The effect of the World Kidney Day campaign on the awareness of chronic kidney disease and the status of risk factors for cardiovascular disease and renal progression.
BACKGROUND
Chronic kidney disease (CKD) is a worldwide problem. We describe the trends in CKD awareness before and after the World Kidney Day (WKD) campaign and the impact of the WKD campaign in increasing awareness and appropriate management of the risk factors for cardiovascular disease and renal progression.


METHODS
We selected 57 718 people who had undergone a routine health check-up.


RESULTS
The average CKD awareness was 3.1% (95% CI: 2.6-3.7%) and was increased with progressing CKD stage. The awareness was increased from 1.1% before the WKD campaign to 5.8% after the campaign (P < 0.001). CKD awareness in the post-WKD period was increased in CKD stages 2 (OR 4.535: 95% CI: 2.044-10.062) and 3 (OR 6.614: 95% CI: 4.282-10.217) and profoundly increased in stage 4 (OR 13.800: 95% CI: 2.127-89.524), compared to the pre-WKD period. In the CKD-aware group compared to the CKD-unaware group, the awareness of diabetes mellitus (90.0% versus 54.2%, P < 0.001) and hypertension (87.2% versus 64.7%, P < 0.001) was higher and the levels of systolic blood pressure (116.9 +/- 1.0 versus 120.1 +/- 0.2, P < 0.01) and serum cholesterol (198.3 +/- 2.7 versus 205.0 +/- 0.5, P < 0.05) were lower by covariance analysis.


CONCLUSIONS
The WKD campaign had a positive impact on the awareness and control of risk factors in CKD subjects but the absolute frequency of CKD awareness still remains undesirable in Korea. We need new campaign strategies to publicize the importance of early diagnosis and appropriate management of CKD.
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Ho Jun
HJ
Chin
Jeong Myeong
JM
Ahn
Ki Young
KY
Na
Dong-Wan
DW
Chae
Tae Woo
TW
Lee
Nam Joo
NJ
Heo
Suhnggwon
S
Kim
D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control*; D002908:Chronic Disease; D018450:Disease Progression; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea; D012307:Risk Factors