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Published on: December 2, 2014
Burden, access, and disparities in kidney disease
Deidra C Crews1,2,3, Aminu K Bello4, Gamal Saadi5
1Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, 301 Mason F. Lord Drive, Suite 2500, Baltimore, MD, 21224, USA. dcrews1@jhmi.edu.
Kidney disease impacts over 750 million globally, with significant disparities in detection and care due to socio-economic factors. Strengthening infrastructure and adopting pragmatic approaches are crucial for kidney health equity worldwide.
Area of Science:
- Public Health
- Nephrology
- Global Health Disparities
Background:
- Kidney disease is a major global health issue affecting 750 million+, with care disparities influenced by socio-economic, cultural, and political factors.
- World Kidney Day 2019 highlighted the unequal burden of kidney disease and global capacity gaps in prevention and management.
- Many nations lack essential diagnostics, a skilled nephrology workforce, universal primary healthcare, and renal replacement therapies.
Discussion:
- Significant disparities exist in kidney disease detection, treatment, and overall care globally.
- Socio-economic, cultural, and political determinants significantly influence kidney disease prevalence and management.
- Addressing these disparities requires a focus on strengthening healthcare infrastructure and ensuring equitable access to care.
Key Insights:
- Global kidney disease burden is substantial and unevenly distributed.
- Lack of basic diagnostics, trained workforce, and treatment access exacerbates kidney disease impact.
- Pragmatic approaches to renal replacement therapies are needed.
Outlook:
- Strengthening healthcare infrastructure is vital for early detection and management of acute kidney injury and chronic kidney disease.
- Achieving kidney health equity necessitates tailored, feasible strategies for renal replacement therapies.
- Progress towards universal health coverage by 2030 must incorporate essential kidney care elements for global health equity.
Related Concept Videos
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease III: Interprofessional Care
Chronic Kidney Disease IV: Nursing Management
Kidney Structure
External Anatomy of the Kidney
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...

