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Please use this identifier to cite or link to this item: http://hdl.handle.net/2328/26304

Title: Screening for renal disease in a remote Aboriginal community using the Bayer DCA 2000
Authors: Shephard, Mark Douglas
Allen, G G
Keywords: Health services
Aboriginal peoples
Chronic illness
Renal disease
Issue Date: 2001
Publisher: Australian Institute of Medical Scientists
Citation: Shephard, M.D. and Allen, G.G., 2001. Screening for renal disease in a remote Aboriginal community using the Bayer DCA 2000. Australian Journal of Medical Science 22, 164-170.
Abstract: End-stage renal disease among Aboriginal Australians has reached alarming proportions during the past decade. The early identification of this disease through community screening programs is a key strategy in reducing the long-term financial and cultural burden of the disease. The small point-of-care Bayer DCA 2000 analyser, which tests for urine albumin:creatinine ratio (ACR), was used as a marker for early renal disease in an adult screening program in a remote South Australian Aboriginal community. Nineteen percent of 149 adults screened had previously undiagnosed persistent microalbuminuria (ACR between 3.4 and 33.9 mg/mmol), while a further 9% had persistent overt albuminuria (ACR greater than or equal to 34 mg/mmol). Aboriginal health workers were trained in the operation of the DCA 2000 to enable screening to be an ongoing, sustainable activity within the community setting. The DCA exhibited excellent analytical performance characteristics and was robust and reliable throughout the study period.
URI: http://hdl.handle.net/2328/26304
ISSN: 1038-1643
Appears in Collections:Point-of-Care Testing Collected Works
Flinders University Rural Clinical School

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