Racial disparities in kidney disease outcomes.

Racial disparities in kidney disease outcomes.
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DOI:
10.1016/j.semnephrol.2013.07.002
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发表时间:
2013-09
影响因子:
3.3
通讯作者:
Norris, Keith C.
Norris, Keith C.
中科院分区:
医学2区
文献类型:
--
作者:
Nicholas, Susanne B.;Kalantar-Zadeh, Kamyar;Norris, Keith C.

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慢性肾脏病(CKD)是一个国家公共卫生问题。虽然不同种族/民族和社会经济群体的早期CKD患病率相似,但少数族裔的终末期肾病(ESRD)患病率高于非西班牙裔白色同龄人。奇怪的是,一旦接受透析,少数族裔的存活率超过了非西班牙裔白色同龄人。推进我们对生物,遗传,环境,社会文化和卫生保健系统层面因素的独特相互作用的理解,可能会促使我们重新定位健康促进和疾病预防的方法。这种新方法的潜力是创造以前无法想象的收益,以改善患者的预后,减少CKD患者的健康不平等。
Chronic kidney disease (CKD) is a national public health problem. While the prevalence of early stages of CKD is similar across different racial/ethnic and socioeconomic groups, the prevalence of end-stage renal disease (ESRD) is greater for minorities than their non-Hispanic white peers. Paradoxically, once on dialysis minorities experience survival rates that exceed their non-Hispanic white peers. Advancing our understanding of the unique interplay of biological, genetic, environmental, socio-cultural, and health care system level factors may prompt reorientation of our approach to health promotion and disease prevention. The potential of this new approach is to create previously unimagined gains to improve patient outcomes and reduce health inequities for patients with CKD.
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