CKD affects 15% of US adults and is associated with higher morbidity and mortality. CKD disproportionately affects certain populations, including racial and ethnic minorities and individuals from disadvantaged socioeconomic backgrounds. These groups are also disproportionately affected by incarceration and barriers to accessing health services. Incarceration represents an opportunity to link marginalized individuals to CKD care. Despite a legal obligation to provide a community standard of care including the screening and treatment of individuals with CKD, there is little evidence to suggest systematic efforts are in place to address this prevalent, costly, and ultimately fatal condition. This review highlights unrealized opportunities to connect individuals with CKD to care within the criminal justice system and as they transition to the community, and it underscores the need for more evidence-based strategies to address the health effect of CKD on over-represented communities in the criminal justice system.

15% 的美国成年人患有 CKD，发病率和死亡率较高。慢性肾病不成比例地影响某些人群，包括少数种族和族裔以及来自社会经济背景不利的个人。这些群体还特别受到监禁和获得医疗服务障碍的影响。监禁是将边缘化个体与 CKD 护理联系起来的机会。尽管法律有义务提供社区护理标准，包括对 CKD 患者进行筛查和治疗，但几乎没有证据表明已经采取系统性措施来解决这种普遍存在、成本高昂且最终致命的疾病。本次审查强调了将慢性肾病患者与刑事司法系统内的护理以及他们过渡到社区时联系起来的未实现的机会，并强调需要更多基于证据的策略来解决慢性肾病对代表性过高社区的健康影响。刑事司法系统。