Electronic Supplementary Material Table S1. Selected studies about screening programs for chronic kidney disease in children Country [reference] Japan [Murakami] Study period 1974-2002 Study population Taiwan [Lin] 1992-1996 Population-based 6-15 years of age 10,288,620 Korea [Cho] 1998-2004 Population-based 6-18 years of age 5,000,000 Australia [Haysom] 2002-2004 Selected population 4-14 years of age 2,266 Canada [Silverberg] China [Zhai] Finland [Vehaskari] Iran [Shajari] Mexico [Koshy] Pakistan [Jafar] Singapore [Ramirez] United Kingdom NA Selected population 5-14 years of age Selected population School age children Selected population 8-15 years of age Selected population 6-7 years of age Selected population 0-18 years of age Selected population 5-15 years of age Population-based 12 years of age Selected population 5-16 years of age 2003-2005 NA NA 2006-2007 1990-1994 1999-2000 1967-1969 Population-based 6-14 years of age Number of cases 300,000 – 600,000 per year Screening criteria Main findings Prevalence of Pu: 0.07% in 6-11 years, 0.35% in 12-14 years after 2nd screening 51,146 Urine dipstick positivity Referral for medical evaluation if 2 positive tests Heavy Pu (Pu > 100 mg/dl) CKD (SCr > 1.7 mg/dl) Urine dipstick positivity Referral for medical evaluation if 2 positive tests Urine dipstick positivity Albuminuria (urine albumine/creatinine ratio ≥ 3.4 mg/mmol) Urine dipstick positivity 46,171 Urine dipstick positivity 8,594 Urine dipstick positivity 1,601 Urine dipstick positivity 240 3,621 Urine dipstick positivity Calculated GFR Urine dipstick positivity Prevalence of Pu: 7.3% Prevalence of albuminuria: 7.3% Persistence of albuminuria at 2-year follow-up: 1.5% Prevalence of confirmed Pu: 0.5% in girls, 0.3% in boys Prevalence of Pu and/or Hu in 2 specimens: ~ 1% Prevalence of Pu: 2.5% in 2 specimens, 0.1% in 4 specimens Prevalence of Pu: 3.6%. Persistent Pu and/or Hu: 1.3% Persistent Pu and/or Hu: 16% CKD ≥ stage 3: 1.7% Prevalence of Pu: 3.3% 2,083 Urine dipstick positivity Prevalence of Pu: 1.3% 2,122 Urine dipstick positivity Prevalence of Pu: 0.8% in 2 specimens Prevalence of heavy Pu: 5.81x10-4 Prevalence of CKD: 0.18x10- 4 Prevalence of Pu: 0.2% [Meadow] United States [Mueller] 1988-1994 Representative selected population 8-18 years old 4,088 Albuminuria (urine albumine/creatinine ratio) Prevalence of albuminuria > 30 mg/g: 12% Prevalence of albuminuria > 200 mg/g: 2.4% Abbreviations: Pu proteinuria, Hu hematuria, SCr serum creatinine, CKD chronic kidney disease, RRT renal replacement therapy, NA not available Electronic Supplementary Material: References Murakami M, Hayakawa M, Yanagihara T, Hukunaga Y (2005) Proteinuria screening for children. Kidney Int Suppl:S23-27 Lin CY, Sheng CC, Chen CH, Lin CC, Chou P (2000) The prevalence of heavy proteinuria and progression risk factors in children undergoing urinary screening. Pediatr Nephrol 14:953-959 Cho BS, Kim SD (2007) School urinalysis screening in Korea. Nephrology (Carlton) 12:S3-7 Haysom L, Williams R, Hodson E, Lopez-Vargas P, Roy LP, Lyle D, Craig JC (2009) Risk of CKD in Australian indigenous and nonindigenous children: a population-based cohort study. Am J Kidney Dis 53:229-237 Silverberg DS, Allard MJ, Ulan RA, Beamish WE, Lentle BC, McPhee MS, Grace MG (1973) City-wide screening for urinary abnormalities in schoolgirls. Can Med Assoc J 109:981-985 Silverberg DS (1974) City-wide screening for urinary abnormalities in schoolboys. Can Med Assoc J 111:410-412 Zhai YH, Xu H, Zhu GH, Wei MJ, Hua BC, Shen Q, Rao J, Ge J (2007) Efficacy of urine screening at school: experience in Shanghai, China. Pediatr Nephrol 22:2073-2079 Vehaskari VM, Rapola J (1982) Isolated proteinuria: analysis of a school-age population. J Pediatr 101:661-668 Shajari A, Shajari H, Zade MH, Kamali K, Kadivar MR, Nourani F (2009) Benefit of urinalysis. Indian J Pediatr 76:639-641 Koshy SM, Garcia-Garcia G, Pamplona JS, Renoirte-Lopez K, Perez-Cortes G, Gutierrez ML, Hemmelgarn B, Lloyd A, Tonelli M (2009) Screening for kidney disease in children on World Kidney Day in Jalisco, Mexico. Pediatr Nephrol 24:1219-1225 Jafar TH, Chaturvedi N, Hatcher J, Khan I, Rabbani A, Khan AQ, Portman R, Schmid CH, Levey AS (2005) Proteinuria in South Asian children: prevalence and determinants. Pediatr Nephrol 20:1458-1465 Ramirez SP, Hsu SI, McClellan W (2001) Low body weight is a risk factor for proteinuria in multiracial Southeast Asian pediatric population. Am J Kidney Dis 38:1045-1054 Meadow SR, White RH, Johnston NM (1969) Prevalence of symptomless urinary tract disease in Birmingham schoolchildren. I. Pyuria and bacteriuria. Br Med J 3:81-84 Mueller PW, Caudill SP (1999) Urinary albumin excretion in children: factors related to elevated excretion in the United States population. Ren Fail 21:293-302