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. 2023 Aug 8;16(12):2327–2335. doi: 10.1093/ckj/sfad183

Table 3:

Established facts about sex and gender differences in kidney diseases.

Characteristic in women Supporting evidence
Higher prevalence of CKD Carrero et al., Nat Rev Nephrol 2018 [17]
Melsom et al., J Am Soc Nephrol 2022 [19]
Bikbov et al., Nephron 2018 [16]
Autoimmune diseases targeting kidneys are more prevalent Piccoli et al., Kidney Int Rep 2018 [3]
Lower probability of testing for albuminuria Bello et al., JAMA Netw Open 2019 [22]
Less common initiation of ACEi/ARB Qiao et al., Hypertension 2020 [23]
Pregnancy associated complications including CKD Zhang et al., Clin J Am Soc Nephrol 2015 [65]
GFR decline is slower Melsom et al., J Am Soc Nephrol 2022 [19]
Lower eGFR at referral John et al., Am J Kidney Dis 2004 [66]
Lower number of women starting KRT Carrero et al., Nat Rev Nephrol 2018 [17]
Higher mortality on dialysis De La Mata et al., BMJ 2021 [29]
Chen et al., Perit Dial Int 2021 [67]
Carrero et al., Clin J Am Soc Nephrol 2011 [31]
Lower probability to have an arteriovenous fistula as a vascular access Shah et al., Am J Nephrol 2018 [68]
Markell et al., Hemodial Int 2018 [35]
Higher risk of peritonitis on PD Kotsanas et al., Nephrology (Carlton) 2007 [69]
Higher risk of encapsulating peritoneal sclerosis Guest et al., Perit Dial Int 2009 [70]
Higher ESA demands on dialysis Ryta et al., Int Urol Nephrol 2017 [33]
Higher incidence of depression and restless leg syndrome Guglielmi, Adv Chronic Kidney Dis 2013 [71]
Gitto et al., Int J Health Policy Manag 2015 [72]
Merlino et al., Neurol Sci 2012 [73]
Lower dialysis adequacy Lowrie et al., Kidney Int 2004 [74]
Depner et al., Kidney Int 2004 [75]
Lower probability to receive kidney transplant Wolfe et al., Am J Kidney Dis 2000 [76]
Higher probability to become a living kidney donor Gill et al., J Am Soc Nephrol 2018 [77]

PD: peritoneal dialysis.