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According to population-based studies, the epidemiology of chronic kidney disease (CKD) varies by sex and affects more women than men, particularly in the case of CKD. Very less is known about how gender-based social inequalities may impact CKD patients' ability to access care and its outcome. Although there are more women with chronic kidney disease (CKD) worldwide, but only 40% of patients on dialysis are female. Our goal was to outline viewpoints regarding gender differences in dialysis and CKD outcomes and access to care.
We have a cohort of patients who have CKD and anemia (hemoglobin <10). From this cohort of study, we have aimed to analyze, if there are any significant differences based on gender. The patients with hematological malignancy, HBV, HCV, HIV, Hematological kidney disease, clinically significant bleed, infection at presentation, receiving systemic immunosuppressive therapy and were pregnant/lactating or during study were excluded. In this cohort we have data of baseline anemia related parameters, CKD-MBD parameters and other clinical details regarding CKD and the hemoglobin followed up at 4 weeks is available. We have compared these parameters between men and women.
Women and men having anemia in CKD perform equally well in short term. However, there is a stark difference in the proportion of women availing CKD care as compared to men. Larger studies, community based studies with longer follow up are warranted to estimate the magnitude of disparity in access to CKD care so as to plan strategies to work towards equitable access to CKD care