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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.

Original publication

DOI

10.1590/1414-431X20144519

Type

Journal article

Journal

Braz J Med Biol Res

Publication Date

05/2015

Volume

48

Pages

377 - 381

Keywords

Birth Weight, Health Services Accessibility, Healthcare Disparities, Humans, Incidence, Kidney Transplantation, Preventive Medicine, Renal Insufficiency, Chronic, Renal Replacement Therapy, Risk Factors, Socioeconomic Factors, Vulnerable Populations