scholarly journals FP739VARIATION IN THE PRACTICE PATTERNS OF ASSESSING PATIENT SUITABILITY FOR RENAL TRANSPLANTATION IN THE UNITED KINGDOM

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii323-iii323
Author(s):  
Rishi Pruthi ◽  
Sarah Tonkin-Crine ◽  
Melania Calestani ◽  
Rommel Ravanan ◽  
Geraldine Leydon ◽  
...  
Keyword(s):  
United Kingdom ◽  
Renal Transplantation ◽  
Practice Patterns ◽  
The United Kingdom

scholarly journals Variation in Practice Patterns for Listing Patients for Renal Transplantation in the United Kingdom

2018 ◽  
Vol 102 (6) ◽  
pp. 961-968 ◽  
Author(s):  
Rishi Pruthi ◽  
Sarah Tonkin-Crine ◽  
Melania Calestani ◽  
Geraldine Leydon ◽  
Caroline Eyles ◽  
...  
Keyword(s):  
United Kingdom ◽  
Renal Transplantation ◽  
Practice Patterns ◽  
The United Kingdom

ASSESSMENT OF RESOURCES FOR RENAL TRANSPLANTATION IN THE UNITED KINGDOM

The Lancet ◽  
1985 ◽  
Vol 326 (8448) ◽  
pp. 195-197 ◽  
Author(s):  
R.A. Sells ◽  
S. Macpherson ◽  
J.R. Salaman
Keyword(s):  
United Kingdom ◽  
Renal Transplantation ◽  
The United Kingdom

scholarly journals Inequity in Access to Transplantation in the United Kingdom

2020 ◽  
Vol 15 (6) ◽  
pp. 830-842 ◽  
Author(s):  
Rishi Pruthi ◽  
Matthew L. Robb ◽  
Gabriel C. Oniscu ◽  
Charles Tomson ◽  
Andrew Bradley ◽  
...  
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Kidney Transplantation ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Practice Patterns ◽  
Universal Health Care ◽  
The United Kingdom ◽  
Universal Health Care System ◽  
Universal Health

Background and objectivesDespite the presence of a universal health care system, it is unclear if there is intercenter variation in access to kidney transplantation in the United Kingdom. This study aims to assess whether equity exists in access to kidney transplantation in the United Kingdom after adjustment for patient-specific factors and center practice patterns.Design, setting, participants, & measurements In this prospective, observational cohort study including all 71 United Kingdom kidney centers, incident RRT patients recruited between November 2011 and March 2013 as part of the Access to Transplantation and Transplant Outcome Measures study were analyzed to assess preemptive listing (n=2676) and listing within 2 years of starting dialysis (n=1970) by center.ResultsSeven hundred and six participants (26%) were listed preemptively, whereas 585 (30%) were listed within 2 years of commencing dialysis. The interquartile range across centers was 6%–33% for preemptive listing and 25%–40% for listing after starting dialysis. Patient factors, including increasing age, most comorbidities, body mass index >35 kg/m2, and lower socioeconomic status, were associated with a lower likelihood of being listed and accounted for 89% and 97% of measured intercenter variation for preemptive listing and listing within 2 years of starting dialysis, respectively. Asian (odds ratio, 0.49; 95% confidence interval, 0.33 to 0.72) and Black (odds ratio, 0.43; 95% confidence interval, 0.26 to 0.71) participants were both associated with reduced access to preemptive listing; however Asian participants were associated with a higher likelihood of being listed after starting dialysis (odds ratio, 1.42; 95% confidence interval, 1.12 to 1.79). As for center factors, being registered at a transplanting center (odds ratio, 3.1; 95% confidence interval, 2.36 to 4.07) and a universal approach to discussing transplantation (odds ratio, 1.4; 95% confidence interval, 1.08 to 1.78) were associated with higher preemptive listing, whereas using a written protocol was associated negatively with listing within 2 years of starting dialysis (odds ratio, 0.7; 95% confidence interval, 0.58 to 0.9).ConclusionsPatient case mix accounts for most of the intercenter variation seen in access to transplantation in the United Kingdom, with practice patterns also contributing some variation. Socioeconomic inequity exists despite having a universal health care system.

Renal Transplantation in the United Kingdom for Patients From Ethnic Minorities

2007 ◽  
Vol 83 (9) ◽  
pp. 1169-1173 ◽  
Author(s):  
Chris Rudge ◽  
Rachel J. Johnson ◽  
Susan V. Fuggle ◽  
John L. R. Forsythe
Keyword(s):  
United Kingdom ◽  
Renal Transplantation ◽  
Ethnic Minorities ◽  
The United Kingdom
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