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Inequities in the Care and Outcomes of Indigenous People Living With Kidney Failure.

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Τίτλος: Inequities in the Care and Outcomes of Indigenous People Living With Kidney Failure.
Συγγραφείς: Tungsanga S; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada; Faculty of Medicine, Division of General Internal Medicine-Nephrology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand., Okpechi IG; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada., Chaturvedi S; Department of Nephrology, Sydney Children's Hospital, Sydney, New South Wales, Australia; Child and Maternal Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia., Bianchi MEV; Argentinian Northeast Kidney Foundation, Chaco, Argentina., Hughes J; Rural and Remote Health, College of Medicine and Public Health, Flinders University, Nhulunbuy, Northern Territory, Australia; Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Northern Territory Department of Health, Tiwi, Northern Territory, Australia., Crowshoe H; Indigenous Health Program, Alberta Health Services, Edmonton, Alberta, Canada., Bello AK; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada. Electronic address: aminu1@ualberta.ca.
Πηγή: Advances in kidney disease and health [Adv Kidney Dis Health] 2025 May; Vol. 32 (3), pp. 279-289.
Τύπος έκδοσης: Journal Article; Review; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9918523075306676 Publication Model: Print Cited Medium: Internet ISSN: 2949-8139 (Electronic) Linking ISSN: 29498139 NLM ISO Abbreviation: Adv Kidney Dis Health Subsets: MEDLINE
Imprint Name(s): Original Publication: [New York] : Elsevier Inc., [2023]-
Ιατρικοί όροι (MeSH): Healthcare Disparities*/ethnology , Kidney Failure, Chronic*/therapy , Kidney Failure, Chronic*/ethnology , Health Services Accessibility* , Renal Replacement Therapy* , Health Services, Indigenous*, Humans ; Indigenous Peoples
Περίληψη: Kidney failure, defined as end-stage kidney disease requiring kidney replacement therapy, is a public health concern that disproportionately affects indigenous peoples around the world. Despite advancements in medical technologies and preventive public health interventions in kidney care, indigenous peoples continue to face significant barriers that limit their access to care. These barriers include limited availability of kidney care services in remote areas, cultural and language obstacles, systemic racism, low health literacy, geographic isolation, and mistrust in health care systems. Such challenges contribute to notable disparities in kidney disease outcomes and kidney replacement therapy access. Previous research in countries such as Canada, Australia, New Zealand, and the United States demonstrates a disproportionate burden of risk factors, chronic kidney disease, and the consequences of kidney failure and other complications among indigenous peoples. In this review, we explore the global landscape of kidney failure among indigenous populations, examining epidemiological data, barriers to care, and outcomes of kidney replacement therapy. The key objective is to provide a comprehensive overview of disparities in the burden of kidney failure and care inequities experienced by this high-risk population group. We propose culturally sensitive, community-driven solutions to mitigate various inequities. Addressing these issues requires acknowledging and overcoming the unique challenges faced by indigenous communities, including enhancing access to home dialysis and transplantation services and implementing culturally appropriate health care practices.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Indigenous; Inequities; Kidney failure; Outcomes
Entry Date(s): Date Created: 20250816 Date Completed: 20250826 Latest Revision: 20260616
Update Code: 20260616
DOI: 10.1053/j.akdh.2024.10.008
PMID: 40818893
Βάση Δεδομένων: MEDLINE
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  Data: Inequities in the Care and Outcomes of Indigenous People Living With Kidney Failure.
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  Data: <searchLink fieldCode="AU" term="%22Tungsanga+S%22">Tungsanga S</searchLink>; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada; Faculty of Medicine, Division of General Internal Medicine-Nephrology, Department of Medicine, Chulalongkorn University, Bangkok, Thailand.<br /><searchLink fieldCode="AU" term="%22Okpechi+IG%22">Okpechi IG</searchLink>; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada.<br /><searchLink fieldCode="AU" term="%22Chaturvedi+S%22">Chaturvedi S</searchLink>; Department of Nephrology, Sydney Children's Hospital, Sydney, New South Wales, Australia; Child and Maternal Health Division, Menzies School of Health Research, Darwin, Northern Territory, Australia; Charles Darwin University, Darwin, Northern Territory, Australia.<br /><searchLink fieldCode="AU" term="%22Bianchi+MEV%22">Bianchi MEV</searchLink>; Argentinian Northeast Kidney Foundation, Chaco, Argentina.<br /><searchLink fieldCode="AU" term="%22Hughes+J%22">Hughes J</searchLink>; Rural and Remote Health, College of Medicine and Public Health, Flinders University, Nhulunbuy, Northern Territory, Australia; Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Darwin, Northern Territory, Australia; Royal Darwin Hospital, Northern Territory Department of Health, Tiwi, Northern Territory, Australia.<br /><searchLink fieldCode="AU" term="%22Crowshoe+H%22">Crowshoe H</searchLink>; Indigenous Health Program, Alberta Health Services, Edmonton, Alberta, Canada.<br /><searchLink fieldCode="AU" term="%22Bello+AK%22">Bello AK</searchLink>; Faculty of Medicine and Dentistry, Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada. Electronic address: aminu1@ualberta.ca.
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  Data: Kidney failure, defined as end-stage kidney disease requiring kidney replacement therapy, is a public health concern that disproportionately affects indigenous peoples around the world. Despite advancements in medical technologies and preventive public health interventions in kidney care, indigenous peoples continue to face significant barriers that limit their access to care. These barriers include limited availability of kidney care services in remote areas, cultural and language obstacles, systemic racism, low health literacy, geographic isolation, and mistrust in health care systems. Such challenges contribute to notable disparities in kidney disease outcomes and kidney replacement therapy access. Previous research in countries such as Canada, Australia, New Zealand, and the United States demonstrates a disproportionate burden of risk factors, chronic kidney disease, and the consequences of kidney failure and other complications among indigenous peoples. In this review, we explore the global landscape of kidney failure among indigenous populations, examining epidemiological data, barriers to care, and outcomes of kidney replacement therapy. The key objective is to provide a comprehensive overview of disparities in the burden of kidney failure and care inequities experienced by this high-risk population group. We propose culturally sensitive, community-driven solutions to mitigate various inequities. Addressing these issues requires acknowledging and overcoming the unique challenges faced by indigenous communities, including enhancing access to home dialysis and transplantation services and implementing culturally appropriate health care practices.<br /> (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
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  Data: <i>Keywords: </i>Indigenous; Inequities; Kidney failure; Outcomes
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  Data: <i>Date Created: </i>20250816 <i>Date Completed: </i>20250826 <i>Latest Revision: </i>20260616
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        Text: English
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        StartPage: 279
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      – SubjectFull: Indigenous Peoples
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