Panel recommends annual screening, additional test for chronic kidney disease

The Parliamentary Standing Committee on Health and Family Welfare has proposed several changes to improve the detection and treatment of chronic kidney disease (CKD) in India. The committee, led by Prof. Ram Gopal Yadav, has suggested that all serum creatinine tests include a glomerular filtration rate (eGFR) report at no extra cost to patients, as serum creatinine alone is insufficient for early detection.

The committee also recommends an annual screening for high-risk individuals, such as those with diabetes, hypertension, cardiovascular disease, obesity, or a family history of kidney disease. Additionally, they advocate for the establishment of a national CKD screening program under the National Programme for Prevention and Control of Non-Communicable Diseases for at-risk populations.

The committee has called for a uniform national screening protocol across healthcare facilities and the expansion of post-transplant coverage under the Ayushman Bharat PM-JAY from 15 days to one year. They also suggest extending the coverage to include follow-up consultations, investigations, and immunosuppressive medicines. The report highlights the need for heat stress prevention, improved dialysis methods, and increased peritoneal dialysis use, especially in rural areas.

Furthermore, the committee recommends a National Renal Registry connected to the Ayushman Bharat Digital Mission and the national dialysis portal, along with enhanced nephrology services at district hospitals and a dedicated national program for pediatric kidney care.