Sex differences in cardiovascular disease burden in children with chronic kidney disease.

Cardiovascular disease is the leading cause of death in children and adults with chronic kidney disease. In this issue, Sugianto et al. demonstrated signs of increased cardiovascular damage (vascular stiffness) in children with chronic kidney disease and highlighted an increased susceptibility of girls, especially in the context of declining kidney function and longer transplant wait times. Understanding the determinants leading to these differences are essential to address the disparity in outcomes in children with chronic kidney disease.