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Inequalities in access to pediatric ESRD care: a global health challenge

Jérôme Harambat1,2, Pepe Mfutu Ekulu3,4

  • 1Unité de Néphrologie Pédiatrique, Service de Pédiatrie, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France. jerome.harambat@chu-bordeaux.fr.

Pediatric Nephrology (Berlin, Germany)
|December 3, 2015
PubMed

Insights

Global disparities exist in pediatric kidney transplantation access. Addressing these inequalities in pediatric renal replacement therapy (RRT) is crucial for improving child health outcomes worldwide.

Area of Science:

  • Pediatric Nephrology
  • Global Health Equity
  • Renal Replacement Therapy

Background:

  • Chronic kidney disease (CKD) is a significant global health concern in children, leading to mortality and disability.
  • Advances in CKD management have increased the demand for pediatric renal replacement therapy (RRT) globally.
  • Existing studies reveal significant regional disparities in access to pediatric kidney transplantation.

Discussion:

  • This review examines the global burden of end-stage renal disease (ESRD) in children.
  • It assesses the worldwide need for and provision of pediatric RRT.
  • Inequalities in pediatric renal care access, both between and within countries, are a primary focus.

Key Insights:

  • Significant disparities in access to pediatric kidney transplantation exist, even within countries.
  • The global provision of RRT for children does not meet the growing demand.
  • Unequal access to essential pediatric renal care is a critical issue that requires immediate attention.

Outlook:

  • Reducing global inequalities in pediatric RRT access is a complex challenge.
  • Increased awareness and targeted interventions are necessary to address these disparities.
  • Effective policies are essential to ensure equitable access to life-saving renal care for children worldwide.

Keywords:
ChildrenChronic kidney diseaseDeveloping countriesEnd-stage renal diseaseHealth inequalities

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