The Multicultural Kidney and Hypertension Program allows physicians to more effectively address health disparities in minority populations including the specific medical needs of Asian, African American, and Hispanic patients.
Why was this program developed?
As a leader in kidney disease, Cleveland Clinic’s Glickman Urological Institute recognizes that minority groups suffer a disproportionate burden of hypertension and kidney disease. For various reasons – genetics, living and working conditions, environmental, sociocultural, and barriers to getting medical care – minorities are more likely than Caucasians to develop some life threatening diseases and medical problems, and are at greater risk of dying from them.
This program provides a friendly portal of entry empowering minorities and underserved men and women the opportunity regardless of race and ethnicity to engage in their well-being, adopt healthier lifestyles and take steps to improve their health including treatment of uncontrolled high blood pressure and chronic kidney disease to prevent stroke, heart failure, and progression of kidney disease to dialysis.
Did you know?
- African Americans are less likely to receive kidney transplants and more likely to reject a kidney transplant.
- The apolipoprotein L1 (APOL1) recessive gene mutation is common in African Americans and confers a 7x higher risk of dialysis from hypertension.
- According to blood pressure guidelines 50% of African-Americans have high blood pressure (the top risk factor for stroke), and their rate of control is lower than in the general population.
- African Americans and Latinos have higher rates of chronic kidney disease and end stage kidney disease requiring dialysis or transplantation.
Additional Services We Provide
The Multicultural Kidney and Hypertension Program team provides these services:
- Chronic kidney disease and anemia management clinics
- Community education events
- Comprehensive high blood pressure evaluation in the Hypertension Center
- Follow-up virtual visits through Cleveland Clinic Express Care® Online
- Information on transportation assistance for in-person appointments
- Participation in research programs
- Referrals to many other teams within Cleveland Clinic including:
- Chronic kidney disease experts
- Dialysis and transplantation educators
- Transplant surgeons
- Vascular surgeons and interventional radiologists
- Other medical providers who manage diabetes, heart disease, hypertension, prostate disease, kidney stones, and vascular disease or who can help with weight loss, physical fitness and smoking cessation
What We Treat
The Multicultural Kidney and Hypertension Program providers can help you with early detection, prevention, and treatment for a number of medical conditions to prevent progression of chronic kidney disease by providing education and improving the management of risk factors like:
Diseases & Conditions
- Anemia in chronic kidney disease
- Blood in urine (hematuria)
- Diabetes mellitus
- Heart disease (coronary artery disease)
- High blood pressure (hypertension)
- High cholesterol and triglycerides
- Kidney stones
- Kidney tumors and cysts
- Obesity or overweight
- Obstructive sleep apnea
- Protein in urine (proteinuria)
- Secondary hyperparathyroidism in chronic kidney disease
Other Factors We Treat
- Chronic use of non-steroidal anti-inflammatory painkillers and other medications that can damage the kidneys
- Drugs that have a negative effect on the progression of chronic kidney disease, including cocaine and smoke inhalation from marijuana use
- Difficulty emptying the bladder due to obstruction
- Exposure to intravenous contrast dye for procedures like computed tomography scanning (contrast-enhanced CT scans)
- Physical inactivity
- Tobacco use that has a negative effect on the progression of chronic kidney disease due to smoke inhalation
Alison Heider, MSN, FNP-C