Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry

Paglialonga, Fabio; Consolo, Silvia; Vidal, Enrico; Parolin, Mattia; Minale, Bruno; Giordano, Mario; Guzzo, Isabella; Benevenuta, Chiara; Roperto, Rosa Maria; Corrado, Ciro; Mencarelli, Francesca; Chimenz, Roberto; Ratsch, Ilse Maria; Pieri, Giovanni; Montini, Giovanni; Edefonti, Alberto; Verrina, Enrico

doi:10.1007/s00467-020-04730-0

Cited by 3 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were two survey studies [ 35 , 36 ] but most had a retrospective design [ 34 , 47 – 51 ]. Of these, five were cohort studies based on national [ 47 , 49 , 50 ] and regional registries [ 34 , 51 ], and one was a single center study [ 48 ]. Articles were categorized according to the following time-points of the ODT process, as described below: • ESKD treatment, • access to the transplant waitlist (WL), • likelihood of transplant, • outcomes of transplant, • transplantation and refusal rates to deceased organ donation.…”

Section: Resultsmentioning

confidence: 99%

“…In adults, referrals were more often delayed [ 34 – 36 , 48 ], whereas this information was missing in the pediatric study [ 47 ]. The 1- (74.6% vs. 51.5%) and 5-year (91.9% vs. 84.7%) patient survival after dialysis start was significantly higher among immigrants in Lazio [ 34 ]; no differences were detected between the children born of immigrant parents and their native-born counterparts (87.4% vs. 89.7%, p = 0.35) [ 47 ]. Two studies noted a higher rate of clinical complications following visits to home communities [ 35 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two retrospective national cohort studies of the adult and pediatric populations examined the association between immigration background and likelihood of KT [ 47 , 49 ]. Competing risk analysis of adult patients waitlisted for KT revealed that non-European immigration background (i.e., from non-EU countries beyond Eastern Europe - excluding North America and Oceania) is associated with a diminished likelihood to receive LDKT [adjusted relative probability of non-European-born vs. Eastern European-born 0.51 (95% CI: 0.33–0.79; p = 0.002); of non-European-born vs. EU-Born: 0.65 (95% CI: 0.47–0.82; p = 0.001)].…”

Section: Resultsmentioning

confidence: 99%

“…In contrast, the study found that immigrant status does not affect the rate of deceased donor KT or permanent WL withdrawal [ 49 ]. The study of pediatric patients found that belonging to the immigrant group is associated with a significantly lower probability to receive a preemptive KT (OR 0.25, 95% CI 0.08–0.72, p = 0.011), whereas waiting time to KT does not differ between native-born and immigrant patients (2.2 vs. 2.4 years median, p = 0.45) [ 47 ]. This study was unique in highlighting that the majority of mothers (82.5%) and fathers (80%) of immigrant children originated from low- or medium-income countries.…”

Section: Resultsmentioning

confidence: 99%

“…Studies were published between 2004 and 2022. There were two survey studies [35,36] but most had a retrospective design [34,[47][48][49][50][51]. Of these, five were cohort studies based on national [47,49,50] and regional registries [34,51], and one was a single center study [48].…”

Section: Study Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Inequities in Organ Donation and Transplantation Among Immigrant Populations in Italy: A Narrative Review of Evidence, Gaps in Research and Potential Areas for Intervention

Grossi¹,

Puoti²,

Masiero³

et al. 2023

Transpl Int

View full text Add to dashboard Cite

Immigrants from outside Europe have increased over the past two decades, especially in Southern European countries including Italy. This influx coincided with an increased number of immigrants with end-stage organ diseases. In this narrative review, we reviewed evidence of the gaps between native-born and immigrant populations in the Organ Donation and Transplantation (ODT) process in Italy. Consistent with prior studies, despite the availability of a publicly funded health system with universal healthcare coverage, non-European-born individuals living in Italy are less likely to receive living donor kidney transplantation and more likely to have inferior long-term kidney graft function compared with EU-born and Eastern European-born individuals. While these patients are increasingly represented among transplant recipients (especially kidney and liver transplants), refusal rates for organ donation are higher in some ethnic groups compared with native-born and other foreign-born referents, with the potential downstream effects of prolonged waiting times and inferior transplant outcomes. In the process, we identified gaps in relevant research and biases in existing studies. Given the Italian National Transplant Center’s (CNT) commitment to fighting inequities in ODT, we illustrated actions taken by CNT to tackle inequities in ODT among immigrant communities in Italy.

show abstract