Eligibility for renal transplantation: A Moroccan interregional survey

Kabbali, N.; Mikou, S.; Bardai, Ghita El; Najdi, Adil; Ezziani, M.; Batta, F.Z.; Pardiya, Nada Tazi El; Fadil, C. El; Hassani, A. El; Arrayhani, M.; Houssaïni, Tarik Sqalli

doi:10.4103/1319-2442.148769

Cited by 5 publications

(3 citation statements)

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“…Based on the number of patients on the national waiting list today, it is likely that our current referral system grossly underestimates the eligible population. Prior single‐center or small regional studies have estimated that > 50% of ESKD patients are eligible for kidney transplantation 33,34 and yet fewer than 18% of US ESKD patients are waitlisted nationally 20…”

Section: Viewpointmentioning

confidence: 99%

An opt-out model for kidney transplant referral: The time has come

Huml

Sedor

Poggio

et al. 2021

American Journal of Transplantation

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Kidney transplantation is cost effective, improves patients' quality of life, and provides a survival benefit relative to maintenance dialysis. 1-3 The benefits of transplantation extend to patients with comorbid conditions and among patients receiving relatively high-risk donor organs. 4,5 Highly prevalent racial ethnic gender geographic and socioeconomic disparities affect equitable access in kidney transplant. In addition evidence from the United States and Canada has documented substantial variability in referral rates for kidney transplantation among dialysis facilities (from 0%-100%) and higher rates of wait listing among those facilities with higher referral suggesting there are many end-stage kidney disease (ESKD) patients who may be eligible for kidney transplantation but have not yet been referred. 6,7 Improving access to the kidney transplant waiting list remains a prominent challenge for the nephrology and transplant communities. 8-10 Numerous interventions have attempted to attenuate disparities in transplantation access including peer navigation mobile decision aids, telemedicine, and targeted education among dialysis facility staff with varying effectiveness. 11-13 Despite these interventions national rates of placement on the waiting list among patients with lower historic rates of transplantation have not increased. Targeted policy interventions contained in the 2014 changes to the kidney allocation system have improved transplant access among racial minorities who are placed on the kidney transplant waiting list. 14-16 In addition Medicaid expansion enabled by implementation of the Affordable Care Act has increased preemptive waitlisting for kidney transplant even among minorities. But it is unclear whether these changes are sustainable. 17-19

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Section: Viewpointmentioning

confidence: 99%

An opt-out model for kidney transplant referral: The time has come

Huml

Sedor

Poggio

et al. 2021

American Journal of Transplantation

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“…[12] Eligibility analysis in another large Moroccon cohort reported old age and cardiovascular comorbidities as major deterrent factor for transplantation. [17] This study is a small effort intended to sensitize the transplant physicians and surgeons in India and across the world regarding the lack of awareness of ESRD patients regarding renal transplantation as the standard of care renal replacement therapy. Like all others studies, this too had its limitations.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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Background: Chronic Kidney Disease (CKD) is a global health problem and so is the dilemma of choosing the right renal replacement therapy in end-stage renal disease. Renal transplantation undoubtedly improves the quality of life and long-term survival as compared to dialysis, but patients' choice is influenced by their awareness regarding these treatment modalities. Objectives: The aim of the present study was to evaluate the knowledge, perceptions and attitude of maintenance hemodialysis (MHD) patients towards transplantation. Subjects and Methods: Patients on MHD for more than 3 months duration were included in this questionnaire based cross-sectional study, after a written informed consent. Results: A total of 144 patients with a mean age of 48 ±12 years were included in the study, with 92(63.9%) males and 52(36.2%) females. Most of these had diabetic kidney disease (n=58,40.3%). The source of knowledge regarding transplantation were the treating doctor (76.4%), paramedical staff (9.7%), relatives/friends (11.1%) and social media/other sources (2.8%). Majority of them (n=100,69.4%) were willing to undergo transplantation, but had multiple reasons for continuing hemodialysis, including old age (31.8%), financial constrains (40.9%), fear of post-transplant complications (54.5%), concern for health of the donor after donation (22.7%) and various co-morbidities precluding transplantation (9.1%). Only 41.7% patient was aware of option of diseased donor transplantation, but just 11.1% were enrolled for the same. Conclusion: Negative attitude towards transplantation is a potentially modifiable factor and increasing awareness among CKD patients can improve their quality of life, after live or deceased donor transplantation.

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“…Optimal care of children with ESRD is of great interest because it is reflected in the results for HRQOL [10]. From a medical perspective, renal transplantation represents the renal replacement therapy of choice for children [11]. The quality of life of children with ESRD is an important factor for their adult life.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life of Children with Chronic Kidney Disease Undergoing Renal Replacement Therapy

Morales¹,

Munárriz²,

Vasquez³

et al. 2018

J Kidney

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Introduction: End-Stage Renal Disease (ESRD) is a major health problem. The Health-related Quality of Life (HRQOL) of children with end-stage renal disease influences their future life in terms of autonomy, psychosexual development, and social integration. Objective: To evaluate the HRQOL of children with ESRD according to the modality of renal replacement therapy: Hemodialysis (HD), Peritoneal Dialysis (PD), and Renal Transplant (RT). Population and Methods: Cross-sectional, observational, prospective study that included 79 children between 5 and 17 years of age (mean of 13.3 ± 3.4) diagnosed with End-Stage Renal Disease (with renal replacement therapy). The applied questionnaire was KINDL®. Results: Of the 79 children and adolescents with ESRD, 39 (49.4%) had PD, 21 (26.6%) had HD, and 19 (24.1%) had RT. The total HRQOL for the children with PD was 60.39 ± 7.88; 62 ± 9.71 for HD, and 83.44 ± 9.68 for RT. Conclusion: The patients who underwent RT had higher HRQOL scores compared to their PD and HD peers both in terms of the total score and in all dimensions, while the scores did not differ for the patients on dialysis.

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Eligibility for renal transplantation: A Moroccan interregional survey

Cited by 5 publications

References 0 publications

An opt-out model for kidney transplant referral: The time has come

An opt-out model for kidney transplant referral: The time has come

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Quality of Life of Children with Chronic Kidney Disease Undergoing Renal Replacement Therapy

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