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Institutionalized racism and end-stage renal disease: is its impact real or illusionary?
Abstract:
Racism is the subjugation of one group (superior) over another (inferior) and may be divided into two categories: overt (gross) and covert. Covert racism (subconscious) is categorized as institutionalized racism. Although institutionalized racism is a more tolerant and restrained practice of this superior/inferior ethnic construct in which African Americans or other people of color are treated as inferiors, it has led to important health disparities between blacks and whites. One area where its mark is most indelible is in the treatment of end-stage renal disease (ESRD).
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...