Health inequities in dialysis care: A scoping review

Abstract

Main ProblemWe aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute to more equitable care.MethodsFollowing guidelines from the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic reviews and Meta Analyses extension for Scoping Reviews (PRISMA‐ScR), we conducted a scoping review of health inequities in dialysis. PubMed and Ovid Embase were searched in July 2022 for articles published between 2016 and 2022 that examined at least one of the following NIH defined health inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, and occupation status. Frequencies of each health inequity as well as trends over time of the four most examined inequities were analyzed.ResultsIn our sample of 69 included studies, gaps were identified in LGBTQ+ identity and patient education. Inequities pertaining to race/ethnicity, sex/gender, underserved rural populations, and income were sufficiently reported. No trends between inequities investigated over time were identified.ConclusionsOur scoping review examined current literature on health inequities pertaining to dialysis and found gaps concerning LGBTQ+ and patients with lower levels of education. To help fill these gaps, and possibly alleviate additional burden to these patients, we recommend cultural competency training for providers and dialysis center staff as well as community‐based educational programs to improve dialysis patients' health literacy.

Patient Perspectives on Using Telemedicine During In-Center Hemodialysis: A Qualitative Study

“…who comprise a disproportionately higher share of patients receiving hemodialysis and who may experience unique challenges with the use of telemedicine. 18 , 19 In the current study, we describe underserved patients’ perspectives and experiences with telemedicine for nephrology care during in-center hemodialysis.…”