ArticleKidney international reports2018
Impact of CKD on Household Income.
Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- The prevalence of chronic kidney disease in South Africa - limitations of studies comparing prevalence with sub-Saharan Africa, Africa, and globally.BMC nephrology · 2023Pooled it
- Syndemic analysis of stroke in Indonesia.The Lancet regional health. Western Pacific · 2026Article
- Chronic kidney disease and the global public health agenda: an international consensus.Nature reviews. Nephrology · 2024Review
- The Lived Experience of Patients with Chronic Kidney Disease: Insights From DISCOVER CKD.American journal of nephrology · 2024Observational
- Inequities in kidney health and kidney care.Nature reviews. Nephrology · 2023Review
- Health inequity associated with financial hardship among patients with kidney failure.PloS one · 2023Article
- O-GlcNAcylation in Renal (Patho)Physiology.International journal of molecular sciences · 2022Review
- Educational Attainment Is Associated With Kidney and Cardiovascular Outcomes in the German CKD (GCKD) Cohort.Kidney international reports · 2022Article
- Chronic kidney disease in Ecuador: An epidemiological and health system analysis of an emerging public health crisis.PloS one · 2022Article
- Despite National Declines In Kidney Failure Incidence, Disparities Widened Between Low- And High-Poverty US Counties.Health affairs (Project Hope) · 2021Article
- The cumulative impact of social determinants of health factors on mortality in adults with diabetes and chronic kidney disease.BMC nephrology · 2021Article
- Oral health of aboriginal people with kidney disease living in Central Australia.BMC oral health · 2021Article
- Sustainable Development Goals relevant to kidney health: an update on progress.Nature reviews. Nephrology · 2021Review
- Sustainable development is key to improving global kidney health.Nature reviews. Nephrology · 2021Article
- Epidemiology of chronic kidney disease in Peru and its relation to social determinants of health.International health · 2020Article
- Factors associated with quality of life among chronic kidney disease patients in Nepal: a cross-sectional study.Health and quality of life outcomes · 2020Article
- End-stage renal disease-financial costs and years of life lost in Panama: a cost-analysis study.BMJ open · 2019Article
- Social Determinants of CKD Hotspots.Seminars in nephrology · 2019Review
- Multidisciplinary treatment for patients with chronic kidney disease in pre-dialysis minimizes costs: a four-year retrospective cohort analysis.Jornal brasileiro de nefrologiaArticle
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 3 countries.
Funding
Abstract
introductionThe impact of chronic kidney disease (CKD) on income is unclear. We sought to determine whether CKD severity, serious adverse events, and CKD progression affected household income.
methodsAnalyses were undertaken in a prospective cohort of adults with moderate-to-severe CKD in the Study of Heart and Renal Protection (SHARP), with household income information available at baseline screening and study end. Logistic regressions, adjusted for sociodemographic characteristics, smoking, and prior diseases at baseline, estimated associations during the 5-year follow-up, among (i) baseline CKD severity, (ii) incident nonfatal serious adverse events (vascular or cancer), and (iii) CKD treatment modality (predialysis, dialysis, or transplanted) at study end and the outcome "fall into relative poverty." This was defined as household income <50% of country median income.
resultsA total of 2914 SHARP participants from 14 countries were included in the main analysis. Of these, 933 (32%) were in relative poverty at screening; of the remaining 1981, 436 (22%) fell into relative poverty by study end. Compared with participants with stage 3 CKD at baseline, the odds of falling into poverty were 51% higher for those with stage 4 (odds ratio [OR]: 1.51; 95% confidence interval [CI]: 1.09-2.10), 66% higher for those with stage 5 (OR: 1.66; 95% CI: 1.11-2.47), and 78% higher for those on dialysis at baseline (OR: 1.78, 95% CI: 1.22-2.60). Participants with kidney transplant at study end had approximately half the risk of those on dialysis or those with CKD stages 3 to 5.
conclusionMore advanced CKD is associated with increased odds of falling into poverty. Kidney transplantation may have a role in reducing this risk.
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