Pediatric kidney transplantation and mortality: Distance to transplant center matters
| Autor: | Bonnie Cao, James F. Markmann, Heidi Yeh, Joel T. Adler, David C. Chang, Yanik J. Bababekov |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Multivariate analysis Adolescent Waiting Lists 030232 urology & nephrology 030230 surgery Kidney transplant Health Services Accessibility 03 medical and health sciences 0302 clinical medicine medicine Humans Child Kidney transplantation Retrospective Studies Transplantation business.industry Infant Newborn Infant Retrospective cohort study medicine.disease Kidney Transplantation Infant newborn United States surgical procedures operative Child Preschool Multivariate Analysis Pediatrics Perinatology and Child Health Kidney Failure Chronic Female Risk of death business |
| Zdroj: | Pediatric Transplantation. 22:e13120 |
| ISSN: | 1397-3142 |
| DOI: | 10.1111/petr.13120 |
| Popis: | Distance from pediatric kidney transplant centers may be a significant barrier in accessing care for patients and families, particularly due to the lower number of pediatric kidney transplant centers compared with the number of adult centers. We performed a retrospective cohort study using data from the Scientific Registry of Transplant Recipients to determine the effect of distance on pediatric kidney transplant waitlist outcomes. We found that distance did not play a role in the likelihood of transplantations for patients who were placed on the waitlist. However, living a greater distance from the transplant center was associated with a greater risk of death while on the waitlist. Larger volume centers attracted patients from greater distances, many of whom had other centers closer to their home. Further investigation on the role of distance to transplant center and the likelihood of being evaluated and listed for a kidney transplant would elucidate whether there are additional barriers these patients face. |
| Databáze: | OpenAIRE |
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