2018, Cilt 27, Sayı 1, Sayfa(lar) 001-013
What We Do and Do not Know About Women and Kidney Diseases; Questions Unanswered and Answers Unquestioned: Reflection on World Kidney Day and International Woman’s Day
Giorgina B PICCOLI1,2, Mona ALRUKHAIMI3, Zhi-Hong LIU4, Elena ZAKHAROVA5,6,7, Adeera LEVIN8
1University of Torino, Department of Clinical and Biological Sciences, Italy
2Centre Hospitalier Le Mans, Department of Nephrology, Le Mans, France
3Dubai Medical College, Department of Medicine, Dubai, United Arab Emirates
4Jinling Hospital, Nanjing University School of Medicine, National Clinical Research Center of Kidney Diseases, Nanjing, China
5Moscow City Hospital n.a. S.P. Botkin, Department of Nephrology, Moscow, Russian Federation
6Moscow State University of Medicine and Dentistry, Department of Nephrology, Moscow, Russian Federation
7Russian Medical Academy of Continuous Professional Education, Department of Nephrology, Moscow, Russian Federation
8University of British Columbia, Department of Medicine, Division of Nephrology, Vancouver, British Columbia, Canada
Keywords: Women, Access to care, Kidney health, Acute and chronic kidney disease, Inequities
Abstract
Chronic Kidney Disease affects approximately 10% of the world’s adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women’s Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women’s health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly.

Girls and women, who make up approximately 50% of the world’s population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide.

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