Socioeconomic Inequities in Early Kidney Care Concentrate at Late Initial Clinical Detection Rather Than Planned Care: A Population-Based Study

Introduction Socioeconomic inequities in chronic kidney disease (CKD) outcomes are recognised and greater at early stages, but where exactly inequities arise within early care remains unclear. This distinction is critical: if disparities occur before clinical recognition, strategies focused on management after diagnosis may have limited impact. Methods We conducted a population-based cohort study linking healthcare and Census data for adults in North-East Scotland, 2011-2020. We examined sequential components of early kidney care from initial clinical detection (eGFR <60 mL/min/1.73 m^2). Expo

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