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Severity of Chronic Kidney Disease in Central America. A meta-narrative review from the perspective of the social determinants of health

Author

Listed:
  • Sheila Karina Valdivia Quiroz

    (UNAN-Managua/CIES, Managua, Nicaragua)

  • Abraham Salinas Miranda

    (UNAN-Managua/CIES, Managua, Nicaragua)

  • Erick Chamorro Segovia

    (UNAN-Managua/CIES, Managua, Nicaragua)

  • Francisco José Mayora Marín

    (UNAN-Managua/CIES, Managua, Nicaragua)

Abstract

The purpose of this meta-narrative review is to analyze the severity of Chronic Kidney Disease (CKD) in Central America and its relationship with the Social Determinants of Health (SDH), following the RAMESES guidelines. A total of 10 documents were integrated from 5 databases (ScienceDirect, PubMed, SciELO, LILACS, and Google Scholar). Intra- and inter-traditional analysis identified 4 traditions that explain the conceptualization of the disease, its structural factors and social determinants, causal models, and the gaps and challenges for public health in Central America. The findings showed that the severity of CKD in the region was linked to adverse working conditions, environmental exposures, poverty, diagnostic limitations, and gaps in treatment coverage.

Suggested Citation

Handle: RePEc:cvp:carean:v:4:y:2026:i:1:id:58
DOI: 10.69821/caretech.v4i1.58
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