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贫困与肾脏疾病——不良预后的一个预测因素。

Deprivation and kidney disease-a predictor of poor outcomes.

作者信息

Guthrie Greg D, Bell Samira

机构信息

Renal Unit, Ninewells Hospital Dundee, Dundee, UK.

Division of Population Health and Genomic, School of Medicine, University of Dundee, Dundee, UK.

出版信息

Clin Kidney J. 2019 Nov 6;13(2):128-132. doi: 10.1093/ckj/sfz151. eCollection 2020 Apr.

Abstract

There is a growing body of evidence for the role of deprivation in a broad spectrum of diseases including renal disease. Deprivation has been demonstrated to be associated with poorer outcomes across a range of renal diseases including acute kidney injury (AKI), chronic kidney disease and transplantation. In this issue of , Hounkpatin . describe the association of socioeconomic deprivation with incidence, mortality and resolution of AKI in a large UK cohort. Investigating deprivation as a factor influencing either incidence or outcome of disease is challenging due to variations in measures of deprivation used and other confounding factors that may be contributing to the observed differences. In this editorial, we review the current literature examining the role of deprivation in renal disease.

摘要

越来越多的证据表明,贫困在包括肾脏疾病在内的广泛疾病中发挥着作用。贫困已被证明与一系列肾脏疾病(包括急性肾损伤(AKI)、慢性肾脏病和肾移植)的较差预后相关。在本期杂志中,洪克帕廷等人描述了英国一个大型队列中社会经济贫困与急性肾损伤的发病率、死亡率及恢复情况之间的关联。由于所使用的贫困衡量标准存在差异以及可能导致观察到的差异的其他混杂因素,将贫困作为影响疾病发病率或预后的一个因素进行研究具有挑战性。在这篇社论中,我们回顾了当前研究贫困在肾脏疾病中作用的文献。

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