Garcia-Garcia G, Jha V
Nephrology Service, Hospital Civil de Guadalajara, University of Guadalajara Health Sciences Center, Guadalajara, Mexico.
Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Braz J Med Biol Res. 2015 May;48(5):377-81. doi: 10.1590/1414-431X20144519. Epub 2015 Mar 6.
The increased burden of chronic kidney disease (CKD) in disadvantaged populations is due to both global factors and population-specific issues. Low socioeconomic status and poor access to care contribute to health care disparities and exacerbate the negative effects of genetic or biological predisposition. Provision of appropriate renal care to these populations requires a two-pronged approach: expanding the reach of dialysis through development of low-cost alternatives that can be practiced in remote locations, and implementation and evaluation of cost-effective prevention strategies. Kidney transplantation should be promoted by expansion of deceased donor transplant programs and use of inexpensive, generic immunosuppressive drugs. The message of World Kidney Day 2015 is that a concerted attack against the diseases that lead to end-stage renal disease, by increasing community outreach, better education, improved economic opportunity, and access to preventive medicine for those at highest risk, could end the unacceptable relationship between CKD and disadvantage in these communities.
弱势群体中慢性肾脏病（CKD）负担的增加是全球因素和特定人群问题共同作用的结果。社会经济地位低下以及获得医疗服务的机会有限，导致了医疗保健方面的差异，并加剧了遗传或生物易感性的负面影响。为这些人群提供适当的肾脏护理需要采取双管齐下的方法：通过开发可在偏远地区实施的低成本替代方案来扩大透析服务的覆盖范围，以及实施和评估具有成本效益的预防策略。应通过扩大已故捐赠者移植项目以及使用廉价的通用免疫抑制药物来推动肾脏移植。2015年世界肾脏日传达的信息是，通过加强社区宣传、改善教育、增加经济机会以及为高危人群提供预防医学服务，协同应对导致终末期肾病的疾病，可能会终结这些社区中CKD与弱势群体之间这种不可接受的关系。
