Abstract: Objective:To investigate the current status  of  screening  for  newly  diagnosed Chronic  Kidney  Disease (CKD)  among  the  population  seeking  medical  care  in  a  specific  community  in  Chengdu,  and  to  explore  the  primary influencing factors of  its  occurrence,  thereby  providing  objective  evidence  for  community⁃based  prevention  and  control  of chronic kidney disease.    Methodology:A retrospective analysis was conducted on the data of patients who visited the clinic and signed family doctor service contracts between April 17, 2014, and April 16, 2023. The diagnostic criteria for Chronic Kidney  Disease (CKD) were as follows: (1) Renal damage lasting for≥3 months; (2) Two consecutive eGFR values <60 mL/(min·1.73 m2 )  with an interval ≥3 months; (3)  Two consecutive urine microalbumin ≥30 mg/g with an interval ≥3 months. Patients with a prior diagnosis of CKD, missing data, and those aged≤18 years were excluded. Univariate and multivariate Logistic  regression  analyses  were  performed  to  screen  for  independent  factors  influencing  the  occurrence  of CKD.    Results:A total of 8 114 individuals  from the  community  were  included, with 93.65%  belonging  to  the  high⁃risk group for  CKD.  The  most  common  risk  factors  for  CKD  among  them  were  advanced  age  (74.11%),  hypertension (67.50%),  obesity  (51.85%),  and  diabetes  (32.09%).  Among  the  6, 086  participants  who  completed  the  kidney screening, a total of 357 (5.87%)  were diagnosed with CKD. Of these, 82.91%  were in the early stages (G1, G2); 58 patients (16.25%)  had an estimated glomerular  filtration rate  (eGFR)  of  less  than 60  mL/(min·1.73  m2 ), and 299 patients (83.75%)  had abnormal urine protein levels.  The incidence of CKD was higher  in individuals  with hypertension compared to those without (P<0.01); similarly, the incidence was higher in those with diabetes compared to those without diabetes (P < 0.01).     Conclusion: Hypertension  and  diabetes  are  contributing  factors  to  the  development  of  CKD.  The incidence of  CKD  is  higher  in  populations  with  older  age  and  underlying  medical  conditions.  Differences  in  detection methods can affect the rate of CKD identification.

Key words: chronic kidney disease   , community screening   , influencing factors   , Chengdu