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BMJ 2006;333 (18 November), doi:10.1136/bmj.39034.363646.80
Screening for chronic renal disease would be an effective case detection strategy in people over 55 and those with diabetes or hypertension (number needed to screen 8.7, 95% confidence interval 8.5 to 9.0) say Hallen and colleagues (doi: 10.1136/bmj.39001.657755.BE). In their eight year follow-up of a Norwegian national cross sectional health survey, relatively few people developed end stage renal disease after kidney disease was detected, and substantially more died from cardiovascular disease. Further research is needed to establish whether such screening is cost effective.
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