Global Variation in Predictors of Uptake of Conservative Kidney Management: A Systematic Review and Meta-Analysis.
Kerry-Lee Rosenberg, Naaheed Mukadam, Gordon Paterson et al.
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In 30 seconds
This systematic review and meta-analysis examined predictors of conservative kidney management uptake among patients with kidney failure across various regions. Analyzing 43 studies with 51,872 participants, it found that female sex was associated with a higher likelihood of choosing non-dialysis care (pooled OR 1.47). The study highlights significant geographical variations in treatment choices influenced by socioeconomic factors.
Key findings
- Female sex was associated with choosing non-dialysis care (pooled OR 1.47, 95% CI 1.26-1.71).
- In North America, non-White groups had lower odds of receiving non-dialysis care compared to white patients (OR 0.70, 95% CI 0.60-0.81).
- Low educational attainment was linked to choosing non-dialysis care in Asia (OR 2.85, 95% CI 1.54-5.26).
- Living alone was associated with non-dialysis care (pooled OR 1.55, 95% CI 1.24-1.93).
Why it matters
Understanding the factors influencing the choice of conservative kidney management is crucial for clinicians to address disparities in treatment access and to facilitate shared decision-making with patients, particularly in diverse populations.