{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T09:06:21Z","timestamp":1783933581787,"version":"3.55.0"},"reference-count":29,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Centro de Salud Renal, Seguro Social en Salud"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Sciences"],"abstract":"<jats:p>Background: Chronic kidney disease (CKD) is a major public health problem, primarily affecting patients with diabetes mellitus and\/or hypertension. Early detection is critical to delay progression to renal replacement therapy. Therefore, this study aims to evaluate the implementation of a digital module for CKD detection in at-risk patients within the Peruvian Social Health Insurance system (EsSalud) during 2024. Materials and Methods: Data were collected through the Renal Health Module (MOSARE), a digital tool integrated into EsSalud\u2019s electronic health record for monitoring patients at risk of CKD. Key indicators were assessed using the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance. Quantitative analyses evaluated patient identification, screening, and diagnosis, while qualitative analyses of technical documents identified barriers, facilitators, and stakeholder perceptions. Results: In 2024, MOSARE was implemented in a population of 1,667,856 insured individuals with CKD-related risk conditions, predominantly women (55.7%) and adults aged &gt;55 years (88.3%). Nationwide, 93,266 patients were screened (5.59% reach), with 34.3% diagnosed with CKD. Screening coverage showed substantial geographic variability (0.35\u201329.59%). A total of 32,004 CKD cases were identified, with 84.2% in early stages (1\u20133A). Adoption reached 66.8% of level I and II healthcare facilities, with variability across networks. Regarding maintenance, 65% of trained facilities sustained active use. Implementation gaps were associated with interoperability issues, resource limitations, and training variability. Conclusions: MOSARE proved to be a feasible and operationally sensitive tool for CKD screening and risk identification, improving integration of renal care. However, addressing technical, training, and resource barriers is essential to ensure sustainability and scalability.<\/jats:p>","DOI":"10.3390\/medsci14030373","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:01:37Z","timestamp":1783339297000},"page":"373","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru\u2019s Social Health System"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0677-6697","authenticated-orcid":false,"given":"Percy Allan","family":"Vidal Orbegozo","sequence":"first","affiliation":[{"name":"Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizbeth Carmen","family":"Arce Gallo","sequence":"additional","affiliation":[{"name":"Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel Julia","family":"Alamo Palomino","sequence":"additional","affiliation":[{"name":"Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madelaine Huanca","family":"Roca","sequence":"additional","affiliation":[{"name":"Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juana Eliza Orme\u00f1o","family":"Galarza","sequence":"additional","affiliation":[{"name":"Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayana","family":"Ticona-Ti\u00f1a","sequence":"additional","affiliation":[{"name":"ONG Innovation and Science for the Care and Support of Society\u2013INNOVACARE, Lima 15023, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis Randy Loayza","family":"Arroyo","sequence":"additional","affiliation":[{"name":"ONG Innovation and Science for the Care and Support of Society\u2013INNOVACARE, Lima 15023, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7372-2608","authenticated-orcid":false,"given":"Alexis German","family":"Murillo Carrasco","sequence":"additional","affiliation":[{"name":"Organization for Medical Innovation and Collaboration for Sciences\u2014OMICS, Lima 15072, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5650-9998","authenticated-orcid":false,"given":"Mois\u00e9s","family":"Apolaya-Segura","sequence":"additional","affiliation":[{"name":"Instituto de Evaluaci\u00f3n de Tecnolog\u00edas en Salud e Investigaci\u00f3n (IETSI), Seguro Social de Salud (EsSalud), Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daysi Zulema","family":"Diaz-Obreg\u00f3n","sequence":"additional","affiliation":[{"name":"ONG Innovation and Science for the Care and Support of Society\u2013INNOVACARE, Lima 15023, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2026, June 16). 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