Chronic kidney disease in disadvantaged populations

Garcia-Garcia, Guillermo; Jha, Vivekanand

doi:10.1590/1414-431x20144519

Cited by 18 publications

(6 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…also found that poverty-related factors continue to play an important role in the development of CKD in low-income countries. [ 23 ] Low prevalence of anxiety in patients from joint family may be attributable to the protective effect of support offered by joint family system. Both depression and anxiety were more prevalent in patients who were on haemodialysis for longer duration, which may be explained by the perceived burden of this complex procedure and chronic dependence on it for supporting functions of diseased kidneys.…”

Section: Discussionmentioning

confidence: 99%

Depression and anxiety in patients of chronic kidney disease undergoing haemodialysis: A study from western Rajasthan

Gadia¹,

Awasthi

Jain³

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

Background and Aims: Chronic kidney disease (CKD) is a long standing debilitating medical condition. CKD patients who are undergoing hemodialysis commonly experience depressive and anxiety symptoms because of various physical and psychosocial factors. The present study aimed to assess psychiatric morbidities i.e., depression and/or anxiety in patients with CKD undergoing hemodialysis. The objective of study was to evaluate depressive and anxiety disorders and their relation to socio-demographic factors in patients with CKD. Materials and Methods: A cross-sectional study was conducted at Nephrology department of a tertiary care institution on 100 CKD patients undergoing hemodialysis; who fulfilled the inclusion criteria. Diagnosis of depression and anxiety disorder was made as per WHO (ICD-10) criteria. Hospital Anxiety and Depression scale (HADS) was applied to study severity of the disorders. Data collected was subjected to suitable statistical analysis (mean, standard deviation and Chi-square test). Results: Majority (54 percent) of the CKD patients belonged to age group of 41 to 60 years, were Hindus, married and had low monthly income. The prevalence of depressive disorder and anxiety disorder among CKD patients was around 66% and 61%, respectively. Depression and anxiety were significantly associated with gender, occupation, income and duration of haemodialysis in these patients. Conclusion: Depression and anxiety are highly prevalent in CKD patients and have varying relations with different socio-demographic characteristics of patients. Clinicians should focus on these morbidities while managing such patients and provide holistic treatment using multidisciplinary approaches to improve the overall quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Depression and anxiety in patients of chronic kidney disease undergoing haemodialysis: A study from western Rajasthan

Gadia¹,

Awasthi

Jain³

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…The burden of chronic kidney disease disproportionately affects socioeconomically disadvantaged populations [ 1 – 3 ]. In Australia, the Northern Territory (NT) has the highest rates of kidney failure, with Aboriginal people who live in remote areas requiring kidney treatment at more than 10 times national rates [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Dialysis attendance patterns and health care utilisation of Aboriginal patients attending dialysis services in urban, rural and remote locations

Gorham

Howard

Cunningham

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Aboriginal people in the Northern Territory (NT) suffer the heaviest burden of kidney failure in Australia with most living in remote areas at time of dialysis commencement. As there are few dialysis services in remote areas, many Aboriginal people are required to relocate often permanently, to access treatment. Missing dialysis treatments is not uncommon amongst Aboriginal patients but the relationship between location of dialysis service and dialysis attendance (and subsequent hospital use) has not been explored to date. Aim To examine the relationships between location of dialysis service, dialysis attendance patterns and downstream health service use (overnight hospital admissions, emergency department presentations) among Aboriginal patients in the NT. Methods Using linked hospital and dialysis registry datasets we analysed health service activity for 896 Aboriginal maintenance dialysis patients in the NT between 2008 and 2014. Multivariate linear regression and negative binomial regression analyses explored the associations between dialysis location, dialysis attendance and health service use. Results We found missing two or more dialysis treatments per month was more likely for Aboriginal people attending urban services and this was associated with a two-fold increase in the rate of hospital admissions and more than three-fold increase in ED presentations. However, we found higher dialysis attendance and lower health service utilisation for those receiving care in rural and remote settings. When adjusted for age, time on dialysis, region, comorbidities and residence pre-treatment, among Aboriginal people from remote areas, those dialysing in remote areas had lower rates of hospitalisations (IRR 0.56; P < 0.001) when compared to those who relocated and dialysed in urban areas. Conclusion There is a clear relationship between the provision and uptake of dialysis services in urban, rural and remote areas in the NT and subsequent broader health service utilisation. Our study suggests that the low dialysis attendance associated with relocation and care in urban models for Aboriginal people can potentially be ameliorated by access to rural and remote models and this warrants a rethinking of service delivery policy. If providers are to deliver effective and equitable services, the full range of intended and unintended consequences of a dialysis location should be incorporated into planning decisions.

show abstract

“…Another modality to decrease the differences in mortality is to finance the production of renal replacement therapy and increase the coverage of public systems. “Disparities in health care exacerbate the negative effects of biological predisposition and the increased burden of CKD in disadvantaged populations, due to low socioeconomic status, and poor access to health care” [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

Health Needs Assessment: Chronic Kidney Disease Secondary to Type 2 Diabetes Mellitus in a Population without Social Security, Mexico 2016–2032

Martínez-Valverde

Zepeda-Tello

Castro-Ríos

et al. 2022

IJERPH

View full text Add to dashboard Cite

Health needs assessment is a relevant tracer of planning process of healthcare programs. The objective is to assess the health needs of chronic kidney disease (CKD) secondary to type 2 diabetes mellitus (T2 DM) in a population without social security in Mexico. The study design was a statistical simulation model based on data at the national level of Mexico. A stochastic Markov model was used to simulate the progression from diabetes to CKD. The time horizon was 16 years. The results indicate that in 2022, kidney damage progression and affectation in the diabetic patient cohort will be 34.15% based on the time since T2 DM diagnosis. At the end of the 16-year period, assuming that the model of care remains unchanged, early renal involvement will affect slightly more than twice as many patients (118%) and cases with macroalbuminuria will triple (228%). The need for renal replacement therapy will more than double (169%). Meanwhile, deaths associated with cardiovascular risk will more than triple (284%). We concluded that the clinical manifestations of patients with CKD secondary to T2 DM without social security constitute a double challenge. The first refers to the fact that the greatest health need is early care of CKD, and the second is the urgent need to address cardiovascular risk in order to reduce deaths in the population at risk.

show abstract

Chronic kidney disease in disadvantaged populations

Cited by 18 publications

References 45 publications

Depression and anxiety in patients of chronic kidney disease undergoing haemodialysis: A study from western Rajasthan

Depression and anxiety in patients of chronic kidney disease undergoing haemodialysis: A study from western Rajasthan

Dialysis attendance patterns and health care utilisation of Aboriginal patients attending dialysis services in urban, rural and remote locations

Health Needs Assessment: Chronic Kidney Disease Secondary to Type 2 Diabetes Mellitus in a Population without Social Security, Mexico 2016–2032

Contact Info

Product

Resources

About