TY - JOUR
T1 - Health inequities in dialysis care
T2 - A scoping review
AU - Purcell, Lindsey Kay
AU - Schnitker, Joseph William
AU - Moore, Ty Michael
AU - Peña, Andriana Mercedes
AU - Love, Mitchell Faris
AU - Ford, Alicia Ito
AU - Vassar, Benjamin Matt
N1 - Funding Information:
No financial or other sources of support were provided during the development of this manuscript. Dr. Vassar reports receipt of funding from the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Alcoholism, the US Office of Research Integrity, Oklahoma Center for Advancement of Science and Technology, and internal grants from Oklahoma State University Center for Health Sciences—all outside of the present work. Dr. Ford reports receipt of funding from Center for Integrative Research on Childhood Adversity and internal grants from Oklahoma State University Center for Health Sciences—all outside of the present work. All other authors have nothing to report.
Publisher Copyright:
© 2023 Wiley Periodicals LLC.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - Main Problem: We aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute to more equitable care. Methods: Following guidelines from the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic reviews and Meta Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a scoping review of health inequities in dialysis. PubMed and Ovid Embase were searched in July 2022 for articles published between 2016 and 2022 that examined at least one of the following NIH defined health inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, and occupation status. Frequencies of each health inequity as well as trends over time of the four most examined inequities were analyzed. Results: In our sample of 69 included studies, gaps were identified in LGBTQ+ identity and patient education. Inequities pertaining to race/ethnicity, sex/gender, underserved rural populations, and income were sufficiently reported. No trends between inequities investigated over time were identified. Conclusions: Our scoping review examined current literature on health inequities pertaining to dialysis and found gaps concerning LGBTQ+ and patients with lower levels of education. To help fill these gaps, and possibly alleviate additional burden to these patients, we recommend cultural competency training for providers and dialysis center staff as well as community-based educational programs to improve dialysis patients' health literacy.
AB - Main Problem: We aim to look at potential gaps in current dialysis literature on inequities and explore future research that could contribute to more equitable care. Methods: Following guidelines from the Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic reviews and Meta Analyses extension for Scoping Reviews (PRISMA-ScR), we conducted a scoping review of health inequities in dialysis. PubMed and Ovid Embase were searched in July 2022 for articles published between 2016 and 2022 that examined at least one of the following NIH defined health inequities: race/ethnicity, sex/gender, LGBTQ+ identity, underserved rural populations, education level, income, and occupation status. Frequencies of each health inequity as well as trends over time of the four most examined inequities were analyzed. Results: In our sample of 69 included studies, gaps were identified in LGBTQ+ identity and patient education. Inequities pertaining to race/ethnicity, sex/gender, underserved rural populations, and income were sufficiently reported. No trends between inequities investigated over time were identified. Conclusions: Our scoping review examined current literature on health inequities pertaining to dialysis and found gaps concerning LGBTQ+ and patients with lower levels of education. To help fill these gaps, and possibly alleviate additional burden to these patients, we recommend cultural competency training for providers and dialysis center staff as well as community-based educational programs to improve dialysis patients' health literacy.
UR - http://www.scopus.com/inward/record.url?scp=85171766361&partnerID=8YFLogxK
U2 - 10.1111/sdi.13176
DO - 10.1111/sdi.13176
M3 - Article
C2 - 37734842
AN - SCOPUS:85171766361
SN - 0894-0959
VL - 36
SP - 430
EP - 447
JO - Seminars in Dialysis
JF - Seminars in Dialysis
IS - 6
ER -