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Chronic kidney disease in disadvantaged populations
G Garcia-Garcia1, V Jha2,
1Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center, Guadalajara, Mexico.
Summary
Chronic kidney disease (CKD) disproportionately affects disadvantaged groups due to socioeconomic factors and limited healthcare access. Addressing CKD requires accessible dialysis, cost-effective prevention, and promoting kidney transplantation to reduce health disparities.
Area of Science:
- Nephrology
- Public Health
- Health Disparities
Background:
- Chronic kidney disease (CKD) presents a significant global health challenge, with a disproportionately higher burden in socioeconomically disadvantaged populations.
- Factors such as low socioeconomic status, limited access to healthcare, and genetic predispositions exacerbate health disparities in CKD.
- Addressing the inequitable impact of CKD requires tailored strategies for vulnerable communities.
Purpose of the Study:
- To outline a comprehensive approach for managing and preventing chronic kidney disease (CKD) in disadvantaged populations.
- To highlight the need for accessible renal care solutions, including low-cost dialysis and effective prevention strategies.
- To advocate for policy changes promoting kidney transplantation and addressing socioeconomic determinants of CKD.
Main Methods:
- Review of global and population-specific factors contributing to CKD burden.
- Analysis of healthcare disparities related to socioeconomic status and access to care.
- Proposal of a two-pronged approach: expanding dialysis accessibility and implementing cost-effective prevention.
- Recommendations for promoting kidney transplantation through expanded donor programs and affordable immunosuppression.
Main Results:
- Disadvantaged populations face a greater burden of CKD due to a complex interplay of socioeconomic and biological factors.
- Current renal care models are insufficient for reaching remote and underserved communities.
- A multi-faceted strategy involving accessible treatments, prevention, and transplantation is crucial for mitigating CKD disparities.
Conclusions:
- Ending the unacceptable link between CKD and disadvantage necessitates a concerted, community-focused effort.
- Key interventions include enhancing community outreach, education, economic opportunities, and access to preventive medicine.
- Promoting kidney transplantation and developing low-cost dialysis alternatives are vital components of equitable CKD care.
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