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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.
Kidney Diseases (Basel, Switzerland)
|April 26, 2019
Summary
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 worldwide.
- Significant disparities exist in kidney disease burden and care, influenced by socioeconomic, cultural, and political determinants.
- World Kidney Day 2019 aimed to increase awareness of these disparities and global capacity for kidney disease prevention and management.
Discussion:
- There is a critical need to enhance basic infrastructure for kidney care services globally.
- Early detection and management of acute kidney injury (AKI) and chronic kidney disease (CKD) require strengthened systems.
- Pragmatic approaches to renal replacement therapies are advocated for improved patient outcomes.
Key Insights:
- Kidney health equity is essential for achieving global health goals.
- Universal health coverage by 2030 must consider the specific needs of kidney patients.
- Tailoring kidney care strategies to local feasibility is vital for reducing disease burden.
Outlook:
- Focus on locally feasible solutions to reduce the burden and consequences of kidney disease.
- Advocacy for improved infrastructure and pragmatic renal replacement therapies.
- Integration of kidney health into broader universal health coverage initiatives.
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