IMPROVE Kidney Care
Research type
Research Study
Full title
IMPROVE Kidney Care: Investigating Management Pathways, Opportunities and Value in Experiences of Kidney Care
IRAS ID
325601
Contact name
Kate Bramham
Contact email
Sponsor organisation
Kings College London
Clinicaltrials.gov Identifier
NA, NA
Duration of Study in the UK
1 years, 1 months, 31 days
Research summary
KRUK found that people from Asian and Black ethnic groups were more likely to need dialysis and wait longer for a kidney transplant than people from White ethnic groups. Also, people from deprived areas were more likely to develop kidney disease and die earlier. The London Kidney Network Health Equity Group recently did an audit to find out if there were any inequalities in kidney care in London. They found disparities in access to kidney care and outcomes. For example, younger adults had worse access to some parts of the renal care pathway, men over 75 were more likely to start RRT, women were more likely to have undiagnosed CKD, patients from Asian ethnic groups were less likely to attend Nephrology outpatient appointments and less likely to have a kidney transplant within two years of starting RRT, and patients from deprived areas were less likely to attend for Nephrology outpatient appointments and less likely to have a kidney transplant within two years of starting RRT.
To better understand the factors contributing to these disparities and opportunities to improve care, a qualitative analysis involving healthcare professionals and patients was recommended by the Health Equity Group. By understanding the experiences of people with kidney disease or risk factors for kidney disease, to better understand the factors that enable or inhibit access to healthcare services.
This research aims to understand the factors that affect access to healthcare services for people with chronic kidney disease (CKD) or risk factors for CKD. This will be done by gathering the experiences of people with CKD, the perspectives of healthcare practitioners, and identifying opportunities to improve healthcare services for people with CKD or risk factors for CKD. The results of the research will help to improve the quality and equity of kidney care, and reduce late presentation.
REC name
Wales REC 3
REC reference
23/WA/0341
Date of REC Opinion
23 Nov 2023
REC opinion
Favourable Opinion