Social deprivation as a key driver of spatial disparities in end-stage kidney disease incidence.

ABSTRACT:

Background

Despite France's universal healthcare system, significant geographic disparities in the incidence of end-stage kidney disease (ESKD) persist. We hypothesized that social deprivation is a major driver of these spatial variations, independent of healthcare access and clinical risk factors, and that its contribution is stable over time.

Methods

We conducted an ecological study including 102 226 incident ESKD cases across 34 830 municipalities in metropolitan France from 2012 to 2021, using data from the national REIN (Renal Epidemiology and Information Network) registry. A Bayesian hierarchical spatiotemporal model was used to estimate the association between ESKD incidence and ecological-level covariates: social deprivation [measured by the French European Deprivati

SUBMITTER: Hamroun A 

PROVIDER: S-EPMC12451440 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature