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bmjopen-2018-026510. India is witnessing a disturbing growth in non-communicable diseases (NCDs), including chronic kidney disease (CKD). Recently, a WHO STEPS survey was conducted in the state of Punjab, India to collect data from the adult population on NCD risk factors. We sought to compare the prevalence of CKD and its risk factors between this large state in northern India and the USA. Samples were drawn from both locations, Punjab, India and the USA, using multistage stratified sampling designs to collect data representative of th