Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»308410.69541/NRIPH.2025.04.001Научная статьяOn the detection of CKD in children within the framework of mandatory preventive examinationsТелятниковНикита Александровичnephrolognikitaalex@gmail.comРощинДенис Олеговичdroshchin2@gmail.comПлутницкийАндрей Николаевичplutnitsky@gmail.comBiomedical University of Innovation and Continuing Education FSBI «SSC FMBC im. A. I. Burnazyan» FMBA of Russia, MoscowN. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation2911202545801122025Copyright © 2025,2025The aim of the study was to evaluate the effectiveness of detecting chronic kidney disease (CKD) in children as part of mandatory preventive examinations. A retrospective analysis of 310 outpatient cards of children with CKD from two childrens clinics in Moscow was conducted. The study groups were divided by the degree of preventive examination: fully (≥90% of events), partially (50—90%) and not completed (lt;50%). The stages of CKD at the time of detection were assessed, as well as key risk factors: congenital malformations of the urinary system (CMU), proteinuria, arterial hypertension (AH) and recurrent urinary tract infections (UTIs). In children who underwent a full examination, CKD at stages 1—2 was detected in 88.2% of cases, while in the group without examination — only in 72.2%. At late stages (4—5), the disease was diagnosed in 0.8% with a full examination versus 17.8% without it. The main risk factors for CKD were: congenital malformations of the compulsory medical insurance (66.7%), recurrent UTIs (73.3%), proteinuria (17.5%), hypertension (15.8%). Conclusions: 1. Compliance with the regulations for preventive examinations significantly increases the detection of CKD in the early stages. 2. The presence of congenital malformations of the compulsory medical insurance, proteinuria and recurrent UTIs allows the formation of risk groups for in-depth examination.chronic kidney disease, children, preventive examinations, early diagnosis, risk factorsхроническая болезнь почек, дети, профилактические осмотры, ранняя диагностика, факторы риска1.Сабирова А. В., Волосников Д. К., Волянский А. М., Якимов А. В., Корниловская Е. В. Информационно-аналитический журнал. 2012;(1):111.2.Коровина Н. А., Захарова И. Н., Мумладзе Э. Б., Свинцицкая В. И. Циститы у детей: этиология, клиника, диагностика и лечение. М.; 2012.3.Отчет по данным Общероссийского Регистра заместительной почечной терапии Российского диализного общества 2014—2018 г.4.Yuksel A., Batukan C. Sonographic findings of fetuses with an empty renal fossa and normal amniotic fluid volume. Fetal diagnosis and therapy. 2004;19(6):525—532. DOI: 10.1159/0000801665.Warady B. A. et al. Predictors of rapid progression of glomerular and nonglomerular kidney disease in children and adolescents: the chronic kidney disease in children (CKiD) cohort. American Journal of Kidney Diseases. 2015;65(6):878—888. DOI: 10.1053/j.ajkd.2015.01.0086.Fathallah-Shaykh S. A. et al. Progression of pediatric CKD of nonglomerular origin in the CKiD cohort. Clinical Journal of the American Society of Nephrology. 2015;10(4):571—577. DOI: 10.2215/CJN.07480714