie been tested for the two essential biochemical parameters used in the 2012 KDIGO matrix to define CKD?

Yes, serum creatinine and eGFR are used to define CKD
No, albuminuria and serum creatinine are used to define CKD
No, eGFR and albuminuria are used to define CKD

GFR and albuminuria are considered essential biochemical parameters used in the KDIGO matrix define CKD⁷

Q.3

To further investigate if Amelie has signs of CKD, as per the 2012 KDIGO guidelines, you request a test for albuminuria. The test results show albuminuria of 15mg/mmol. What category of CKD risk does Amelie have?

G1A1
G2A3
G3aA1
G3aA2
G4A3

G3aA2. According to the 2012 KDIGO guidelines, an eGFR of 45–59 and an albuminuria level of 3–30mg/mmol is indicative of a G3aA2 level of risk for CKD⁷

Q.4

What type of screening method has Amelie been screened with?

Opportunistic screening
Population screening
Targeted screening

Opportunistic screening. This is where a healthcare professional carries out screening during encounters for other medical reasons⁸

Q.5

Amelie’s CKD risk category was G3aA2. What level of risk does Amelie have for CKD?

Amelie has a low risk for CKD
Amelie moderate risk for CKD and treatment should be considered
Amelie has a high-risk and treatment should be immediately implemented
Amelie has a very high-risk and treatment should be immediately implemented

Amelie has a high-risk and treatment should be immediately implemented. G3aA2 is considered high risk. A combination strategy of CKD screening, risk stratification, and treatment should be implemented immediately for people at a high-risk of CKD⁶