Socioeconomic Disparities in Chronic Kidney Disease

Overview

Journal Adv Chronic Kidney Dis

Specialty Nephrology

Date 2015 Jan 10

PMID 25573507

Citations 100

Authors

Susanne B Nicholas

Kamyar Kalantar-Zadeh

Keith C Norris

Affiliations

Soon will be listed here.

Abstract

CKD is a national public health problem that afflicts persons of all segments of society. Although racial/ethnic disparities in advanced CKD including dialysis-dependent populations have been well established, the finding of differences in CKD incidence, prevalence, and progression across different socioeconomic groups and racial and ethnic strata has only recently started to receive significant attention. Socioeconomics may exert both interdependent and independent effects on CKD and its complications and may confound racial and ethnic disparities. Socioeconomic constellations influence not only access to quality care for CKD risk factors and CKD treatment but may mediate many of the cultural and environmental determinants of health that are becoming more widely recognized as affecting complex medical disorders. In this article, we have reviewed the available literature pertaining to the role of socioeconomic status and economic factors in both non-dialysis-dependent CKD and ESRD. Advancing our understanding of the role of socioeconomic factors in patients with or at risk for CKD can lead to improved strategies for disease prevention and management.

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References

Kurella-Tamura M, Goldstein B, Hall Y, Mitani A, Winkelmayer W . State medicaid coverage, ESRD incidence, and access to care. J Am Soc Nephrol. 2014; 25(6):1321-9. PMC: 4033371. DOI: 10.1681/ASN.2013060658. View

Martins D, Agodoa L, Norris K . Kidney disease in disadvantaged populations. Int J Nephrol. 2012; 2012:469265. PMC: 3332203. DOI: 10.1155/2012/469265. View

Crews D, Charles R, Evans M, Zonderman A, Powe N . Poverty, race, and CKD in a racially and socioeconomically diverse urban population. Am J Kidney Dis. 2010; 55(6):992-1000. PMC: 2876201. DOI: 10.1053/j.ajkd.2009.12.032. View

Hall Y, Choi A, Himmelfarb J, Chertow G, Bindman A . Homelessness and CKD: a cohort study. Clin J Am Soc Nephrol. 2012; 7(7):1094-102. PMC: 3386666. DOI: 10.2215/CJN.00060112. View

Hall Y, Choi A, Chertow G, Bindman A . Chronic kidney disease in the urban poor. Clin J Am Soc Nephrol. 2010; 5(5):828-35. PMC: 2863975. DOI: 10.2215/CJN.09011209. View

Fraser S, Roderick P, Casey M, Taal M, Yuen H, Nutbeam D . Prevalence and associations of limited health literacy in chronic kidney disease: a systematic review. Nephrol Dial Transplant. 2012; 28(1):129-37. DOI: 10.1093/ndt/gfs371. View

Nissenson A, Maddux F, Velez R, Mayne T, Parks J . Accountable care organizations and ESRD: the time has come. Am J Kidney Dis. 2012; 59(5):724-33. DOI: 10.1053/j.ajkd.2012.02.004. View

Friedman D, Pollak M . Genetics of kidney failure and the evolving story of APOL1. J Clin Invest. 2011; 121(9):3367-74. PMC: 3163957. DOI: 10.1172/JCI46263. View

Rettig R, Norris K, Nissenson A . Chronic kidney disease in the United States: a public policy imperative. Clin J Am Soc Nephrol. 2008; 3(6):1902-10. DOI: 10.2215/CJN.02330508. View

10.

Hamm L, Hostetter T, Shaffer R . Considering an integrated nephrology care delivery model: six principles for quality. Clin J Am Soc Nephrol. 2012; 8(4):682-6. PMC: 5024358. DOI: 10.2215/CJN.04460512. View

11.

Patzer R, Amaral S, Wasse H, Volkova N, Kleinbaum D, McClellan W . Neighborhood poverty and racial disparities in kidney transplant waitlisting. J Am Soc Nephrol. 2009; 20(6):1333-40. PMC: 2689891. DOI: 10.1681/ASN.2008030335. View

12.

Bruce M, Beech B, Sims M, Brown T, Wyatt S, Taylor H . Social environmental stressors, psychological factors, and kidney disease. J Investig Med. 2009; 57(4):583-9. PMC: 2824501. DOI: 10.2310/JIM.0b013e31819dbb91. View

13.

Volkova N, McClellan W, Klein M, Flanders D, Kleinbaum D, Soucie J . Neighborhood poverty and racial differences in ESRD incidence. J Am Soc Nephrol. 2007; 19(2):356-64. PMC: 2396744. DOI: 10.1681/ASN.2006080934. View

14.

Calderon J, Shaheen M, Hays R, Fleming E, Norris K, Baker R . Improving Diabetes Health Literacy by Animation. Diabetes Educ. 2014; 40(3):361-372. PMC: 6309339. DOI: 10.1177/0145721714527518. View

15.

Schroeder S . Shattuck Lecture. We can do better--improving the health of the American people. N Engl J Med. 2007; 357(12):1221-8. DOI: 10.1056/NEJMsa073350. View

16.

Rostand S, Kirk K, Rutsky E, Pate B . Racial differences in the incidence of treatment for end-stage renal disease. N Engl J Med. 1982; 306(21):1276-9. DOI: 10.1056/NEJM198205273062106. View

17.

Dwivedi R, Herman J, McCaffrey T, Raj D . Beyond genetics: epigenetic code in chronic kidney disease. Kidney Int. 2010; 79(1):23-32. PMC: 3867804. DOI: 10.1038/ki.2010.335. View

18.

Hall Y, Rodriguez R, Boyko E, Chertow G, OHare A . Characteristics of uninsured Americans with chronic kidney disease. J Gen Intern Med. 2009; 24(8):917-22. PMC: 2710472. DOI: 10.1007/s11606-009-1028-3. View

19.

Peralta C, Ziv E, Katz R, Reiner A, Burchard E, Fried L . African ancestry, socioeconomic status, and kidney function in elderly African Americans: a genetic admixture analysis. J Am Soc Nephrol. 2006; 17(12):3491-6. DOI: 10.1681/ASN.2006050493. View

20.

Evans K, Coresh J, Bash L, Gary-Webb T, Kottgen A, Carson K . Race differences in access to health care and disparities in incident chronic kidney disease in the US. Nephrol Dial Transplant. 2010; 26(3):899-908. PMC: 3108345. DOI: 10.1093/ndt/gfq473. View