Is the Ethnic Disparity in CKD a Symptom of Dysfunctional Primary Care in the US?

Wesson, Donald E.

doi:10.1681/asn.2008050478

Cited by 2 publications

(1 citation statement)

References 35 publications

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“…Thus, geographic distance from health care may be a contributing factor, though the high incident rate of non-diabetic ESRD among West Virginians remains largely unexplained. Studies associating CKD with poverty in the US largely invoke race as a contributing factor with African Americans and other ethnic minorities generally faring worse than whites, particularly when of lower affluence [14][15][16][17][18][19][20][21]. As reflected in our CKD cohort, a high proportion of West Virginia's population is non-Hispanic white (93.5% vs 65.6% for US) with a low prevalence of African Americans (3.6% vs 12.8% for US) [5,6].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictive Value of Hypoalbuminemia in Appalachians With Chronic Kidney Disease

Schmidt

2012

World J Nephrol Urol

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Background: Chronic kidney disease (CKD) has reached epidemic proportions worldwide and in the United States, racial minorities reach end stage renal disease (ESRD) at a disproportionate rate. A rural state in the heart of Appalachia, West Virginia leads the nation in rates of incident ESRD, despite its predominantly Caucasian population. Characteristics of this racially homogeneous CKD population are herein examined for their impact on progression to ESRD or death.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Predictive Value of Hypoalbuminemia in Appalachians With Chronic Kidney Disease

Schmidt

2012

World J Nephrol Urol

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Understanding and Overcoming Barriers to Living Kidney Donation Among Racial and Ethnic Minorities in the United States

Purnell

Hall

Boulware

2012

Advances in Chronic Kidney Disease

126

139

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In the United States, racial-ethnic minorities experience disproportionately high rates of end stage renal disease, but they are substantially less likely to receive living donor kidney transplants (LDKT) compared with their majority counterparts. Minorities may encounter barriers to LDKT at several steps along the path to receiving LDKT including consideration, pursuit, completion of LDKT, and the post-LDKT experience. These barriers operate at different levels related to potential recipients and donors, health care providers, health system structures, and communities. In this review, we present a conceptual framework describing various barriers minorities face along the path to receiving LDKT. We also highlight promising recent and current initiatives to address these barriers, as well as gaps in initiatives, which may guide future interventions to reduce racial-ethnic disparities in LDKT.

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Is the Ethnic Disparity in CKD a Symptom of Dysfunctional Primary Care in the US?

Cited by 2 publications

References 35 publications

Prevalence and Predictive Value of Hypoalbuminemia in Appalachians With Chronic Kidney Disease

Prevalence and Predictive Value of Hypoalbuminemia in Appalachians With Chronic Kidney Disease

Understanding and Overcoming Barriers to Living Kidney Donation Among Racial and Ethnic Minorities in the United States

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