Yoshio N. Hall|Andy I. Choi|Glenn M. Chertow|Andrew B. Bindman
Chronic Kidney Disease in the Urban Poor
University of Washington|University of California, San Francisco|Stanford University|University of California, San Francisco|San Francisco General Hospital
united states relatively little known clinical outcomes chronic kidney disease ckd vulnerable populations utilizing public health systems primary study objectives describe patient characteristics incident esrd mortality adults nondialysisdependent ckd receiving care health care safety nettime esrd time death examined among cohort 15353 ambulatory adults nondialysisdependent ckd community health network san franciscothe mean age ckd cohort 590 138 years 50 cohort younger 60 years 26 younger 50 years 72 members nonwhite racialethnic groups 73 indigent annual income 15000 18 uninsured adjusted analyses blacks hazard ratio 95 confidence interval 400 299 535 hispanics 220 146 330 asianspacific islanders 384 273 540 higher risks progression esrd nonhispanic whites higher risk progression esrd among nonwhite compared white persons ckd explained lower relative mortalityadults ckd stages 3 5 cared within urban public health system relatively young predominantly nonwhiteboth factors associated higher risk progression esrd findings call targeted efforts assess burden progression ckd within public safetynet health systems country