UK Renal Registry 17th Annual Report: Chapter 11 Centre Variation in Access to Renal Transplantation in the UK (2008-2010).
نویسندگان
چکیده
BACKGROUND Renal transplantation is recognised as being the optimal treatment modality for many patients with established renal failure. This analysis aimed to explore inter-centre variation in access to renal transplantation in the UK. METHODS Transplant activity and waiting list data were obtained from NHS Blood and Transplant, demographic and laboratory data were obtained from the UK Renal Registry. All incident RRT patients starting treatment between 1st January 2008 and 31st December 2010 from 71 renal centres were considered for inclusion. The cohort was followed until 31st December 2012 (or until transplantation or death, whichever was earliest). RESULTS Age, ethnicity and primary renal diagnosis were associated with both accessing the kidney transplant waiting list and receiving a kidney transplant. A patient starting dialysis ina non-transplanting renal centre was less likely to be registered for transplantation (OR 0.74, 95% CI 0.68–0.81) or receive a transplant from a donor after cardiac death or a living kidney donor (OR 0.75, 95% CI 0.67–0.84) compared with patients cared for in transplanting renal centres. Once registered for kidney transplantation, patients in both transplanting and non-transplanting renal centres had an equal chance of receiving a transplant from a donor after brainstem death (OR 0.93, 95% CI 0.78 to 1.10). CONCLUSION There was wide variation in access to kidney transplantation between UK renal centres which cannot be explained by differences in case mix.
منابع مشابه
UK Renal Registry 15th annual report: Chapter 9 centre variation in access to renal transplantation in the UK (2006-2008).
BACKGROUND Renal transplantation is recognised as being the optimal treatment modality for many patients with established renal failure. This analysis aimed to explore inter-centre variation in access to renal transplantation in the UK. METHODS Transplant activity and waiting list data were obtained from NHS Blood and Transplant, demographic and laboratory data were obtained from the UK Renal...
متن کاملUK Renal Registry 13th Annual Report (December 2010): Chapter 13: centre variation in access to renal transplantation in the UK (2004-2006).
BACKGROUND Renal transplantation is recognised as being the optimal treatment modality for many patients with end stage renal disease. This analysis aimed to explore the equity of access to renal transplantation in the UK. METHODS Transplant activity and waiting list data were obtained from NHS Blood and Transplant, demographic and laboratory data were obtained from the UK Renal Registry. All...
متن کاملUK Renal Registry 11th Annual Report (December 2008): Chapter 2 Introduction to the 2008 UK Renal Registry Report.
The UK Renal Registry (UKRR) is part of the UK Renal Association and provides independent, professionally led, audit and analysis of renal replacement therapy (RRT) in the UK. The Registry is funded directly by participating renal centres through an annual capitation fee, currently £17 per patient per annum (2008). The Registry receives quarterly electronic data extracts from information system...
متن کاملVariation between centres in access to renal transplantation in UK: longitudinal cohort study
OBJECTIVE To assess whether equity exists in access to renal transplantation in the UK after adjustment for case mix in incident patients with end stage renal disease. DESIGN Longitudinal cohort study. SETTING UK Renal Registry and UK Transplant Registry. PARTICIPANTS All incident renal replacement treatment patients (n=16 202) from 65 renal centres submitting data to the UK Renal Registr...
متن کاملUK Renal Registry 17th Annual Report: Chapter 10 2013 Multisite Dialysis Access Audit in England, Northern Ireland and Wales and 2012 PD One Year Follow-up: National and Centre-specific Analyses.
BACKGROUND Dialysis access should be timely, minimize complications and maintain functionality. The aim of the second combined vascular and peritoneal dialysis access audit was to examine practice patterns with respect to dialysis access and highlight variations in practice between renal centres. METHODS The UK Renal Registry collected centre-specific information on incident vascular and peri...
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ورودعنوان ژورنال:
- Nephron
دوره 129 Suppl 1 شماره
صفحات -
تاریخ انتشار 2015