Disparities in pediatric kidney disease

Marva Moxey-Mims, M.D., discusses disparate patterns in children with kidney disease, biologic and non-biologic risk factors as well as potential medical interventions during this 2018 World Kidney Day Grand Rounds session.

The propensity for more rapid progression of chronic kidney disease (CKD) to end stage renal disease (ESRD) in adults of African ancestry, and disparities in access to kidney transplantation and allograft longevity have been well documented for decades. Similar disparate patterns are seen in children and we now know there are biologic and non-biologic risk factors for the development and progression of CKD in people of African descent that are pertinent to pediatric CKD. In some cases, it is unclear whether there are effective potential interventions, while in other situations there are definitely opportunities to improve outcomes.