The National Kidney Foundation Sponsors the KEEP Program:
Kidney Early Evaluation Program
WHAT IS THE KIDNEY EARLY EVALUATION PROGRAM (KEEP)?
KEEP is a free health screening program offered by the National Kidney Foundation (NKF) for individuals at increased risk of developing kidney disease.
WHAT ARE THE GOALS OF THE PROGRAM?
The goals of KEEP are to:
Raise awareness about kidney disease especially among “high risk” individuals
Provide free testing for people at increased risk for kidney disease
Encourage people “at risk” to visit a clinician and follow the treatment plan recommended
Provide educational information so that “at risk” individuals can prevent or delay kidney damage
Provide clinician referrals for follow-up care, if needed
Provide ongoing information and support
WHO SHOULD ATTEND A KEEP SCREENING?
You should attend a KEEP screening if you are 18 years or older and have one or more of the following:
Diabetes
High blood pressure
A parent, brother or sister with diabetes, high blood pressure or kidney disease
WHAT TAKES PLACE AT THE SCREENING?
One or more of these services will be provided to you at the screening:
Blood pressure, height, weight and waist circumference measurements
Blood and urine tests for signs of diabetes and kidney disease, including
Blood glucose check blood sugar
Hemoglobin check blood test for anemia
Albumin to creatinine ratio (protein in urine)
Serum creatinine (measures how well kidneys are filtering blood)
Estimated Glomerular Filtration Rate (test for kidney function)
Total cholesterol, HDL, LDL and triglycerides
Some participants will also have their calcium, phosphorus, PTH and/or Hemoglobin A1c drawn
Test results are provided on site by a clinician.
Free educational materials are also available
.
WHAT HAPPENS AFTER THE SCREENING?
The National Kidney Foundation will:
Contact you with your results
With your permission, send your results to your clinician
Refer you to a clinician or public health facility, if needed
Provide additional information, education and support
Invite you back to attend a KEEP screening every year
HOW CAN I PARTICIPATE?
To obtain more information on KEEP and for a listing of Kidney Early Evaluation Programs (KEEP) taking place in your area, call the National Kidney Foundation at 1-800-622-9010 or visit:
www.KEEPonline.org
New Feature from Hemodialysis.com: Hemodialysis or Chronic Kidney Disease Abstract of the Week
Zasuwa G, Frinak S, Besarab A, Peterson E, Yee J.
Division of Nephrology and Hypertension, Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan.
Although monitoring of vascular accesses by physical examination is nearly as sensitive as surveillance measurements by vascular access pressure when performed by examiners, the frequency of examinations is limited by time.
We developed intravascular access pressure surveillance as a surrogate to physical examination. Using real-time data from hemodialysis machines, we derived intravascular access pressure ratios for each dialytic procedure. An automated, noninvasive surveillance algorithm that generated a "warning" list of patients at risk for thrombosis was formulated.
We hypothesized that this algorithm would reduce access thrombosis frequency. We designed a study comparing thrombosis rates during a baseline 6-month interval to three subsequent 6-month periods of active surveillance.
Referrals for interventions during this 18-month period were based on persistently abnormal elevated vascular access pressure ratio tests (VAPRT) >0.55.
Thrombosis rates declined progressively for arteriovenous grafts (AVG) during the intervention period compared with the baseline period.
Arteriovenous fistula (AVF) thrombosis rates decreased during postintervention months 13-18 during employment of the VAPRT.
We conclude that use of VAPRT can reduce thrombosis rates in vascular accesses, and the magnitude of the effect is larger and more consistent in arteriovenous grafts (AVGs) than autologous AVFs.
Hemodialysis | Kidney Disease | Dialysis Resources and Educational Materials
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