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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, Baltimore, Maryland, USA.
Journal of Renal Care
|February 21, 2019
Summary
Kidney disease affects over 750 million people globally, with significant disparities in care due to socio-economic and political factors. Strengthening infrastructure for early detection and management is crucial for kidney health equity.
Area of Science:
- Public Health
- Nephrology
- Global Health Equity
Background:
- Kidney disease is a major global health issue impacting over 750 million individuals worldwide.
- Significant disparities exist in kidney disease burden and care, influenced by socio-economic, cultural, and political determinants.
- World Kidney Day 2019 emphasized raising awareness of these disparities and the global capacity for kidney disease prevention and management.
Purpose of the Study:
- To highlight the global disparities in kidney disease burden and care.
- To advocate for improved infrastructure for early detection and management of kidney diseases.
- To promote pragmatic approaches for renal replacement therapies and kidney health equity.
Main Methods:
- Review of global kidney disease burden and care disparities.
- Analysis of current global capacity for kidney disease prevention and management.
- Advocacy for infrastructure development and pragmatic renal replacement therapy strategies.
Main Results:
- Kidney disease burden and care vary substantially worldwide, marked by significant disparities.
- There is a critical need to strengthen basic infrastructure for kidney care services globally.
- Pragmatic approaches to renal replacement therapies are needed to address varying capacities.
Conclusions:
- Strengthening infrastructure is essential for early detection and management of acute kidney injury and chronic kidney disease.
- Achieving kidney health equity requires locally feasible strategies focused on reducing disease burden.
- Universal health coverage goals should incorporate essential elements of kidney care to ensure equitable access.
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