TY - JOUR
T1 - Access to Care During Pregnancy for Patients With Chronic Kidney Disease and Kidney Failure in Latin America
T2 - A State of the Art with an International Comparison
AU - Orozco, Alejandra
AU - Shemies, Rasha
AU - Enrique Álvarez Rangel, Luis
AU - Trimarchi, Hernan
AU - de Jesus, Guilherme Ribeiro Ramirez
AU - Craici, Iasmina M.
AU - Schmidt, Alice
AU - Ankawi, Ghada
AU - Sellami, Nada
AU - Wu, I. Wen
AU - Cheungpasitporn, Wisit
AU - Kozlovskaya, Natalia
AU - Zakharova, Elena
AU - Ulasi, Ifeoma I.
AU - Jesudason, Shilpanjali
AU - Piccoli, Giorgina Barbara
N1 - Publisher Copyright:
© 2025 Elsevier Inc.
PY - 2025/1
Y1 - 2025/1
N2 - Access to kidney care is a problem in Latin America, similar to many other low- to medium-income countries. Uneven access and deep discrepancies in quality of care beset this large part of the world that encompasses North America (Mexico) and Central and South America. Access to kidney care during pregnancy can be seen as a marker of overall achievements and needs in nephrology. We suggest that this issue should be systematically considered and compared across settings when health care systems are evaluated. If this were done, pregnancy would be in the spotlight, and this would increase awareness of the problems that need to be dealt with and could guide interventions to improve kidney care in young women. This review discusses some epidemiological and clinical issues, as well as barriers to optimal care of pregnancy in patients with chronic kidney disease encountered in Mexico and other Latin American countries, contextualized with a brief overview on barriers and challenges in other continents.
AB - Access to kidney care is a problem in Latin America, similar to many other low- to medium-income countries. Uneven access and deep discrepancies in quality of care beset this large part of the world that encompasses North America (Mexico) and Central and South America. Access to kidney care during pregnancy can be seen as a marker of overall achievements and needs in nephrology. We suggest that this issue should be systematically considered and compared across settings when health care systems are evaluated. If this were done, pregnancy would be in the spotlight, and this would increase awareness of the problems that need to be dealt with and could guide interventions to improve kidney care in young women. This review discusses some epidemiological and clinical issues, as well as barriers to optimal care of pregnancy in patients with chronic kidney disease encountered in Mexico and other Latin American countries, contextualized with a brief overview on barriers and challenges in other continents.
KW - chronic kidney disease
KW - kidney failure
KW - Latin America
KW - nephro-obstetric
KW - pregnancy
UR - https://www.scopus.com/pages/publications/105004595955
UR - https://www.scopus.com/pages/publications/105004595955#tab=citedBy
U2 - 10.1016/j.semnephrol.2025.151610
DO - 10.1016/j.semnephrol.2025.151610
M3 - Review article
C2 - 40340105
AN - SCOPUS:105004595955
SN - 0270-9295
VL - 45
JO - Seminars in Nephrology
JF - Seminars in Nephrology
IS - 1-2
M1 - 151610
ER -
