The Albumin-to-Creatinine Ratio (1$\text{ACR}$) is a highly sensitive and commonly used test to screen for early signs of kidney damage. It is performed on a urine sample and is often included in routine checkups for individuals at risk of kidney disease.
The ACR test is a primary screening tool because it can detect kidney damage years before a drop in the Glomerular Filtration Rate (GFR) or an elevation in serum creatinine is observed.