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Updated: Jan 25, 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 globally, with significant disparities in detection and care. Addressing socioeconomic and political factors is crucial for achieving kidney health equity worldwide.
Area of Science:
- Public Health
- Nephrology
- Health Disparities
Background:
- Kidney disease is a major global health issue impacting over 750 million individuals.
- The burden and management of kidney disease vary significantly worldwide, with developing nations facing comparable or greater challenges.
- Socioeconomic, cultural, and political factors contribute to substantial disparities in kidney disease prevention, screening, care, and treatment, even in developed countries.
Purpose of the Study:
- To raise awareness of kidney disease disparities globally.
- To highlight the influence of public policies and organizational structures on kidney health.
- To identify opportunities for improving understanding and addressing kidney health inequities.
Main Methods:
- This is an editorial, not a research study; therefore, no specific methods were employed.
- The content is based on emerging evidence and existing knowledge regarding kidney disease burden and care disparities.
- The authors emphasize the role of public policies and organizational structures in addressing these issues.
Main Results:
- Significant disparities in kidney disease detection, treatment, and care exist globally.
- These disparities are influenced by socioeconomic, cultural, and political determinants.
- Developing countries face a substantial and often underestimated burden of kidney disease.
Conclusions:
- Addressing kidney health disparities requires a focus on public policies and organizational structures.
- Improving understanding of disparities is essential for developing effective interventions.
- Streamlining efforts toward global kidney health equity is a critical objective.
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...

