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The increased burden of 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 biologic predisposition. Provision of appropriate renal care to these populations requires a two-pronged approach: expansion of 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 WKD 2015 is that a concerted attack against the diseases that lead to ESRD, by increased 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

10.1038/ki.2014.369

Type

Journal article

Journal

Kidney Int

Publication Date

02/2015

Volume

87

Pages

251 - 253

Keywords

Developed Countries, Developing Countries, Health Services Accessibility, Healthcare Disparities, Humans, Infant, Low Birth Weight, Infant, Newborn, Poverty, Renal Insufficiency, Chronic, Renal Replacement Therapy, Risk Factors, Vulnerable Populations