Panel recommends annual screening, additional test for chronic kidney disease
Parliamentary committee report notes that CKD remains asymptomatic until substantial kidney function has been lost, resulting in complications, dialysis; agricultural workers and other outdoor labourers among those affected
The Parliamentary Standing Committee on Health and Family Welfare has proposed a national strategy for chronic kidney disease (CKD) that includes annual screening and the inclusion of a glomerular filtration rate (eGFR) in routine serum creatinine tests. The committee, led by Prof. Ram Gopal Yadav, MP, Rajya Sabha, reported 66 recommendations in their 177th report on CKD's prevalence, prevention, diagnosis, treatment, and management.
The report highlights that CKD often goes unnoticed until significant kidney function is lost, leading to complications and reliance on dialysis and transplantation. The committee emphasizes the need for a national strategy, annual screening for high-risk individuals, and integrating eGFR calculation into routine serum creatinine tests.
They also recommend eGFR calculation using the CKD-EPI equation and urine albumin assessment for high-risk individuals. The panel seeks a uniform national screening protocol across all primary healthcare facilities and a transition from treating advanced kidney failure to preventing and slowing its progression. The report addresses the emerging burden of CKD among agricultural workers and recommends a shift towards home-based peritoneal dialysis, particularly in rural areas.
Additionally, it proposes extending post-transplant coverage under the Ayushman Bharat PM-JAY to one year and strengthening nephrology services at district hospitals.
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