Disparities in kidney care in vulnerable populations: A multinational study from the ISN-GKHA
2024

Disparities in Kidney Care for Vulnerable Populations

Sample size: 167 publication Evidence: high

Author Information

Author(s): Erickson Robin L., Kamath Nivedita, Iyengar Arpana, Ademola Adebowale, Esezobor Christopher, Lalji Rowena, Hedin Erin, Arruebo Silvia, Caskey Fergus J., Damster Sandrine, Donner Jo-Ann, Jha Vivekanand, Levin Adeera, Nangaku Masaomi, Saad Syed, Tonelli Marcello, Ye Feng, Okpechi Ikechi G., Bello Aminu K., Johnson David W.

Primary Institution: International Society of Nephrology

Hypothesis

How does access to kidney care differ for vulnerable populations across various countries?

Conclusion

The study found significant inequities in access to kidney care for vulnerable populations, particularly children and refugees.

Supporting Evidence

  • Children had less access to kidney replacement therapies than adults in many countries.
  • Refugees faced significant barriers to accessing kidney care in numerous countries.
  • Low-income countries were less likely to provide kidney care access to refugees compared to high-income countries.
  • Only 61% of countries routinely offered kidney disease testing to elderly individuals.

Takeaway

This study shows that kids and refugees often can't get the kidney care they need, which is a big problem in many countries.

Methodology

The study used data from an international survey of clinicians, policymakers, and patient advocates to assess kidney care access for vulnerable populations.

Potential Biases

Potential biases may arise from the self-selection of survey respondents and the subjective nature of responses.

Limitations

The study's findings may not fully represent all countries due to varying response rates and the reliance on self-reported data.

Participant Demographics

The survey included responses from 167 countries, representing diverse income levels and regions.

Digital Object Identifier (DOI)

10.1371/journal.pgph.0004086

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