Key result
African Americans have a 3.5 times higher prevalence of chronic kidney disease and are 10 times more likely to develop hypertension-related kidney failure compared to Caucasian Americans.
Highlights the significant disparities in CKD outcomes for African Americans and proposes multifaceted strategies to address them.
Answers are grounded in this paper and cite their sources.
May warrant enhanced CKD screening in African Americans; leaves open optimal strategies to reduce progression disparities.
BACKGROUND: African Americans (AAs) suffer the widest gaps in chronic kidney disease (CKD) outcomes compared to Caucasian Americans (CAs) and this is because of the disparities that exist in both health and healthcare. In fact, the prevalence of CKD is 3.5 times higher in AAs compared to CAs. The disparities exist at all stages of CKD. Importantly, AAs are 10 times more likely to develop hypertension-related kidney failure and 3 times more likely to progress to kidney failure compared to CAs. SUMMARY: Several factors contribute to these disparities including genetic and social determinants, late referrals, poor care coordination, medication adherence, and low recruitment in clinical trials. Key Messages: The development and implementation of CKD-related evidence-based approaches, such as clinical and social determinant assessment tools for medical interventions, more widespread outreach programs, strategies to improve medication adherence, safe and effective pharmacological treatments to control or eliminate CKD, as well as the use of health information technology, and patient-engagement programs for improved CKD outcomes may help to positively impact these disparities among AAs.
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Harding et al. (2017) conducted a review in Chronic Kidney Disease. African American race vs. Caucasian American race was evaluated. African Americans have a 3.5 times higher prevalence of chronic kidney disease and are 10 times more likely to develop hypertension-related kidney failure compared to Caucasian Americans.
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