Longer Distance From Dialysis Facility to Transplant Center Is Associated With Lower Access to Kidney Transplantation
| Autor: | Adrian M. Whelan, MB BCh BAO, MAS, Kirsten L. Johansen, MD, Charles E. McCulloch, PhD, Dieter Adelmann, MD, PhD, Claus U. Niemann, MD, Garrett R. Roll, MD, Salpi Siyahian, BS, Barbara Grimes, PhD, Elaine Ku, MD, MAS |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Transplantation Direct, Vol 6, Iss 10, p e602 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2373-8731 00000000 |
| DOI: | 10.1097/TXD.0000000000001048 |
| Popis: | Background. Rates of kidney transplantation vary substantially across dialysis facilities in the United States. Whether distance between the dialysis facility and transplant center associates with variations in transplantation rates has not been examined. Methods. We performed a retrospective study of adults treated with dialysis between 2005 and 2015, according to the US Renal Data System. We examined the association between distance from dialysis facility to transplant center and time to kidney transplantation (primary outcome) and waitlist registration (secondary outcome) using Fine-Gray models. We also performed sensitivity analyses using the distance from each patient’s dialysis facility to the nearest transplant center as the predictor so that patients who were never registered on the waitlist (and therefore would not have a transplant center) could be included. Results. In total, 178 885 waitlisted patients were included for our primary analysis. As distance between dialysis facility and transplant center increased, lower hazard of transplantation (subhazard ratio [HR], 0.92; 95% confidence interval [CI], 0.91-0.94, if distance was 10 to |
| Databáze: | Directory of Open Access Journals |
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