Kidney and related chronic disease profiles and risk factors in three remote Australian Aboriginal communities

Hoy, W. E.; Kondalsamy‐Chennakesavan, Srinivas; Scheppingen, Joanne; Sharma, Suresh K.

doi:10.1053/j.ackd.2004.10.004

Cited by 22 publications

(35 citation statements)

References 13 publications

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“…Health promotion programs targeting nutrition, exercise, smoking and alcohol [34,36] might also play a role. In addition, management of chronic disease has undoubtedly improved in most Indigenous health care settings across Australia since the mid 1990 s. Approaches include screening asymptomatic people at intervals for chronic disease and treatment of people with high blood pressure, renal disease, high glucose levels and disordered lipid levels [37,38]. Although these approaches have not been as systematic or as adequately resourced as one would hope, they should, if sustained, ultimately be reflected in better outcomes, including mortality rates.…”

Section: Discussionmentioning

confidence: 99%

Recent patterns in chronic disease mortality in remote living Indigenous Australians

Andreasyan

Hoy

2010

BMC Public Health

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BackgroundDespite the well-recognised Indigenous-non-Indigenous health disparity, some reports suggest improvements in Indigenous mortality. Our aim was to quantify Indigenous mortality in Outer Regional (OR), Remote (R), and Very Remote (VR) areas in New South Wales, Queensland, South Australia, Western Australia, and the Northern Territory and changes in mortality from 1998 to 2005.MethodsWe calculated rates, standardized mortality ratios (SMRs) and percentage change in annual rates of Indigenous cardiovascular, diabetes and renal mortality mentioned anywhere on the death certificate by using ICD-10 codes and the 2001 total Australian population as the reference population.ResultsIn 1998-2001, Indigenous SMRs for all-cause mortality were 241%, 421% and 220% in OR, R and VR, respectively. In 2001-03, corresponding SMRs were 202%, 331% and 176%. Percentage changes (95% confidence interval) in annual all-cause mortality were -3.0% (-5.3%, -0.7%) in OR, -4.2% (-7.4%, -0.9%) in R and -0.5 (-9.1%, -0.7%) in VR. In 2002-2005, compared with 1998-2001, changes in the number of Indigenous deaths were -147, -195, and -197 in OR, R and VR, respectively. Similar patterns and trends were observed for cardiovascular mortality.ConclusionsMortality was elevated about 2-fold in OR, 4-fold in R and 2-fold in VR areas. The downward trend in mortality regardless of remoteness of residence was partly attributable to a decrease in the absolute number of deaths. These patterns were observed for each of the states/territories individually.

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Section: Discussionmentioning

confidence: 99%

Recent patterns in chronic disease mortality in remote living Indigenous Australians

Andreasyan

Hoy

2010

BMC Public Health

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“…The average nephron number per kidney is ±750,000, with a wide interindividual range (250,000-1,900,000), depending in part on the method of nephron counting and on the ethnic origins (the nephron number is lower in African-American and Japanese people) [11,22,23,40]. Glomerular volume varies inversely with nephron number and birth weight [41][42][43].…”

Section: Introductionmentioning

confidence: 99%

“…The number of nephrons per kidney increases by an average of 250,000 per kilogram increase in birth weight [42,43]. Low birth weight is associated with reduced nephron endowment and smaller renal size, as measured by prenatal ultrasound in the human [22,23].…”

Section: Introductionmentioning

confidence: 99%

Adverse consequences of accelerated neonatal growth: cardiovascular and renal issues

et al. 2010

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Epidemiological and experimental studies show that the risk of cardiovascular and metabolic diseases at adulthood is inversely related to the weight at birth. Although with less evidence, low birth weight has been suggested to increase the risk of chronic kidney disease (CKD). It is well established that the developmental programming of arterial hypertension and of renal disease involves in particular renal factors, especially nephron endowment, which is reduced in low birth weight and maternal diabetes situations. Experimental studies, especially in rodents, have demonstrated the long-term influence of postnatal nutrition and/or postnatal growth on cardiovascular, metabolic and renal functions, while human data are scarce on this issue. Vascular and renal diseases appear to have a "multihits" origin, with reduced nephron number the initial hit and rapid postnatal growth the second hit. This review addresses the current understanding of the role of the kidney, both as a mechanism and as a target, in the developmental origins of adult disease theory, with a particular focus on the long-term effects of postnatal growth and nutrition.

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“…In reviewing the education outreach literature, we found examples of rural outreach programs (65)(66)(67)(68)(69) and strategies to engage rural communities (70,71). Harward (65) described the University of North Carolina Kidney Center's Kidney Education Outreach Program, which targets counties in North Carolina with a high prevalence of ESRD and provides screenings and educational and medical information to share with PCPs.…”

Section: Ldkt Education and Outreach Should Be Improved For Kidney Pamentioning

confidence: 99%

Living Donor Kidney Transplantation

Waterman¹,

Morgievich²,

Cohen³

et al. 2015

Clinical Journal of the American Society of Nephrology

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Living donor kidney transplantation (LDKT) offers better quality of life and clinical outcomes, including patient survival, compared with remaining on dialysis or receiving a deceased donor kidney transplant. Although LDKT education within transplant centers for both potential recipients and living donors is very important, outreach and education to kidney patients in settings other than transplant centers and to the general public is also critical to increase access to this highly beneficial treatment. In June 2014, the American Society of Transplantation's Live Donor Community of Practice, with the support of 10 additional sponsors, convened a consensus conference to determine best practices in LDKT, including a workgroup focused on developing a set of recommendations for optimizing outreach and LDKT education outside of transplant centers. Members of this workgroup performed a structured literature review, conducted teleconference meetings, and met in person at the 2-day conference. Their efforts resulted in consensus around the following recommendations. First, preemptive transplantation should be promoted through increased LDKT education by primary care physicians and community nephrologists. Second, dialysis providers should be trained to educate their own patients about LDKT and deceased donor kidney transplantation. Third, partnerships between community organizations, organ procurement organizations, religious organizations, and transplant centers should be fostered to support transplantation. Fourth, use of technology should be improved or expanded to better educate kidney patients and their support networks. Fifth, LDKT education and outreach should be improved for kidney patients in rural areas. Finally, a consensus-driven, evidencebased public message about LDKT should be developed. Discussion of the effect and potential for implementation around each recommendation is featured, particularly regarding reducing racial and socioeconomic disparities in access to LDKT. To accomplish these recommendations, the entire community of professionals and organizations serving kidney patients must work collaboratively toward ensuring accurate, comprehensive, and up-to-date LDKT education for all patients, thereby reducing barriers to LDKT access and increasing LDKT rates.

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Kidney and related chronic disease profiles and risk factors in three remote Australian Aboriginal communities

Cited by 22 publications

References 13 publications

Recent patterns in chronic disease mortality in remote living Indigenous Australians

Recent patterns in chronic disease mortality in remote living Indigenous Australians

Adverse consequences of accelerated neonatal growth: cardiovascular and renal issues

Living Donor Kidney Transplantation

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