Academic literature on the topic 'Access to waiting list and kidney transplant'

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Journal articles on the topic "Access to waiting list and kidney transplant"

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Adoli, Latame, Maxime Raffray, Valérie Châtelet, Cécile Vigneau, Thierry Lobbedez, Fei Gao, Florian Bayer, et al. "Women’s Access to Kidney Transplantation in France: A Mixed Methods Research Protocol." International Journal of Environmental Research and Public Health 19, no. 20 (October 19, 2022): 13524. http://dx.doi.org/10.3390/ijerph192013524.

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Kidney transplantation is the best renal replacement therapy (medically and economically) for eligible patients with end-stage kidney disease. Studies in some French regions and in other countries suggest a lower access to the kidney transplant waiting listing and also to kidney transplantation, once waitlisted, for women. Using a mixed methods approach, this study aims to precisely understand these potential sex disparities and their causes. The quantitative study will explore the geographic disparities, compare the determinants of access to the waiting list and to kidney transplantation, and compare the reasons and duration of inactive status on the waiting list in women and men at different scales (national, regional, departmental, and census-block). The qualitative study will allow describing and comparing women’s and men’s views about their disease and transplantation, as well as nephrologists’ practices relative to the French national guidelines on waiting list registration. This type of study is important in the current societal context in which the reduction of sex/gender-based inequalities is a major social expectation.
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Pussell, B. A., A. Bendorf, and I. H. Kerridge. "Access to the kidney transplant waiting list: a time for reflection." Internal Medicine Journal 42, no. 4 (April 2012): 360–63. http://dx.doi.org/10.1111/j.1445-5994.2012.02730.x.

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Barth, Anita, Gergő József Szőllősi, and Balázs Nemes. "Factors Affecting Access to the Kidney Transplant Waiting List in Eastern Hungary." Transplantation Proceedings 53, no. 5 (June 2021): 1418–22. http://dx.doi.org/10.1016/j.transproceed.2021.01.044.

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King, Kristen L., S. Ali Husain, Jesse D. Schold, Rachel E. Patzer, Peter P. Reese, Zhezhen Jin, Lloyd E. Ratner, David J. Cohen, Stephen O. Pastan, and Sumit Mohan. "Major Variation across Local Transplant Centers in Probability of Kidney Transplant for Wait-Listed Patients." Journal of the American Society of Nephrology 31, no. 12 (October 9, 2020): 2900–2911. http://dx.doi.org/10.1681/asn.2020030335.

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BackgroundGeographic disparities in access to deceased donor kidney transplantation persist in the United States under the Kidney Allocation System (KAS) introduced in 2014, and the effect of transplant center practices on the probability of transplantation for wait-listed patients remains unclear.MethodsTo compare probability of transplantation across centers nationally and within donation service areas (DSAs), we conducted a registry study that included all United States incident adult kidney transplant candidates wait listed in 2011 and 2015 (pre-KAS and post-KAS cohorts comprising 32,745 and 34,728 individuals, respectively). For each center, we calculated the probability of deceased donor kidney transplantation within 3 years of wait listing using competing risk regression, with living donor transplantation, death, and waiting list removal as competing events. We examined associations between center-level and DSA-level characteristics and the adjusted probability of transplant.ResultsCandidates received deceased donor kidney transplants within 3 years of wait listing more frequently post-KAS (22%) than pre-KAS (19%). Nationally, the probability of transplant varied 16-fold between centers, ranging from 4.0% to 64.2% in the post-KAS era. Within DSAs, we observed a median 2.3-fold variation between centers, with up to ten-fold and 57.4 percentage point differences. Probability of transplantation was correlated in the post-KAS cohort with center willingness to accept hard-to-place kidneys (r=0.55, P<0.001) and local organ supply (r=0.44, P<0.001).ConclusionsLarge differences in the adjusted probability of deceased donor kidney transplantation persist under KAS, even between centers working with the same local organ supply. Probability of transplantation is significantly associated with organ offer acceptance patterns at transplant centers, underscoring the need for greater understanding of how centers make decisions about organs offered to wait-listed patients and how they relate to disparities in access to transplantation.
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Dall’Agnol, Juliana, Eda Schwartz, and Fernanda Lise. "Acesso à lista de espera para o transplante renal." Revista Recien - Revista Científica de Enfermagem 11, no. 35 (September 23, 2021): 174–84. http://dx.doi.org/10.24276/rrecien2021.11.35.174-184.

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Descrever os fatores que dificultam o acesso dos indivíduos em terapia de substituição renal à lista de espera para o transplante renal à nível mundial por meio da revisão bibliográfica sistemática. Atende as diretrizes do Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A qualidade metodológica dos artigos foi avaliada de acordo com o Strengthening the Reporting of Observational Studies in Epidemiology. A estratégia PICO foi utilizada para busca das evidências que foram analisadas de forma descritiva e apresentadas em categorias temáticas. Os dez artigos apontam fatores demográficos, clínicos, socioeconômicos, geográficos, motivos referidos e de características do serviço como fatores que dificultam o acesso à lista de espera para o transplante renal. A decisão do indivíduo e sua família deve ser respeitada, entretanto, os serviços de terapia de substituição renal necessitam promover a qualificação dos profissionais e investir na estrutura destes serviços.Descritores: Transplante de Rim, Enfermagem, Listas de Espera, Acesso à Informação. Access to the kidney transplant waiting listAbstract: To describe the factors that make it difficult for individuals on renal replacement therapy to access the kidney transplantation waiting list worldwide through a systematic literature review. It attends the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. The methodological quality of the articles was assessed according to the Strengthening the Reporting of Observational Studies in Epidemiology. The PICO strategy was used and the evidence was analyzed descriptively and presented in thematic categories. The ten papers point to demographic, clinical, socioeconomic, geographic factors, reasons mentioned and service characteristics as factors that hinder access to the waiting list for kidney transplantation. The decision of the individual and the family must be respected, however, renal replacement therapy services need to promote the qualification of professionals and invest in the structure of these services.Descriptors: Kidney Transplantation, Nursing, Waiting Lists, Access to Information. Acceso a la lista de espera de trasplante de riñónResumen: Describir los factores que dificultan el acceso de los individuos en tratamiento sustitutivo renal a la lista de espera para trasplante renal en todo el mundo mediante una revisión sistemática de la literatura. Cumple con los elementos Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. La calidad metodológica de los artículos se evaluó de acuerdo con Strengthening the Reporting of Observational Studies in Epidemiology. Se utilizó la estrategia PICO para la búsqueda de evidencias que se analizaron descriptivamente y se presentaron en categorías temáticas. Los diez artículos apuntan a factores demográficos, clínicos, socioeconómicos, geográficos, razones mencionadas y características del servicio como factores que dificultan el acceso a la lista de espera para trasplante renal. Se debe respetar la decisión del individuo y su familia, sin embargo, los servicios de terapia sustitutiva renal deben promover la calificación de los profesionales e invertir en la estructura de estos servicios.Descriptores: Transplante de Riñon, Enfermería, Listas de Espera, Acceso a la Información.
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Kasiske, B. L., W. London, and M. D. Ellison. "Race and socioeconomic factors influencing early placement on the kidney transplant waiting list." Journal of the American Society of Nephrology 9, no. 11 (November 1998): 2142–47. http://dx.doi.org/10.1681/asn.v9112142.

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This cohort study investigates whether there are inequities in the current system for listing patients for cadaveric renal transplantation, using univariate and multivariate analyses to identify factors associated with early registration before initiation of dialysis. It includes patient registrations for the kidney and kidney-pancreas waiting lists between April 1, 1994, and June 30, 1996 (n = 41,596) from all 238 United Network for Organ Sharing renal transplant centers. Patient and center factors predicting dialysis status (pre- or postdialysis initiation) at the time of registration were examined. Independent predictors of listing before dialysis (P < 0.001) included: female (odds ratio [OR] = 1.14, reference: male, i.e., listing before dialysis was 14% more likely in females than in males); age < or =17 and age 18 to 55 (OR = 1.91 and 1.14, respectively, reference: age >55); prior transplant (OR = 1.80, reference: no prior transplant); 0 to 8 yr education, attended college, and received a college degree (OR = 0.78, 1.18, and 1.37, respectively, reference: high school degree); black race, Hispanic, and Asian/other (OR = 0.47, 0.59, and 0.55, reference: white); full-time employment (OR = 1.98, reference: less than full time); payment with Medicare and private insurance (OR = 0.35 and 1.24, respectively, reference: other pay); receiving insulin (OR = 1.29, reference; not on insulin); listed for kidney-pancreas (OR = 1.43, reference: listed for kidney only); listed at a center with volume >400 (OR = 1.22, reference: volume <400). To remove possible bias for general access to health care and referral for transplantation, the analysis was limited to patients who had a previous transplant and found similar results. It is concluded that racial and ethnic minorities, those less well educated, and those with fewer financial resources are less likely than their counterparts to be listed for renal transplantation before dialysis. These results suggest there may be remediable inequities in the current system for registration for renal transplantation in the United States. Education efforts directed at patients and providers, as well as recently mandated uniform listing criteria for cadaveric organ transplantation, may help to reduce these inequities.
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Talamantes, Efrain, Keith C. Norris, Carol M. Mangione, Gerardo Moreno, Amy D. Waterman, John D. Peipert, Suphamai Bunnapradist, and Edmund Huang. "Linguistic Isolation and Access to the Active Kidney Transplant Waiting List in the United States." Clinical Journal of the American Society of Nephrology 12, no. 3 (February 9, 2017): 483–92. http://dx.doi.org/10.2215/cjn.07150716.

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Dziodzio, Tomasz, Karl Herbert Hillebrandt, Sebastian Knitter, Maximilian Nösser, Brigitta Globke, Paul Viktor Ritschl, Matthias Biebl, et al. "Body Mass Index Thresholds and the Use of Bariatric Surgery in the Field of Kidney Transplantation in Germany." Obesity Surgery 32, no. 5 (March 19, 2022): 1641–48. http://dx.doi.org/10.1007/s11695-022-06000-4.

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Abstract Background Obesity in the recipient is linked to inferior transplant outcome. Consequently, access to kidney transplantation (KT) is often restricted by body mass index (BMI) thresholds. Bariatric surgery (BS) has been established as a superior treatment for obesity compared to conservative measures, but it is unclear whether it is beneficial for patients on the waiting list. Methods A national survey consisting of 16 questions was sent to all heads of German KT centers. Current situation of KT candidates with obesity and the status of BS were queried. Results Center response rate was 100%. Obesity in KT candidates was considered an important issue (96.1%; n = 49/51) and 68.6% (n = 35/51) of departments responded to use absolute BMI thresholds for KT waiting list access with ≥ 35 kg/m2 (45.1%; n = 23/51) as the most common threshold. BS was considered an appropriate weight loss therapy (92.2%; n = 47/51), in particular before KT (88.2%; n = 45/51). Sleeve gastrectomy was the most favored procedure (77.1%; n = 37/51). Twenty-one (41.2%) departments responded to evaluate KT candidates with obesity by default but only 11 (21.6%) had experience with ≥ n = 5 transplants after BS. Concerns against BS were malabsorption of immunosuppressive therapy (39.2%; n = 20/51), perioperative morbidity (17.6%; n = 9/51), and malnutrition (13.7%; n = 7/51). Conclusions Obesity is potentially limiting access for KT. Despite commonly used BMI limits, only few German centers consider BS for obesity treatment in KT candidates by default. A national multicenter study is desired by nearly all heads of German transplant centers to prospectively assess the potentials, risks, and safety of BS in KT waitlisted patients. Graphical abstract
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Schold, Jesse D., Sumit Mohan, Anne Huml, Laura D. Buccini, John R. Sedor, Joshua J. Augustine, and Emilio D. Poggio. "Failure to Advance Access to Kidney Transplantation over Two Decades in the United States." Journal of the American Society of Nephrology 32, no. 4 (February 11, 2021): 913–26. http://dx.doi.org/10.1681/asn.2020060888.

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BackgroundExtensive research and policies have been developed to improve access to kidney transplantation among patients with ESKD. Despite this, wide variation in transplant referral rates exists between dialysis facilities.MethodsTo evaluate the longitudinal pattern of access to kidney transplantation over the past two decades, we conducted a retrospective cohort study of adult patients with ESKD initiating ESKD or placed on a transplant waiting list from 1997 to 2016 in the United States Renal Data System. We used cumulative incidence models accounting for competing risks and multivariable Cox models to evaluate time to waiting list placement or transplantation (WLT) from ESKD onset.ResultsAmong the study population of 1,309,998 adult patients, cumulative 4-year WLT was 29.7%, which was unchanged over five eras. Preemptive WLT (prior to dialysis) increased by era (5.2% in 1997–2000 to 9.8% in 2013–2016), as did 4-year WLT incidence among patients aged 60–70 (13.4% in 1997–2000 to 19.8% in 2013–2016). Four-year WLT incidence diminished among patients aged 18–39 (55.8%–48.8%). Incidence of WLT was substantially lower among patients in lower-income communities, with no improvement over time. Likelihood of WLT after dialysis significantly declined over time (adjusted hazard ratio, 0.80; 95% confidence interval, 0.79 to 0.82) in 2013–2016 relative to 1997–2000.ConclusionsDespite wide recognition, policy reforms, and extensive research, rates of WLT following ESKD onset did not seem to improve in more than two decades and were consistently reduced among vulnerable populations. Improving access to transplantation may require more substantial interventions.
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Furth, Susan L., Pushkal Garg, Alicia M. Neu, Wenke Hwang, Barbara A. Fivush, and Neil R. Powe. "Racial Differences in Access to the Kidney Transplant Waiting List for Children and Adolescents with ESRD." Pediatric Research 45, no. 4, Part 2 of 2 (April 1999): 332A. http://dx.doi.org/10.1203/00006450-199904020-01974.

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Dissertations / Theses on the topic "Access to waiting list and kidney transplant"

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Huml, Anne M. "Outcomes of Deceased Donor Kidney Offers to Patients at the Top of the Waiting List." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case1512678441955104.

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Khanal, Namrata. "Identification of factors affecting access to Kidney transplant waiting list and outcomes among Indigenous Australians." Thesis, 2021. https://hdl.handle.net/2440/133491.

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Improving access to the waiting list and kidney transplantation is one of the important factors in improving poor outcomes faced by Aboriginal and Torres Strait Islanders (Indigenous) Australians with end stage kidney disease (ESKD). This thesis was designed to address the following specific aims: · To identify the time to placement on the transplant waiting list and time to transplantation among Indigenous Australians as compared to non-indigenous Australians · To examine predictors of placement on the transplant waiting list (and nonlisting) for kidney transplantation utilising existing data from Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), which holds waiting list data from the National Organ Matching System. · To examine relationships between Indigenous patients’ facility haemodialysis attendance and the chance of placement on the transplant waiting list, transplantation and transplant outcomes. · To identify risk factors predictive of good vs poor outcome following transplantation among Indigenous recipients, through quantitative studies utilising existing ANZDATA Registry data Research conducted for this thesis confirmed the increased use of haemodialysis along with low numbers of kidney transplantation among Indigenous Australians as compared to non-indigenous Australians. Lower numbers of kidney transplant among Indigenous Australians were further explored to find whether this related to placement on the transplant waiting list and to define the groups who were affected by this. A reduction in placement on the transplant waiting list among Indigenous Australians more so among people from remote areas was identified. A significant gap in transplantation among Indigenous Australians existed in and after the second year on the transplant waiting list. For this and other research conducted in this thesis, remoteness was defined by Australian Bureau of Statistics (ABS) remoteness categories, by linking ABS postcode of residence concordance data with the postcode recorded in the ANZDATA record for the start of RRT. Research conducted to explore the association of facility dialysis attendance in Indigenous Australians with ESKD and placement on the transplant waiting list and transplant outcomes was limited by the low number of outcomes measured. An association between placement on the transplant waiting list and transplant outcomes was not evident; however, the chance of transplantation was low among participants with dialysis attendance ≤2.5 sessions/week. Identification of risk factors predictive of good vs poor outcome following transplantation among Indigenous recipients was conducted by linkage of hospitalderived data with data from the Registry. A cohort study comparing pre and posttransplant hospitalisation among Indigenous kidney transplant recipients of South Australia and Northern Territory found increased rates of hospital admissions, prolonged hospital stay, and increased rates of infection more so in the first year post-transplant. Half of the study participants in our study cohort had delayed graft function. Total ischaemia time was more than 16 hours in half of the study population. Finally, a retrospective case-control study among Indigenous transplant recipients, to explore specific risks factors in the pre-transplant period, showed increased rates of hospitalisation to be predictive of early graft loss. No correlation was found between other studied factors and graft loss (including patients’ death). More studies, including studies to understand pharmacokinetics and pharmacodynamics of immunosuppression in Indigenous transplant recipients, are required to look for other factors not examined here. Hospitalisation in the pretransplant period needs further exploration and measures identified to reduce these events and complications which follow. Policies need to focus in the first year posttransplant to reduce the burden of hospitalisation. Individually tailored, evidencebased protocols are required to improve the management of post-transplant infections, which may include consideration of broad anti-infective agents. Finding ways to reduce ischaemia time and delayed graft function as a result of this factor need consideration. Development of algorithms and outcome predicting tools taking into account pretransplant hospitalisation into the equation may be helpful. Strategies need to be developed to increase placement on the transplant waiting list and transplant rates.
Thesis (Ph.D.) -- University of Adelaide, School of Diploma of Population Health, 2020
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Books on the topic "Access to waiting list and kidney transplant"

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Ather, Sameer, Ayman Farag, Vikas Bhatia, and Fadi G. Hage. Role of Imaging in Chronic Kidney Disease. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199392094.003.0017.

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Cardiovascular disease is highly prevalent in patients with chronic kidney disease (CKD) and is the biggest contributor of death in these patients. Myocardial perfusion imaging (MPI) is a validated tool for diagnosing coronary artery disease (CAD) and for predicting short and long term prognosis in this patient population. Non-invasive stress imaging, with MPI or other imaging modalities, is widely used for risk stratification in patients with end-stage renal disease (ESRD) being evaluated for kidney transplantation due to the paucity of donor organs and the high cardiovascular risk of patients on the transplant waiting list. In this Chapter we will review the data on diagnostic accuracy and risk stratification using MPI in patients with CKD and ESRD highlighting the special challenges that are unique to this population. We will also discuss novel indicators that have been used in these patients to improve risk stratification.
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Book chapters on the topic "Access to waiting list and kidney transplant"

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Kasiske, B. L., W. London, and M. Ellison. "Factors influencing early placement on the kidney transplant waiting list in the United States." In Organ Allocation, 135–37. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-4984-6_15.

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Salvadori, M., L. Comparini, E. Bertoni, S. Bandini, G. Mancini, F. Martinelli, P. Tosi, G. Nicita, and R. Lenzi. "Aging on the waiting list: should it be a further criterion for cadaver kidney allocation?" In Transplant International Official Journal of the European Society for Organ Transplantation, 114–15. Berlin, Heidelberg: Springer Berlin Heidelberg, 1992. http://dx.doi.org/10.1007/978-3-642-77423-2_37.

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Roth, David, and Roy Bloom. "Selection and Management of Hepatitis C Virus-Infected Patients for the Kidney Transplant Waiting List." In Hepatitis C in Renal Disease, Hemodialysis and Transplantation, 66–76. Basel: KARGER, 2012. http://dx.doi.org/10.1159/000333774.

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Sharma, Videha, Simon Foster, Pauline Whelan, Steven Antrobus, Titus Augustine, John Ainsworth, and Sabine N. van der Veer. "KidneyCloud: A Clinically-Codesigned Solution to Support Kidney Services with Assessing Patients for Transplantation." In MEDINFO 2021: One World, One Health – Global Partnership for Digital Innovation. IOS Press, 2022. http://dx.doi.org/10.3233/shti220205.

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There is a need for IT systems that support the complex needs of data management in kidney transplantation. The KidneyCloud project aims to inform a transplant-specific digital solution by exploring patient pathways and data journeys. This paper reports on the early prototyping of the KidneyCloud clinician interface using an iterative codesign methodology. User workshops identified that for making clinical decisions and adding patients to the national waiting list transplant teams relied heavily on manual processes to access data across systems and organisations. Based on the requirements gathered, a prototype interface was designed to provide a unified view on the available patient data, which aligned with clinical workflows. Interactive prototype screens allowed users to gain hands-on experience and provide rich real-time feedback. This informed the necessary functionalities of the interface, but also helped us understand the capabilities required of the back-end solution.
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