How to Apply the Pediatric Urinary-Screening Manual to Local Programs An Outlook from the Kyushu Council for In-School Examination

Abstract

The Kyushu Council for In-School Examination prepared the Standard Manual for School Urinary Screening in Kyushu in 2004 and has since promoted its use. In recent years, congenital anomalies of the kidney and urinary tract (CAKUT) accounted for many cases of pediatric chronic kidney disease in Japan; consequently, in-school urinary screening for CAKUT was proposed nationwide. The 5th edition of the Kyushu manual was revised to allow the introduction of urine beta-2 microglobulin/urine creatinine ratio screening and ultrasonography based on medical circumstances. As the use of ultrasonography, in particular, required training for non-specialized healthcare professionals, simple manuals and instructional video materials for CAKUT screening were prepared. Here we present the history of the Kyushu Council for In-School Examination over approximately 20 years, explaining its current activities, including aggregate results publicly disclosed annually and the role of in-school urinary screening in the detection of immunoglobulin A (IgA) nephropathy. The Kyushu Council for In-School Examination should be enhanced using Personal Health Records (PHRs) that contain school health-examination data to facilitate continued sharing of both examination results and the importance of in-school urinary screening.