Factors associated with health inequities in access to kidney transplantation in the USA: A scoping review

Ernst, Zachary; Wilson, Andrew; Peña, Andriana; Love, Mitchell; Moore, Ty; Vassar, Matt

doi:10.1016/j.trre.2023.100751

Cited by 7 publications

(3 citation statements)

References 59 publications

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“…Previous studies in France and abroad reported the existence of disparities in the access to KT . These disparities may be associated with socioeconomic level, ethnicity, the practice of nephrologists, or with sex and/or gender . Some authors concluded that women refuse transplantation much more than men, whereas they are more likely to be living donors .…”

Section: Introductionmentioning

confidence: 99%

“… 5 , 6 , 7 These disparities may be associated with socioeconomic level, ethnicity, the practice of nephrologists, or with sex and/or gender. 8 , 9 , 10 , 11 , 12 , 13 , 14 Some authors concluded that women refuse transplantation much more than men, whereas they are more likely to be living donors. 15 , 16 Patients’ preferences could play an important role in the explanation of these disparities.…”

Section: Introductionmentioning

confidence: 99%

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Experience of Chronic Kidney Disease and Perceptions of Transplantation by Sex

Adoli,

Campeon,

Chatelet

et al. 2024

JAMA Netw Open

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ImportanceThe pathway to kidney transplantation (KT) begins with the patient’s acceptance of this surgical procedure after discussion with the nephrologist. The patients’ perceptions of the disease and of KT may influence their willingness to undergo transplantation.ObjectiveTo describe patients’ experiences of kidney disease and their perceptions of KT and the nephrologists’ perceptions of the patient experience.Design, Setting, and ParticipantsThis qualitative study collected data through semistructured interviews with patients with chronic kidney disease and nephrologists in the Bretagne, Île-de-France and Normandie regions, France. Researchers involved in the study in each region purposely selected 99 patients with chronic kidney disease who initiated dialysis in 2021, based on their age, sex, dialysis facility ownership, and also 45 nephrologists, based on their sex and years of experience. Data analysis was performed from January to October 2023.Main Outcomes and MeasuresThemes were identified using inductive thematic analysis. Specific characteristics of men and women as well as the nephrologist’s views for each theme were described.ResultsThis study included 42 men and 57 women (56 [57%] aged 60 years or older) who started dialysis in 2021 and 45 nephrologists (23 women and 22 men). Six major themes were identified: (1) burden of chronic kidney disease on patients and their families, (2) health care professional–patient relationship and other factors that modulate chronic kidney disease acceptance, (3) dialysis perceived as a restrictive treatment, (4) patients’ representation of the kidney graft, (5) role of past experiences in KT perception, and (6) dualistic perception of KT. In some cases, women and nephrologists indicated that women’s perceptions and experiences were different than men’s; for example, the disease’s psychological impact and the living donor KT refusal were mainly reported by 8 women.Conclusions and RelevancePatients’ past experience of chronic kidney disease in general and of KT in particular, as well as their relationship with their family and nephrologist, were substantial determinants of KT perception in this qualitative study. Targeted policies on these different factors might help to improve access to KT, and more research is needed to understand whether there are sex-based disparities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experience of Chronic Kidney Disease and Perceptions of Transplantation by Sex

Adoli,

Campeon,

Chatelet

et al. 2024

JAMA Netw Open

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“…Targeted efforts to increase transplant parity are particularly needed because racial disparities in kidney transplants persist, including in living donation kidney transplants. 6 , 7 , 8 , 9 Contributors to kidney transplant parity are multifaceted 7 , 10 , 11 and include social and structural determinants of health, such as social networks. In this issue of Kidney Medicine , Gillespie et al 12 provided further insights into specific ways in which social networks can impact the outcomes of living donor kidney transplant.…”

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confidence: 99%