UK renal registry 20th annual report: Chapter 9 centre variation in access to kidney transplantation (2011-2013 incident cohort)

Dominic Taylor*, Matthew Robb, Anna Casula, Fergus Caskey

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

2 Citations (Scopus)

Abstract

Patients of non-White ethnicity had an equal chance of transplant wait-listing within two years of starting renal replacement therapy (OR 1.03, 95% CI 0.93-1.14). This represents an improvement in equity of access to the kidney transplant waiting list compared to findings from 2008-2010. Once on the transplant waiting list, non-White patients had a 60% lower chance of receiving a kidney transplant of any type within two years (OR 0.40, 95% CI 0.35-0.45). Compared to men, women had a 17% lower chance of being activated on the kidney transplant waiting list within two years of starting renal replacement therapy (OR 0.83, 95% CI 0.76-0.90). Once on the transplant waiting list, women had a 15% lower chance of receiving a kidney transplant of any type within two years (OR 0.85, 95% CI 0.76-0.96). Compared to patients treated at transplanting centres, patients treated at non-transplanting centres were less likely to be wait-listed for transplantation within two years of starting dialysis (OR 0.70, 95% CI 0.65-0.77), had an equal chance of receiving a transplant from a donor after brainstem death within two years of wait-listing (OR 1.06, 95% CI 0.91-1.23), but were less likely to receive a transplant from a donor after circulatory death or living kidney donor within two years of wait-listing (OR 0.85, 95% CI 0.76-0.95). Overall, this equated to a reduced chance of receiving a transplant from any donor type for patients treated at non-transplanting renal centres (OR 0.88, 95% CI 0.78-0.98).

Original languageEnglish
Pages (from-to)241-252
Number of pages12
JournalNephron
Volume139
Early online date10 Jul 2018
DOIs
Publication statusPublished - Jul 2018

Keywords

  • Centre variation
  • Comorbidity
  • Donor after brainstem death
  • Donor after circulatory death
  • Equity of access
  • Living kidney donor
  • Outcomes
  • Patient factors
  • Quality improvement
  • Renal transplantation
  • Transplant waiting list

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