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Updated: Jan 28, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 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, Baltimore, Maryland, USA, dcrews1@jhmi.edu.
Kidney disease affects over 750 million people globally, with significant disparities in care due to socioeconomic and political factors. Strengthening global kidney care infrastructure is crucial for early detection, management, and achieving 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.
- Disparities in kidney disease prevalence and care are influenced by socioeconomic, cultural, and political determinants.
- World Kidney Day 2019 aimed to increase awareness of kidney disease burden and global care disparities.
Discussion:
- Essential to enhance basic infrastructure for kidney care services globally.
- Focus on early detection and management of acute kidney injury (AKI) and chronic kidney disease (CKD).
- Advocacy for pragmatic approaches to renal replacement therapies is needed.
Key Insights:
- Kidney health equity requires addressing disparities in prevention and management.
- Strengthening infrastructure is vital for early detection and treatment of kidney conditions.
- Tailored, locally feasible strategies are necessary for effective kidney care.
Outlook:
- Achieving universal health coverage by 2030 is a key Sustainable Development Goal.
- Integrating kidney care within universal health coverage requires context-specific solutions.
- Prioritizing kidney health equity is essential for global health improvement.
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...

