Starting and Sustaining
Early
CKD Detection and
Intervention Programs
This toolbox offers essential components (key principles, processes and building blocks) as a guide to starting and sustaining early CKD detection and intervention programs. It is a curated resource, designed to facilitate access to guidelines and user-friendly evidence-based resources relevant to each of the essential components. It is not required to address each component in a set order; the framework is meant to be adapted to your own context.
To use the toolbox, identify which component you would like to begin with and click 'Get started'. A drop-down will appear of a selected list of relevant resources for you to access. Please note that the list of resources is not exhaustive and the tools included in this toolbox are ones in the public domain developed or published by ISN, KDIGO and other organizations the ISN partners with. If you have additional open-source resources you would like us to consider adding to the toolbox, please share them here.
To use the toolbox, identify which component you would like to begin with and click 'Get started'. A drop-down will appear of a selected list of relevant resources for you to access. Please note that the list of resources is not exhaustive and the tools included in this toolbox are ones in the public domain developed or published by ISN, KDIGO and other organizations the ISN partners with. If you have additional open-source resources you would like us to consider adding to the toolbox, please share them here.

Act now - choose your tools

Document the burden of CKD
including kidney failure and its
risk factors.
including kidney failure and its
risk factors.
ISN-Global Kidney Health Atlas
Access ISN-SHarE-RR Toolkit
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access WCN'24 Sharing Expertise to Support the Set-up of Renal Registries
Access Chronic kidney disease and the global public health agenda: an international consensus
Access Early Identification of CKD—A Scoping Review of the Global Populations
Access
Access ISN-SHarE-RR Toolkit
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access WCN'24 Sharing Expertise to Support the Set-up of Renal Registries
Access Chronic kidney disease and the global public health agenda: an international consensus
Access Early Identification of CKD—A Scoping Review of the Global Populations
Access
Define and justify methods of
CKD identification: identifying the
population at risk, the test or tests
to be used, and thresholds to
define CKD.
Early Identification of CKD—A Scoping Review of the Global Populations
Access ISN-KDIGO Early Identification & Identification Toolkit
Access KDIGO CKD Evaluation and Management Guideline
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access ISN Observatory of CKDu
Access Ethical Issues Related to Early Screening Programs in Low Resource Settings
Access KDIGO 2019 Early CKD Conference Report
Access
Access ISN-KDIGO Early Identification & Identification Toolkit
Access KDIGO CKD Evaluation and Management Guideline
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access ISN Observatory of CKDu
Access Ethical Issues Related to Early Screening Programs in Low Resource Settings
Access KDIGO 2019 Early CKD Conference Report
Access
Use locally appropriate risk
prediction models for kidney
disease progression, and
mortality.
prediction models for kidney
disease progression, and
mortality.
Identify dual-benefit actions
(integration with management
of other NCDs, especially DM).
(integration with management
of other NCDs, especially DM).
Identify leadership from key
stakeholder communities
(e.g. kidney society).
stakeholder communities
(e.g. kidney society).
ISN Affiliated Societies
Access Global Kidney Patient Organizations Map
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access
Access Global Kidney Patient Organizations Map
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access
Identify the groups at increased
risk of CKD to be included in
testing including those with
unique local risk factors.
risk of CKD to be included in
testing including those with
unique local risk factors.
ISN-KDIGO Early Identification & Identification Toolkit
Access KDIGO CKD Evaluation and Management Guideline
Access ISN Observatory of CKDu
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access ISN-Global Kidney Health Atlas
Access KDIGO 2019 Early CKD Conference Report
Access
Access KDIGO CKD Evaluation and Management Guideline
Access ISN Observatory of CKDu
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access ISN-Global Kidney Health Atlas
Access KDIGO 2019 Early CKD Conference Report
Access
Involve the community, use locally
available non-physician health care
workforce, and support with
simplified clinical pathways and
digital platforms.
Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access Early Intervention, Big Savings: The Future of CKD Management in Thailand
Access
Access Implementing Early CKD Detection Programs Series: Case Studies From Around The World Series
Access Early Intervention, Big Savings: The Future of CKD Management in Thailand
Access
Define the value of
multidisciplinary care,
including costs and benefits
to the community.
Global Coalition for Circulatory Health: Driving Sustainable Action for Circulatory Health White Paper for Circulatory Health
Access
Access
Ensure community engagement,
stakeholder buy-in, and patient
voices.
stakeholder buy-in, and patient
voices.
Advocacy and Policy Course – New Skills for the Modern Nephrologist
Access @ISNeducation Social Media Team Curriculum
Access WCN'24 Advocacy Workshop: Championing Change
Access Global Kidney Patient Organizations Map
Access
Access @ISNeducation Social Media Team Curriculum
Access WCN'24 Advocacy Workshop: Championing Change
Access Global Kidney Patient Organizations Map
Access
Establish the availability of
sustained, effective, affordable
CKD treatments and strategies.
sustained, effective, affordable
CKD treatments and strategies.
Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Dialysis toolkit
Access ISN-Global Kidney Health Atlas
Access
Access Dialysis toolkit
Access ISN-Global Kidney Health Atlas
Access
Incorporate lessons learned from
other successful community-based
intervention programs - for example,
HIV/AIDS, tuberculosis, vaccination
programs.
Setting up Community Health and Development Programmes in Low and Middle Income Settings (4 edn)
Access WHO Noncommunicable diseases
Access
Access WHO Noncommunicable diseases
Access
Educate the public, patients,
carers, and healthcare workers.
carers, and healthcare workers.
Develop sustainable and
transparent partnerships with
government/policymakers.
Identify funders of
health care and relative
value propositions.
health care and relative
value propositions.
Institute monitoring and
reporting mechanisms to ensure
continuous quality improvement
and foster accountability.
Identify the important research
questions/evidence required to
demonstrate value.
Chronic kidney disease and the global public health agenda: an international consensus
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Perspectives on early detection of chronic kidney disease: the facts, the questions, and a proposed framework for 2023 and beyond
Access
Access Early Detection of CKD: Case Studies on Screening and Case-Finding
Access Perspectives on early detection of chronic kidney disease: the facts, the questions, and a proposed framework for 2023 and beyond
Access