Iniquities in the access to renal transplant for patients with end-stage chronic renal disease in Brazil

Bibliographic Data

ID5175274
AuthorsElaine Leandro Machado (0000-0002-3226-3476, Universidade Federal de Minas Gerais), Waleska Teixeira Caiaffa (0000-0001-5043-4980, Universidade Federal de Minas Gerais), Cibele Comini César (0000-0003-2869-2291, Universidade Federal de Minas Gerais), Isabel Cristina Gomes (0000-0001-9335-9706, Universidade Federal de Minas Gerais), Eli Iola Gurgel Andrade (0000-0002-0206-2462, Universidade Federal de Minas Gerais), Francisco De Assis Acurcio (0000-0002-5880-5261, Universidade Federal de Minas Gerais), Mariangela Leal Cherchiglia (0000-0001-5622-567X, Universidade Federal de Minas Gerais)
Year2011
Volume27
Issuesuppl 2
Pagess284-s297
Publication date2011-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2011001400015
PMID21789420
OpenAlexW2096373252
SCIELO_PIDS0102-311X2011001400015
LanguageEN
Citations received2
References cited28

The objective of this present study is to analyze individual and contextual factors associated with access to renal transplant in Brazil. An observational, prospective and non-concurrent study was carried out, based on data from the National Database on renal replacement therapies in Brazil. Patients undergoing dialysis between 01/Jan/2000 and 31/Dec/2000 were included and monitored up to the point of transplant, death or until the end of the study period. Variables that were analyzed included: individual variables (age, sex, region of residence, primary renal disease, hospitalizations); and context variables concerning both the dialysis unit (level of complexity, juridical nature, hemodialysis machines and location) and the city (geographic region, location and HDI). Proportional hazard models were adjusted with hierarchical entry to identify factors associated with the risk of transplant. The results point to differentials in access according to socio-demographic, clinical, geographic and social factors, indicating that the organ allocation system has not eliminated avoidable disparities for those who compete for an organ in the nationwide waiting list

Context (archaeology) · Dialysis · End stage renal disease · Geography · Hazard ratio · Hemodialysis · Intensive care medicine · Observational study · Proportional hazards model · Renal replacement therapy · Renal transplant · Residence · Demography · Dialysis and Renal Disease Management · Global Maternal and Child Health · Healthcare Systems and Reforms · Internal Medicine · Medicine · Transplantation

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