The true incidence and prevalence of CKD(chronic kidney disease) within a community are difficult to ascertain because early to moderate CKD is usually asymptomatic. It is a slowly progressive disease that

puts a significant burden on global resources.  Screening at–risk individuals for CKD to permit earlier detection of CKD, allowing interventions aimed at slowing its progression is the most practical solution. Aim: To study the Etiological and Demographic profile of patient s of  CKD on Hemodialysis from HD (Hemodialysis )centre ACSR Govt Hospital,Nellore.

Methods: This is a retrospective hospital based study. Data was collected from January 2016 and January 2018 from records of  patients attending  Hemodialysis unit ACSR,Govt,Medical College/Hospital, Nellore.

Results:  Total 65 patients were enrolled were HD,of which 49 were males( 75.38%),16 were females (24.61%),the most common risk factor being hypertension,n=34(52.30%),followed by Diabetes n=9(13.8%),both hypertension and diabetes was present in n=14(21.58%),NSAID abuse was present in n=7(10.76%).93.84% were from rural areas and only 6.1% were from urban areas. Most of the patients were from low socio economic status and were illiterates.

Conclusion: Increased awareness of the detrimental and multiplicative effect of CKD its morbid­ity and mortality   is needed in rural areas. Screening of at–risk individuals for CKD to permit earlier detection   should be made available in all Primary Health care Units allowing early intervention and slowing of progression of CKD.