Care processes and outcomes of deprivation across the clinical course of kidney disease: findings from a high-income country with universal healthcare.

ABSTRACT:

Background

No single study contrasts the extent and consequences of inequity of kidney care across the clinical course of kidney disease.

Methods

This population study of Grampian (UK) followed incident presentations of acute kidney injury (AKI) and incident estimated glomerular filtration rate (eGFR) thresholds of <60, <45 and <30 mL/min/1.73 m2 in separate cohorts (2011-2021). The key exposure was area-level deprivation (lowest quintile of the Scottish Index of Multiple Deprivation). Outcomes were care processes (monitoring, prescribing, appointments, unscheduled care), long-term mortality and kidney failure. Modelling involved multivariable logistic regression, negative binomial regression and cause-specific Cox models with and without adjustment of comorbidities.

Resu

SUBMITTER: Sawhney S 

PROVIDER: S-EPMC10157789 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature