Trends in Chronic Kidney Disease Care in the US by Race and Ethnicity, 2012-2019
Author(s) -
Chi D. Chu,
Neil R. Powe,
Charles E. McCulloch,
Deidra C. Crews,
Yun Han,
Jennifer L. BraggGresham,
Rajiv Saran,
Alain K. Koyama,
Nilka Rı́os Burrows,
Delphine S. Tuot,
Vahakn B. Shahinian,
Michael Heung,
Brenda W. Gillespie,
Hal Morgenstern,
William H. Herman,
Kara Zivin,
Debbie S. Gipson,
Zubin J. Modi,
Diane Steffick,
April Wyncott,
Tanushree Banerjee,
Chi-yuan Hsu,
Josef Coresh,
Janet Pella,
Mark S. Eberhardt,
Juanita Mondesire,
Meda E. Pavkov,
Deborah B. Rolka,
Sharon Saydah
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.27014
Subject(s) - medicine , kidney disease , albuminuria , renal function , dialysis , population , guideline , medical prescription , blood pressure , diabetes mellitus , endocrinology , pathology , pharmacology , environmental health
Key Points Question Are there differences in guideline-recommended care delivery for chronic kidney disease (CKD) by race and ethnicity? Findings In this cross-sectional study of 452 238 commercially insured and Medicare Advantage US adults with CKD from 2012 to 2019, compared with White patients, Asian, Black, and Hispanic patients had higher performance across many care delivery measures (eg, statin use and renin-angiotensin blockade) but similar or poorer performance on blood pressure and diabetes control. Meaning Higher performance on multiple CKD care measures among Asian, Black, and Hispanic patients suggests that differences in care delivery are unlikely to fully explain known disparities in CKD progression and kidney failure.
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