The BMJ Awards 2020: Diagnostics team of the yearBMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m851 (Published 12 March 2020) Cite this as: BMJ 2020;368:m851
- Jacqui Wise, freelance journalist
- London, UK
Digital home albumin screening
Diabetes is a known risk factor for the development of chronic kidney disease, and National Institute for Health and Care Excellence guidelines recommend annual screening using an albumin creatinine ratio (ACR) test. However, the national diabetes audit showed that only 66% of people with diabetes have a recorded result.
“Albumin testing is the worst performing of the nine diabetes care processes—patients don’t always bring in a urine sample because they forget or are too embarrassed,” says general practitioner Deborah Livesey.
To improve the uptake of testing, 10 modality general practices in Hull, Airedale, Wharfedale, and Craven tested Healthy.io’s smartphone based home albumin testing kit. Patients with type 2 diabetes and no previous urine ACR assessment were invited to receive a test kit through the post and download an app.
The patient does the test following the app’s simple instructions and scans the test strip using their smartphone camera. The results are sent through to the patient’s GP records and reviewed by a clinician at the practice.
Of the 499 patients who used the test kit, …