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Beyond state borders: transforming dialysis care for undocumented immigrants

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An Author Correction to this article was published on 20 July 2023

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A lack of federal access to health-care resources for undocumented immigrants in the USA has led to variability in access to health care — including dialysis — across states. Transforming dialysis care for these individuals is justified both on humanitarian and economic grounds, but requires a roadmap for advocacy and stakeholder engagement.

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Fig. 1: Steps to transform dialysis access.

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References

  1. Rodriguez, R., Cervantes, L. & Raghavan, R. Estimating the prevalence of undocumented immigrants with end-stage renal disease in the United States. Clin. Nephrol. 93, 108–112 (2020).

    Article  PubMed  Google Scholar 

  2. Social Security. Compilation of the social security laws: payment to states. ssa.gov, https://www.ssa.gov/OP_Home/ssact/title19/1903.htm. (accessed 10 May 2023).

  3. Cervantes, L. et al. Association of emergency-only vs standard hemodialysis with mortality and health care use among undocumented immigrants with end-stage renal disease. JAMA Intern. Med. 178, 188–195 (2018).

    Article  PubMed  Google Scholar 

  4. Cervantes, L. et al. The illness experience of undocumented immigrants with end-stage renal disease. JAMA Intern. Med. 177, 529–535 (2017).

    Article  PubMed  Google Scholar 

  5. Cervantes, L. C. et al. The experience of primary caregivers of undocumented immigrants with end-stage kidney disease that rely on emergency-only hemodialysis. J. Gen. Intern. Med. 35, 2389–2397 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

  6. Cervantes, L. et al. Clinicians’ perspectives on providing emergency-only hemodialysis to undocumented immigrants: a qualitative study. Ann. Intern. Med. 169, 78–86 (2018).

    Article  PubMed  Google Scholar 

  7. Cervantes, L., Tong, A., Camacho, C., Collings, A. & Powe, N. R. Patient-reported outcomes and experiences in the transition of undocumented patients from emergency to scheduled hemodialysis. Kidney Int. 99, 198–207 (2021).

    Article  PubMed  Google Scholar 

  8. Cervantes, L., Rizzolo, K., Tummalapalli, S. L. & Powe, N. R. Economic impact of a change in Medicaid coverage policy for dialysis care of undocumented immigrants. J. Am. Soc. Nephrol. https://doi.org/10.1681/ASN.0000000000000139 (2023).

    Article  PubMed  Google Scholar 

  9. Cervantes, L., Mundo, W. & Powe, N. R. The status of provision of standard outpatient dialysis for US undocumented immigrants with ESKD. Clin. J. Am. Soc. Nephrol. 14, 1258–1260 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Rizzolo, K., Dubey, M., Feldman, K. E., Powe, N. R. & Cervantes, L. Access to kidney care for undocumented immigrants across the United States. Ann. Intern. Med. 176, 877–879 (2023).

    Article  PubMed  Google Scholar 

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Correspondence to Lilia Cervantes.

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Cassidy, D., Rizzolo, K., Powe, N.R. et al. Beyond state borders: transforming dialysis care for undocumented immigrants. Nat Rev Nephrol 19, 539–540 (2023). https://doi.org/10.1038/s41581-023-00738-5

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