ArticleThe Medical journal of Australia2023
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary.
Article in The Medical journal of Australia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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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, 23 citations in OpenAlex.
- Priorities for Evidence-Based CKD Guidance Using Delphi Methods.Kidney international reports · 2026Article
- Article
- The Extent and Nature of Lived Experience Engagement in the Development of Australian Clinical Practice Guidelines, 2014-2025: A Scoping Review.The Medical journal of Australia · 2026Article
- A narrative review of routine haematological and biochemical parameter monitoring in maintenance haemodialysis patients and comparison of clinical guidelines.BMC nephrology · 2026Review
- Policy innovations to advance equity in solid organ transplantation.Lancet (London, England) · 2025Review
- Am I on the list? Clinician-reported factors for kidney transplantation non-waitlisting among Aboriginal and Torres Strait Islander people with kidney failure: a cross-sectional study.The Medical journal of Australia · 2025Observational
- Variability in Dialysis Access Over Time and Across Centres in Australia and New Zealand: Effect of Centre- and Patient-Related Factors on Dialysis Access Quality Indicators.Nephrology (Carlton, Vic.) · 2025Article
- Cultural Education Provided to Renal Staff Caring for First Nations People in Australia and Similarly Colonized Countries: A Scoping Review.Journal of renal care · 2025Article
- Rapid chronic kidney disease progression in younger, First Nations patients in the Northern Territory.Internal medicine journal · 2025Article
- The Role of Aboriginal Kidney Health Mentors in the Transplant Journey: A Qualitative Evaluation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Closing the gap in kidney disease: validating the reporting of Aboriginal and/or Torres Strait Islander identification in a clinical quality registry using linked data.The Medical journal of Australia · 2025Article
- Cost-Effectiveness of Clinical Decision Support to Improve CKD Outcomes Among First Nations Australians.Kidney international reports · 2025Article
- Supporting equitable access to kidney transplant in remote Western Australia using continuous quality improvement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Diabetic kidney disease in rural Australia: prevention, management, treatment and way forward.Frontiers in medicine · 2025Article
- Skin health of Aboriginal children living in urban communities.The Australasian journal of dermatology · 2024Article
- Erratum.The Medical journal of Australia · 2024Article
- Improving the Detection and Management of Kidney Health in Primary Care.Journal of patient experience · 2024Article
- Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary.The Medical journal of Australia · 2023Article
- Identifying Drivers of Poor Kidney Transplant Outcomes in Indigenous Populations.Kidney international reports · 2022Article
Corrections and comments
- Erratum issuedErratum.2024
Authors and funding
21 authors at 11 institutions in 2 countries.
Funding
Abstract
introductionFirst Nations Australians display remarkable strength and resilience despite the intergenerational impacts of ongoing colonisation. The continuing disadvantage is evident in the higher incidence, prevalence, morbidity and mortality of chronic kidney disease (CKD) among First Nations Australians. Nationwide community consultation (Kidney Health Australia, Yarning Kidneys, and Lowitja Institute, Catching Some Air) identified priority issues for guideline development. These guidelines uniquely prioritised the knowledge of the community, alongside relevant evidence using an adapted GRADE Evidence to Decision framework to develop specific recommendations for the management of CKD among First Nations Australians. MAIN RECOMMENDATIONS: These guidelines explicitly state that health systems have to measure, monitor and evaluate institutional racism and link it to cultural safety training, as well as increase community and family involvement in clinical care and equitable transport and accommodation. The guidelines recommend earlier CKD screening criteria (age ≥ 18 years) and referral to specialists services with earlier criteria of kidney function (eg, estimated glomerular filtration rate [eGFR], ≤ 45 mL/min/1.73 m CHANGES IN MANAGEMENT AS RESULT OF THE GUIDELINES: Our recommendations prioritise health care service delivery changes to address institutional racism and ensure meaningful cultural safety training. Earlier detection of CKD and referral to nephrologists for First Nations Australians has been recommended to ensure timely implementation to preserve kidney function given the excess burden of disease. Finally, the importance of community with the recognition of involvement in all aspects and stages of treatment together with increased access to care on Country, particularly in rural and remote locations, including dialysis services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.