Table 1.

Goals of a school screening program for CKD

1. The program should be based on relatively simple tests that have been documented to provide reproducible results.
2. The tests should have a high level of sensitivity (to avoid missing cases of CKD), preferably associated with a high specificity (to reduce the number of false positives). Unfortunately, this combination of features may be difficult to achieve.
3. The infrastructure of the screening program should be set up in such a way that is possible to identify abnormal results and schedule confirmatory tests in a reasonably short period of time.
4. Close communication with the parents of children with abnormal results should be maintained throughout all stages of the screening program.
5. Appropriate consultation with a pediatric nephrologist should be expedited for all children who have persistently abnormal results.
6. The cost effectiveness of the program should be confirmed periodically in order to maintain enthusiasm for the program