Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary.
INTRODUCTION: First Nations Australians display remarkable strength and resilience despite the intergenerational impacts of ongoing colonisation. The continuing disadvantage is evident in the higher incidence, prevalence, morbidity and mortality of chronic kidney disease (CKD) among First Nations Au...
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ftnorthernterhls:oai:digitallibrary.health.nt.gov.au:10137/12607 2024-02-11T10:03:50+01:00 Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. Tunnicliffe, David J Bateman, Samantha Arnold-Chamney, Melissa Dwyer, Karen M Howell, Martin Gebadi, Azaria Jesudason, Shilpa Kelly, Janet Lambert, Kelly Majoni, Sandawan William Oliva, Dora Owen, Kelli J Pearson, Odette Rix, Elizabeth Roberts, Ieyesha Taylor, Kimberly Wittert, Gary A Widders, Katherine Yip, Adela Craig, Jonathan Phoon, Richard K 2023 374-385 https://hdl.handle.net/10137/12607 https://doi.org/10.5694/mja2.52114 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37838977 eng eng Australia © 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. Med J Aust. 2023 Oct 16;219(8):374-385. doi:10.5694/mja2.52114. 0400714 https://hdl.handle.net/10137/12607 The Medical journal of Australia doi:10.5694/mja2.52114 orcid:0000-0003-3270-3475 orcid:0000-0002-1985-0035 orcid:0000-0002-4376-9720 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37838977 219 Humans Adolescent Australia/epidemiology *Renal Insufficiency Chronic/epidemiology/therapy Kidney Delivery of Health Care Glomerular Filtration Rate Journal Article Research Support, Non-U.S. Gov't 2023 ftnorthernterhls https://doi.org/10.5694/mja2.52114 2024-01-22T23:15:56Z INTRODUCTION: First Nations Australians display remarkable strength and resilience despite the intergenerational impacts of ongoing colonisation. The continuing disadvantage is evident in the higher incidence, prevalence, morbidity and mortality of chronic kidney disease (CKD) among First Nations Australians. Nationwide community consultation (Kidney Health Australia, Yarning Kidneys, and Lowitja Institute, Catching Some Air) identified priority issues for guideline development. These guidelines uniquely prioritised the knowledge of the community, alongside relevant evidence using an adapted GRADE Evidence to Decision framework to develop specific recommendations for the management of CKD among First Nations Australians. MAIN RECOMMENDATIONS: These guidelines explicitly state that health systems have to measure, monitor and evaluate institutional racism and link it to cultural safety training, as well as increase community and family involvement in clinical care and equitable transport and accommodation. The guidelines recommend earlier CKD screening criteria (age ≥ 18 years) and referral to specialists services with earlier criteria of kidney function (eg, estimated glomerular filtration rate [eGFR], ≤ 45 mL/min/1.73 m(2) , and a sustained decrease in eGFR, > 10 mL/min/1.73 m(2) per year) compared with the general population. CHANGES IN MANAGEMENT AS RESULT OF THE GUIDELINES: Our recommendations prioritise health care service delivery changes to address institutional racism and ensure meaningful cultural safety training. Earlier detection of CKD and referral to nephrologists for First Nations Australians has been recommended to ensure timely implementation to preserve kidney function given the excess burden of disease. Finally, the importance of community with the recognition of involvement in all aspects and stages of treatment together with increased access to care on Country, particularly in rural and remote locations, including dialysis services. University of Sydney, Sydney, NSW. Centre for Kidney ... Article in Journal/Newspaper First Nations Northern Territory Government Health Library Services ePublications Medical Journal of Australia 219 8 374 385 |
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Open Polar |
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Northern Territory Government Health Library Services ePublications |
op_collection_id |
ftnorthernterhls |
language |
English |
topic |
Humans Adolescent Australia/epidemiology *Renal Insufficiency Chronic/epidemiology/therapy Kidney Delivery of Health Care Glomerular Filtration Rate |
spellingShingle |
Humans Adolescent Australia/epidemiology *Renal Insufficiency Chronic/epidemiology/therapy Kidney Delivery of Health Care Glomerular Filtration Rate Tunnicliffe, David J Bateman, Samantha Arnold-Chamney, Melissa Dwyer, Karen M Howell, Martin Gebadi, Azaria Jesudason, Shilpa Kelly, Janet Lambert, Kelly Majoni, Sandawan William Oliva, Dora Owen, Kelli J Pearson, Odette Rix, Elizabeth Roberts, Ieyesha Taylor, Kimberly Wittert, Gary A Widders, Katherine Yip, Adela Craig, Jonathan Phoon, Richard K Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
topic_facet |
Humans Adolescent Australia/epidemiology *Renal Insufficiency Chronic/epidemiology/therapy Kidney Delivery of Health Care Glomerular Filtration Rate |
description |
INTRODUCTION: First Nations Australians display remarkable strength and resilience despite the intergenerational impacts of ongoing colonisation. The continuing disadvantage is evident in the higher incidence, prevalence, morbidity and mortality of chronic kidney disease (CKD) among First Nations Australians. Nationwide community consultation (Kidney Health Australia, Yarning Kidneys, and Lowitja Institute, Catching Some Air) identified priority issues for guideline development. These guidelines uniquely prioritised the knowledge of the community, alongside relevant evidence using an adapted GRADE Evidence to Decision framework to develop specific recommendations for the management of CKD among First Nations Australians. MAIN RECOMMENDATIONS: These guidelines explicitly state that health systems have to measure, monitor and evaluate institutional racism and link it to cultural safety training, as well as increase community and family involvement in clinical care and equitable transport and accommodation. The guidelines recommend earlier CKD screening criteria (age ≥ 18 years) and referral to specialists services with earlier criteria of kidney function (eg, estimated glomerular filtration rate [eGFR], ≤ 45 mL/min/1.73 m(2) , and a sustained decrease in eGFR, > 10 mL/min/1.73 m(2) per year) compared with the general population. CHANGES IN MANAGEMENT AS RESULT OF THE GUIDELINES: Our recommendations prioritise health care service delivery changes to address institutional racism and ensure meaningful cultural safety training. Earlier detection of CKD and referral to nephrologists for First Nations Australians has been recommended to ensure timely implementation to preserve kidney function given the excess burden of disease. Finally, the importance of community with the recognition of involvement in all aspects and stages of treatment together with increased access to care on Country, particularly in rural and remote locations, including dialysis services. University of Sydney, Sydney, NSW. Centre for Kidney ... |
format |
Article in Journal/Newspaper |
author |
Tunnicliffe, David J Bateman, Samantha Arnold-Chamney, Melissa Dwyer, Karen M Howell, Martin Gebadi, Azaria Jesudason, Shilpa Kelly, Janet Lambert, Kelly Majoni, Sandawan William Oliva, Dora Owen, Kelli J Pearson, Odette Rix, Elizabeth Roberts, Ieyesha Taylor, Kimberly Wittert, Gary A Widders, Katherine Yip, Adela Craig, Jonathan Phoon, Richard K |
author_facet |
Tunnicliffe, David J Bateman, Samantha Arnold-Chamney, Melissa Dwyer, Karen M Howell, Martin Gebadi, Azaria Jesudason, Shilpa Kelly, Janet Lambert, Kelly Majoni, Sandawan William Oliva, Dora Owen, Kelli J Pearson, Odette Rix, Elizabeth Roberts, Ieyesha Taylor, Kimberly Wittert, Gary A Widders, Katherine Yip, Adela Craig, Jonathan Phoon, Richard K |
author_sort |
Tunnicliffe, David J |
title |
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
title_short |
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
title_full |
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
title_fullStr |
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
title_full_unstemmed |
Recommendations for culturally safe clinical kidney care for First Nations Australians: a guideline summary. |
title_sort |
recommendations for culturally safe clinical kidney care for first nations australians: a guideline summary. |
publisher |
Australia |
publishDate |
2023 |
url |
https://hdl.handle.net/10137/12607 https://doi.org/10.5694/mja2.52114 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37838977 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
219 |
op_relation |
© 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. Med J Aust. 2023 Oct 16;219(8):374-385. doi:10.5694/mja2.52114. 0400714 https://hdl.handle.net/10137/12607 The Medical journal of Australia doi:10.5694/mja2.52114 orcid:0000-0003-3270-3475 orcid:0000-0002-1985-0035 orcid:0000-0002-4376-9720 https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/37838977 |
op_doi |
https://doi.org/10.5694/mja2.52114 |
container_title |
Medical Journal of Australia |
container_volume |
219 |
container_issue |
8 |
container_start_page |
374 |
op_container_end_page |
385 |
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1790600160189874176 |