Seeking justice, equity, diversity and inclusion in pediatric nephrology.
Patricia Seo-Mayer, Isa Ashoor, Nicole Hayde, Marciana Laster, Keia Sanderson, Danielle Soranno, Delbert Wigfall, Denver Brown
Author Information
Patricia Seo-Mayer: Division of Pediatric Nephrology, Inova Children's Hospital, University of Virginia School of Medicine-Inova Campus, Fairfax, VA, United States.
Isa Ashoor: Division of Pediatric Nephrology, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States.
Nicole Hayde: Division of Pediatric Nephrology, Children's Hospital of Montefiore, Albert Einstein College of Medicine, New York, NY, United States.
Marciana Laster: Division of Pediatric Nephrology, University of California Los Angeles Mattel Children's Hospital, Los Angeles, CA, United States.
Keia Sanderson: Division of Pediatric Nephrology, University of North Carolina, Chapel Hill, NC, United States.
Danielle Soranno: Division of Pediatric Nephrology, Indiana University, Indianapolis, IN, United States.
Delbert Wigfall: Division of Pediatric Nephrology, Duke University School of Medicine, Durham, NC, United States.
Denver Brown: Division of Pediatric Nephrology, Children's National Hospital, George Washington School of Medicine, Washington, DC, United States.
Inequity, racism, and health care disparities negatively impact the well-being of children with kidney disease. This review defines social determinants of health and describes how they impact pediatric nephrology care; outlines the specific impact of systemic biases and racism on chronic kidney disease care and transplant outcomes; characterizes and critiques the diversity of the current pediatric nephrology workforce; and aims to provide strategies to acknowledge and dismantle bias, address barriers to care, improve diversity in recruitment, and strengthen the pediatric nephrology community. By recognizing historical and current realities and limitations, we can move forward with strategies to address racism and bias in our field and clinical practices, thereby cultivating inclusive training and practice environments.
