Pride in nephrology

Editorial & Comment

• Considerations of sex as a binary variable in clinical algorithms

  Clinical algorithms that are used to guide medical decision-making often include sex as a variable. However, binary considerations of sex and/or gender might introduce bias due to potentially inaccurate assumptions about sex and gender-specific physiology, hormones and exposures. An equity-focused approach to sex and gender is essential when using clinical algorithms to ensure health equity across populations.

  • Dinushika Mohottige
  • Samira Farouk
  • Selma Feldman Witchel

  Comment23 Apr 2024 Nature Reviews Nephrology

• Intersectionality as a lens for achieving kidney health justice

  Individuals who are members of multiple marginalized populations experience multiple axes of oppression and discrimination. Such intersectional discrimination can have interactive, negative effects on all aspects of life, including health. To achieve health equity, intersectional-discrimination-induced kidney harms must be examined, measured and mitigated.

  • Elle Lett
  • Carmen H. Logie
  • Dinushika Mohottige

  Comment20 Apr 2023 Nature Reviews Nephrology

• Including sexual orientation and gender identity data to advance nephrology care

  Understanding of the barriers to adequate health care experienced by sexual and gender minority (SGM) people cannot be achieved in the absence of robust and appropriate data. The inclusion of SGM populations in health research and the collection of sexual orientation and gender identity data in research and routine clinical practice is therefore essential to understanding the unique needs of these populations and addressing inequities in health outcomes.

  • Ken Sutha
  • Carl G. Streed Jr

  Comment31 Mar 2023 Nature Reviews Nephrology

• Sexual orientation and gender identity in organ and tissue donation and transplantation

  Specific policies embedded in organ and tissue donation and transplantation systems discriminate against sexual orientation- and gender identity-diverse populations, restricting or excluding the use of donated organs and tissues. Revision of these policies is needed to promote equity and increase the supply of high-quality organs and tissues for those who need them.

  • Murdoch Leeies
  • Emily Christie
  • David Collister

  Comment11 Apr 2023 Nature Reviews Nephrology

• Considerations in the care of transgender persons

  Transgender persons can face a number of barriers in accessing primary and specialist care that is equitable, inclusive and appropriate for their needs. In this Viewpoint, commissioned to recognize Pride, five researchers with expertise across different disciplines, including nephrology, endocrinology, public health, psychology and sociology, provide their perspectives on key considerations that are required to achieve optimal primary and nephrology care for transgender individuals, including barriers to care and how these might be overcome to ensure that the provision of care is inclusive and safe.

  • Sofia B. Ahmed
  • Lauren B. Beach
  • Cameron T. Whitley

  Viewpoint17 Apr 2023 Nature Reviews Nephrology

• Advancing kidney health justice through gender-affirming care

  Advancing kidney health justice for all requires the kidney-care community to embrace gender-affirming care across the life course, including inclusion of gender minority individuals in research, thoughtful attention to sexual-orientation and gender-identity data collection, as well as the promotion of policies and practices that protect and provide comprehensive care to all patients.

  • Han E. Eckenrode
  • Joseph T. Flynn
  • Dinushika Mohottige

  Comment26 Apr 2022 Nature Reviews Nephrology

• Ensuring health equity for sexual and/or gender minority individuals

  People who identify as sexual and/or gender minority individuals face unique and challenging inequities in access to health care. They experience bias, discrimination and underinsurance, which limits their access to high-quality care (including for kidney disease). These inequities must be addressed through the provision of safe and inclusive environments, improved identification of disparities and the creation of a pipeline of equity-focused leaders.

  • Juan D. Salcedo-Betancourt
  • Samira S. Farouk
  • Yuvaram N. V. Reddy

  Comment20 Apr 2022 Nature Reviews Nephrology

• Supporting sexual and gender minority health-care workers

  Sexual and/or gender minority health-care workers are subject to the heteronormativity and cisnormativity of society and often face open discrimination. Empowering these individuals to bring their full, authentic selves to work so that they can serve their patients and institutions with the totality of their strengths requires institutes and cisgender or straight allies to support LGBTQ+ communities by creating a culture of inclusivity and enacting progressive policies.

  • Mackenzie H. Holmberg
  • Suzanne G. Martin
  • Mitchell R. Lunn

  Comment13 Apr 2022 Nature Reviews Nephrology

• Bringing Pride to nephrology

  June marks Pride Month — an event that aims to recognize and celebrate LGBTQ+ communities worldwide. However, it also provides an opportunity to highlight the challenges that LGBTQ+ colleagues and nephrology patients continue to face, and the need to address health inequities.

  Editorial20 May 2022 Nature Reviews Nephrology