Kidney Health Disparities in People with Severe Mental Health Issues
Author Information
Author(s): Cogley Clodagh, Smith-Jones Mimi, Ralston Elizabeth R., Bramham Jessica, Chilcot Joseph, D’Alton Paul, Carswell Claire, Sin Fai Lam Chun Chiang, Ratnam Ashutosh, Al-Agil Mohammad, Cairns Hugh, Etuk Kufreabasi Imo, Bramham Kate
Primary Institution: King’s College London
Hypothesis
What are the rates of severe mental health difficulty diagnoses in people with CKD?
Conclusion
People with severe mental health difficulties have shorter lifespans and may receive suboptimal kidney care compared to those without these difficulties.
Supporting Evidence
- Individuals with severe mental health difficulties had a mean lifespan 13.1 years shorter than those without.
- 2.2% of the cohort had a recorded severe mental health difficulty diagnosis.
- People with severe mental health difficulties were less likely to receive a kidney transplant.
- Those with severe mental health difficulties had more advanced CKD at their first nephrology appointment.
- Emergency and ICU admissions were higher among individuals with severe mental health difficulties.
Takeaway
People with serious mental health problems often have worse kidney health and live shorter lives than those without these issues.
Methodology
Retrospective cohort analysis of individuals with CKD attending a tertiary renal unit in London from 2006 to 2019.
Potential Biases
Potential misidentification of severe mental health difficulties due to varying accuracy in electronic health records.
Limitations
The study was limited to a single renal unit population and may not represent all individuals with CKD.
Participant Demographics
The cohort included 5105 individuals, with 2.2% having severe mental health difficulties, including a higher proportion of women.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI 8.62, 17.55
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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