title: Racial disparities in kidney disease outcomes.
abstract: Chronic kidney disease (CKD) is a national public health problem. Although the prevalence of early stages of CKD is similar across different racial/ethnic and socioeconomic groups, the prevalence of end-stage renal disease is greater for minorities than their non-Hispanic white peers. Paradoxically, once on dialysis, minorities experience survival rates that exceed their non-Hispanic white peers. Advancing our understanding of the unique interplay of biological, genetic, environmental, sociocultural, and health care system level factors may prompt reorientation of our approach to health promotion and disease prevention. The potential of this new approach is to create previously unimagined gains to improve patient outcomes and reduce health inequities for patients with CKD.
authors.affiliation: Department of Medicine, Division of Nephrology and Division of Endocrinology, Diabetes and Hypertension, David Geffen School of Medicine at University of California, Los Angeles, CA; Charles R. Drew University of Medicine and Science, Los Angeles, CA. Electronic address: sunicholas@mednet.ucla.edu.
authors.forename: Susanne B
authors.initials: SB
authors.lastname: Nicholas
authors.forename: Kamyar
authors.initials: K
authors.lastname: Kalantar-Zadeh
authors.forename: Keith C
authors.initials: KC
authors.lastname: Norris
mesh_terms: D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D007249:Inflammation / Q000208:ethnology; D007676:Kidney Failure, Chronic / Q000208:ethnology*
keywords: Racial disparities; chronic kidney disease