title: End-stage renal disease among Roma and non-Roma: Roma are at risk.
abstract: OBJECTIVE
  Ethnic differences in the occurrence of end-stage renal disease (ESRD) are reported on various populations across the world, but evidence on Roma is lacking. The aim of this study was to explore the relative risk (RR) of ESRD for Roma who constitute a major minority in Slovakia.
  
  
  METHODS
  Patients treated by means of hemodialysis during 2005-2008 were questioned for their ethnicity. Rates of ESRD among Roma and non-Roma based on hemodialysis data were calculated as well as the RR of Roma for ESRD. The latter was repeated after standardization for differences in age of both populations.
  
  
  RESULTS
  Roma represented 11.6 % of all hemodialyzed patients. The RR of ESRD for Roma was 1.34, compared to the majority population. After age standardization, the RR for Roma was 2.85.
  
  
  CONCLUSIONS
  This study shows that the risk for ESRD is significantly higher for Roma than for non-Roma. A genetic propensity of Roma to renal failure may partially explain the higher risk. Moreover, a poorer control of risk factors for ESRD in Slovak Roma contributes to the increased risk.
authors.affiliation: 1st Pediatric Department, Faculty of Medicine, Safarik University, Kosice, Slovak Republic. gabriel.kolvek@upjs.sk
authors.forename: Gabriel
authors.initials: G
authors.lastname: Kolvek
authors.forename: Katarina
authors.initials: K
authors.lastname: Rosicova
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Rosenberger
authors.forename: Ludmila
authors.initials: L
authors.lastname: Podracka
authors.forename: Roy E
authors.initials: RE
authors.lastname: Stewart
authors.forename: Iveta
authors.initials: I
authors.lastname: Nagyova
authors.forename: Sijmen A
authors.initials: SA
authors.lastname: Reijneveld
authors.forename: Jitse P
authors.initials: JP
authors.lastname: van Dijk
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000235:genetics; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000706:statistics & numerical data; D012306:Risk; D006178:Romani People / Q000208:ethnology*; D018154:Slovakia / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult