Premium
Acute kidney injury in Indigenous Australians: an unrecognised priority for action
Author(s) -
Cass Alan,
Hughes Jaquelyne T
Publication year - 2019
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/mja2.50232
Subject(s) - kidney disease , acute kidney injury , medicine , dialysis , renal replacement therapy , renal function , population , diabetes mellitus , disease , indigenous , intensive care medicine , nephrology , creatinine , environmental health , endocrinology , biology , ecology
From 2010 to 2030, the number of people receiving renal replacement therapy for endstage kidney disease is projected to double worldwide to more than 5.4 million people.1 In 2013–14, there were 186 268 hospitalisations for dialysis of Indigenous Australians, a rate ten times higher than that for other Australians2 because of much heavier reliance on hospitalbased dialysis treatment,2 social disadvantage,3 a higher prevalence of chronic kidney disease,2 more rapid loss of kidney function in people with chronic kidney disease,4 and a greater risk of progression to endstage kidney disease among Indigenous people with diabetes.5 As acute kidney injury (AKI) is a risk factor for chronic kidney disease,6 we need to better understand the factors underlying AKI and its population disease burden.