Chronic kidney disease in disadvantaged populations |
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Authors: | G Garcia-Garcia V Jha |
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Institution: | 1.Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center, Guadalajara, Mexico;2.Postgraduate Institute of Medical Education and Research, Chandigarh, India;3.George Institute for Global Health, New Delhi, India;4.University of Oxford, Oxford, UK |
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Abstract: | The increased burden of chronic kidney disease (CKD) in disadvantaged populations is
due to both global factors and population-specific issues. Low socioeconomic status
and poor access to care contribute to health care disparities and exacerbate the
negative effects of genetic or biological predisposition. Provision of appropriate
renal care to these populations requires a two-pronged approach: expanding the reach
of dialysis through development of low-cost alternatives that can be practiced in
remote locations, and implementation and evaluation of cost-effective prevention
strategies. Kidney transplantation should be promoted by expansion of deceased donor
transplant programs and use of inexpensive, generic immunosuppressive drugs. The
message of World Kidney Day 2015 is that a concerted attack against the diseases that
lead to end-stage renal disease, by increasing community outreach, better education,
improved economic opportunity, and access to preventive medicine for those at highest
risk, could end the unacceptable relationship between CKD and disadvantage in these
communities. |
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