®®®® SIIA Público

Título del libro: Chronic Renal Disease
Título del capítulo: Ethnicity and Chronic Kidney Disease in Disadvantaged Populations - An International Perspective

Autores UNAM:
JOSE RICARDO CORREA ROTTER; JUAN CARLOS RAMIREZ SANDOVAL;
Autores externos:

Idioma:
Inglés
Año de publicación:
2014
Palabras clave:

CKD in developing world; CKD in disadvantaged populations; ESRD in disadvantaged populations; Ethnicity; Racial heritage


Resumen:

A change in the epidemiology of disease has occurred across the world. There has been a marked increase in the incidence and prevalence of chronic non-communicable disease including CKD in most countries. Rates of CKD in parts of the world outside the United States may be affected by factors related to lower socioeconomic status, racial heritage, and ethnicity. These factors interact in complex manners to modify the risk of developing CKD, especially in disadvantaged communities. Conditions that predispose to CKD such as hypertension, diabetes mellitus, or obesity can be more prevalent in these communities, caused by differences in predisposing genetic backgrounds, prenatal and perinatal care and experiences, including low birthweights, inadequate diets, infectious diseases, or exposure to toxins. ESRD incidence tends to rise in communities with social deprivation, and provision of RRT depends mostly on extent of national health-care expenditures and economic strength. Strategies to provide renal care for all including preventive care, early referral, timely dialysis initiation, and equalizing opportunities for kidney transplantation can be achieved through a concerted effort between nephrologists, governments, patients, charitable organizations, and industry. © 2015 Elsevier Inc. All rights reserved.


Entidades citadas de la UNAM: