Factors that influence access to the national renal transplant waiting list.

作者: Christopher R. K. Dudley , Rachel J. Johnson , Helen L. Thomas , Rommel Ravanan , David Ansell

DOI: 10.1097/TP.0B013E3181AA901A

关键词: Waiting listPediatricsTransplant Waiting ListCase mix indexDiseaseRenal transplantListing (finance)MedicineSocial deprivationIntensive care medicineTransplantation

摘要: Background. Registry data can be used to examine whether there are differences between individual renal units in the proportion of dialysis patients listed for transplantation, investigate possible reasons any observed, and discover highlighting these anomalies influence practice. Methods. A cross-sectional study 12, 401 prevalent adult from 41 across England Wales was performed. The registered on deceased donor transplant waiting list determined each unit. Patient- center-specific factors that probability being transplantation were identified adjust observed units. annual change size examined before after presentation data. Results. total 23.3% active list. Patient. Specific variables significantly associated with listing age, primary disease, graft number, social deprivation, ethnicity but not gender. Centre-specific included unit, living program, practice transplantation. Whether unit also a significant. After adjusting variables, remained unexplained variation An increase number has been since presenting Conclusions. Differences exist centers cannot explained by patient case mix or center characteristics examined.

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