ArticleCanadian journal of kidney health and disease2018
A Retrospective Study of Chronic Kidney Disease Burden in Saskatchewan's First Nations People.
Article in Canadian journal of kidney health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Reported sources of health inequities in Indigenous Peoples with chronic kidney disease: a systematic review of quantitative studies.BMC public health · 2021Pooled it
- All-Hazards Vulnerability and Adaptation Assessment of Canadian Kidney Care Systems: Protocol for a Qualitative Study.JMIR research protocols · 2026Article
- Global landscape of kidney health across Indigenous populations.Nature reviews. Nephrology · 2026Review
- Integrated, Community-Led, Culturally Safe Implementation of a Chronic Kidney Disease Detection Program for Indigenous Communities of Canada: The Kidney Check Program Report.Canadian journal of kidney health and disease · 2026Article
- Examining Inequities in Clinical Outcomes for Indigenous Patients Treated With Dialysis in Canada: A Scoping Review.Kidney medicine · 2025Review
- From Risk and Vulnerability to Preparedness and Resiliency: An Opinion Piece on Championing Disaster and Emergency Risk Reduction and Management in Kidney Care.Canadian journal of kidney health and disease · 2025Article
- A comprehensive exploration of chronic kidney disease and dialysis in Canada's Indigenous population: from epidemiology to genetic influences.International urology and nephrology · 2024Review
- The rights and interests of First Nations, Métis, and Inuit in debates over deemed consent legislation for deceased organ donation in Canada: calls to action.Lancet regional health. Americas · 2023Review
- Use of Wearable and Wireless Technology in Real-World Clinical Settings to Improve Patient Outcomes in Chronic Kidney Disease: A Mixed Methods Pilot Prospective Trial.Canadian journal of kidney health and disease · 2023Article
- Challenges facing Indigenous transplant patients living in Canada: exploring equity and utility in organ transplantation decision-making.International journal of circumpolar health · 2022Article
- Program Report:Canadian journal of kidney health and disease · 2022Article
- Impact of a screen, triage and treat program for identifying chronic disease risk in Indigenous children.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Observational
- Impact of point-of-care screening for hypertension, diabetes and progression of chronic kidney disease in rural Manitoba Indigenous communities.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Barriers to Accessing Kidney Transplantation Among Populations Marginalized by Race and Ethnicity in Canada: A Scoping Review Part 1-Indigenous Communities in Canada.Canadian journal of kidney health and disease · 2021Article
- Community-Based Dialysis in Saskatchewan First Nations: A Grassroots Approach to Gaining Insight and Perspective From First Nations Patients With Chronic Kidney Disease.Canadian journal of kidney health and disease · 2020Article
- Co-Developed Indigenous Educational Materials for Chronic Kidney Disease: A Scoping Review.Canadian journal of kidney health and disease · 2020Article
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Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic kidney disease is more prevalent among First Nations people than in non-First Nations people. Emerging research suggests that First Nations people are subject to greater disease burden than non-First Nations people.
objectiveWe aimed to identify the severity of chronic kidney disease and quantify the geographical challenges of obtaining kidney care by Saskatchewan's First Nations people.
designThis study is a retrospective analysis of the provincial electronic medical record clinical database from January 2012 to December 2013.
settingThe setting involved patients followed by the Saskatchewan provincial chronic kidney care program, run out of two clinics, one in Regina, SK, and one in Saskatoon, SK. PATIENTS: The patients included 2478 individuals (379 First Nations and 2099 non-First Nations) who were older than 18 years old, resident in Saskatchewan, and followed by the provincial chronic kidney care program. First Nations individuals were identified by their Indigenous and Northern Affairs Canada (INAC) Number. MEASUREMENTS: The demographics, prevalence, cause of end-stage renal disease, severity of chronic kidney disease, use of home-based therapies, and distance traveled for care among patients are reported.
methodsData were extracted from the clinical database used for direct patient care (the provincial electronic medical record database for the chronic kidney care program), which is prospectively managed by the health care staff. Actual distance traveled by road for each patient was estimated by a Geographic Information System Analyst in the First Nations and Inuit Health Branch of Health Canada.
resultsCompared with non-First Nations, First Nations demonstrate a higher proportion of end-stage renal disease (First Nations = 33.0% vs non-First Nations = 21.4%, LIMITATIONS: Patients who are followed by their primary care provider or solely through their nephrologist's office for their chronic kidney disease would not be included in this study. Patients who self-identify as Aboriginal or Indigenous without an INAC number would not be captured in the First Nations cohort.
conclusionsIn Saskatchewan, First Nations' burden of chronic kidney disease reveals higher severity, utilization of fewer home-based therapies, and longer travel distances than their non-First Nations counterparts. More research is required to identify innovative solutions within First Nations partnering communities.
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