ArticleBMJ open2018
Screening for chronic kidney disease in a community-based diabetes cohort in rural Guatemala: a cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Underutilization of albuminuria screening in adults with diabetes mellitus or hypertension: a systematic review and meta-analysis.BMC nephrology · 2025Pooled it
- Early Nephropathy Screening as a Health Seeking Behavior Among Type 2 Diabetes Mellitus Patients: A Phenomenological Study in Southwestern Uganda.Journal of multidisciplinary healthcare · 2025Article
- Ethical Issues Related to Early Screening Programs in Low Resource Settings.Kidney international reports · 2024Article
- Prevalence of Chronic Kidney Disease in a High-Risk Population in Urban Lahore, Pakistan: A Cross-sectional Study.Cureus · 2024Article
- The impact of rural status on pediatric chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Article
- Review
- Data Challenges in Addressing Chronic Kidney Disease in Low- and Lower-Middle-Income Countries.Kidney international reports · 2021Review
- CKD Care and Research in Guatemala: Overview and Meeting Report.Kidney international reports · 2020Article
- A Systematic Review of Screening Tests for Chronic Kidney Disease: An Accuracy Analysis.Galen medical journal · 2020Review
- Ongoing challenges in access to diabetes care among the indigenous population: perspectives of individuals living in rural Guatemala.International journal for equity in health · 2019Article
- Treatment of end-stage renal disease with continuous ambulatory peritoneal dialysis in rural Guatemala.BMJ case reports · 2018Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveScreening is a key strategy to address the rising burden of chronic kidney disease (CKD) in low-income and middle-income countries. However, there are few reports regarding the implementation of screening programmes in resource-limited settings. The objectives of this study are to (1) to share programmatic experiences implementing CKD screening in a rural, resource-limited setting and (2) to assess the burden of renal disease in a community-based diabetes programme in rural Guatemala.
designCross-sectional assessment of glomerular filtration rate (GFR) and urine albumin.
settingCentral Highlands of Guatemala.
participantsWe enrolled 144 adults with type 2 diabetes in a community-based CKD screening activity carried out by the sponsoring institution. OUTCOME MEASURES: Prevalence of renal disease and risk of CKD progression using Kidney Disease: Improving Global Outcomes definitions and classifications.
resultsWe found that 57% of the sample met GFR and/or albuminuria criteria suggestive of CKD. Over half of the sample had moderate or greater increased risk for CKD progression, including nearly 20% who were classified as high or very high risk. Hypertension was common in the sample (42%), and glycaemic control was suboptimal (mean haemoglobin A1c 9.4%±2.5% at programme enrolment and 8.6%±2.3% at time of CKD screening).
conclusionsThe high burden of renal disease in our patient sample suggests an imperative to better understand the burden and risk factors of CKD in Guatemala. The implementation details we share reveal the tension between evidence-based CKD screening versus screening that can feasibly be delivered in resource-limited global settings.
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