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Chronic kidney disease in American Indians and Alaska Natives

American Indian and Alaska Native peoples have low life expectancy and a disproportionate disease burden (including of chronic kidney disease), owing to inadequate education, poverty, discrimination and underfunding in the delivery of health services, and healthcare institutions’ lack of appreciation for cultural differences. These broad quality-of-life issues are rooted in economic adversity and poor social conditions.

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Fig. 1: Challenges to healthcare equity in CKD care for American Indian and Alaska Native communities.


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Correspondence to Vallabh O. Shah.

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Shah, V.O., Parker, T., de Sosa, G.R. et al. Chronic kidney disease in American Indians and Alaska Natives. Nat Rev Nephrol 20, 487–488 (2024).

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