Policy in Pediatric Nephrology: Successes, Failures, and the Impact on Disparities
Overview
Pediatrics
Affiliations
Pediatric nephrology has a history rooted in pediatric advocacy and has made numerous contributions to child health policy affecting pediatric kidney diseases. Despite this progress, profound social disparities remain for marginalized and socially vulnerable children with kidney disease. Different risk factors, such as genetic predisposition, environmental factors, social risk factors, or health care access influence the emergence and progression of pediatric kidney disease, as well as access to life-saving interventions, leading to disparate outcomes. This review will summarize the breadth of literature on social determinants of health in children with kidney disease worldwide and highlight policy-based initiatives that mitigate the adverse social factors to generate greater equity in pediatric kidney disease.
Screening of social determinants of health in pediatric nephrology clinic: a pilot program.
Krissberg J, Fishbein J, Verghese P Pediatr Nephrol. 2024; 40(4):1121-1122.
PMID: 39511035 DOI: 10.1007/s00467-024-06575-3.
Ashruf O, Ashruf Z, Luyckx V, Kaelber D, Sethi S, Raina R JAMA Netw Open. 2024; 7(10):e2440988.
PMID: 39470639 PMC: 11522937. DOI: 10.1001/jamanetworkopen.2024.40988.
Social Deprivation and Incidence of Pediatric Kidney Failure in France.
Driollet B, Couchoud C, Bacchetta J, Boyer O, Hogan J, Morin D Kidney Int Rep. 2024; 9(7):2269-2277.
PMID: 39081742 PMC: 11284436. DOI: 10.1016/j.ekir.2024.04.042.
Socioeconomic Position and Health Among Children and Adolescents With CKD Across the Life-Course.
van Zwieten A, Kim S, Dominello A, Guha C, Craig J, Wong G Kidney Int Rep. 2024; 9(5):1167-1182.
PMID: 38707834 PMC: 11068961. DOI: 10.1016/j.ekir.2024.01.042.
Advancing equitable access to care and optimal medication practice. World Kidney Day 2024.
McCarthy F, Bonilla-Felix M Pediatr Nephrol. 2024; 39(8):2279-2282.
PMID: 38532035 DOI: 10.1007/s00467-024-06353-1.