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Published on: June 16, 2014
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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.
Clinical Kidney Journal
|April 13, 2019
Summary
Kidney disease affects over 750 million people globally, with significant disparities in detection and treatment due to socio-economic factors. Strengthening global kidney care infrastructure is crucial for early detection, management, and equitable access to therapies.
Area of Science:
- Public Health
- Nephrology
- Global Health Disparities
Background:
- Kidney disease is a major global health issue impacting over 750 million individuals worldwide.
- Significant disparities exist in kidney disease burden, detection, and treatment influenced by socio-economic, cultural, and political factors.
- Limited global capacity for prevention and management of kidney disease is evident in many countries.
Purpose of the Study:
- To raise awareness of kidney disease and its global burden.
- To highlight disparities in kidney disease care and global capacity for prevention and management.
- To advocate for improved kidney care infrastructure and pragmatic approaches to renal replacement therapies.
Main Methods:
- Review of global kidney disease burden and care provision.
- Analysis of disparities in detection, treatment, and access to healthcare.
- Examination of existing infrastructure for kidney care services.
Main Results:
- Many countries lack essential diagnostics, trained nephrology workforce, and universal primary healthcare access.
- Access to renal replacement therapies is limited in numerous global settings.
- Significant gaps exist in early detection and management of acute kidney injury and chronic kidney disease.
Conclusions:
- Strengthening basic kidney care infrastructure is essential for early detection and management of kidney disease.
- Pragmatic approaches to renal replacement therapies are needed globally.
- Achieving kidney health equity requires understanding country-specific needs and focusing on feasible interventions within universal health coverage goals.
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