Underutilization of albuminuria screening in adults with diabetes mellitus or hypertension: a systematic review and meta-analysis.

ABSTRACT:

Background

Guidelines recommend routine urine albumin-to-creatinine ratio (uACR) screening in patients with diabetes (annual) and hypertension (at least once, with follow-up annually if CKD is found). However, real-world adherence remains uncertain and appears suboptimal. This study aimed to quantify the global prevalence of albuminuria testing in high-risk adults with hypertension and/or diabetes.

Methods

We conducted a systematic review and meta-analysis of observational studies reporting the proportion of adults with diabetes mellitus, hypertension, or both who underwent albuminuria testing in routine care. Multiple databases were searched through Web of Science, PubMed, Google Scholar, and Scopus. Pooled uACR testing prevalence was calculated using random-effects meta-an

SUBMITTER: Albekery MA 

PROVIDER: S-EPMC12781434 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature